Treatment strategies for early-onset scoliosis
Helenius I.
Treatment strategies for early-onset scoliosis
Helenius I.
British Editorial Society of Bone and Joint Surgery
Julkaisun pysyvä osoite on:
https://urn.fi/URN:NBN:fi-fe2021042719765
https://urn.fi/URN:NBN:fi-fe2021042719765
Tiivistelmä
Early-onset scoliosis (EOS) is defined as a spinal deformity occurring before the age of ten years.
Untreated EOS or early spinal fusion resulting in a short spine is associated with increased mortality and cardiopulmonary compromise.
EOS may progress rapidly, and therefore prompt clinical diagnosis and referral to a paediatric orthopaedic or spine unit is necessary.
Casting under general anaesthesia can be effective and may prevent or delay the need for surgery in curves of less than 60°.
‘Growing’ rods (traditional or magnetically-controlled) represent the standard surgical treatment in progressive curves of 45° or greater.
Children with congenital scoliosis associated with fused ribs benefit from surgery with a vertical titanium prosthetic rib.
Surgery with growth-friendly instrumentation is associated with a high risk of complications.
Kokoelmat
- Rinnakkaistallenteet [19207]