Early onset scoliosis: current concepts and controversies

Early Onset Scoliosis (EOS) may be associated with long-term pulmonary morbidity, which is not commonly seen in Adolescent Idiopathic Scoliosis. Initial evaluation is based on determining any underlying etiology related to congenital or syndromic conditions. Assessing the impact of scoliosis on thor...

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Bibliographic Details
Published inCurrent reviews in musculoskeletal medicine Vol. 5; no. 2; pp. 102 - 110
Main Authors Fletcher, Nicholas D., Bruce, Robert W.
Format Journal Article
LanguageEnglish
Published New York Current Science Inc 01.06.2012
Subjects
Medicine
Medicine & Public Health
Minimally Invasive Surgery
Orthopedics
Pediatrics (M Glotzbecker
Pediatrics (M Glotzbecker, Section Editor)
Rehabilitation Medicine
Section Editor
Sports Medicine
Surgery
Surgical Orthopedics
Pediatrics
Infantile scoliosis
Serial casting
Risser casting
VEPTR
Early onset scoliosis
Thoracic insufficiency syndrome
Juvenile scoliosis
Scoliosis
Growing rods
Bracing
Expansion thoracoplasty
Mehta casting
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Summary:Early Onset Scoliosis (EOS) may be associated with long-term pulmonary morbidity, which is not commonly seen in Adolescent Idiopathic Scoliosis. Initial evaluation is based on determining any underlying etiology related to congenital or syndromic conditions. Assessing the impact of scoliosis on thoracic development may help guide treatment, which is often required at a young age in these children to prevent irreversible pulmonary insufficiency. Treatment is based on multiple factors but may include non-surgical strategies, such as casting or bracing, along with growth-sparing surgical procedures using growing rods or chest wall expansion. Definitive fusion is rarely indicated in young patients. This chapter will cover the diagnosis, evaluation, and treatment of children with EOS.
Bibliography:ObjectType-Article-1
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ISSN:1935-973X
1935-9748
DOI:10.1007/s12178-012-9116-0