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Growth Modulation Techniques for Non-Idiopathic Early Onset Scoliosis

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Non-Idiopathic Spine Deformities in Young Children

Abstract

The success of growth modulation for the correction of limb angular deformity has renewed interest in applying related methods to correct spine deformities without fusion. We review the history of growth modulation, which dates back almost 100 years. We describe recent preclinical studies and early human clinical use, with our primary focus on non-idiopathic early onset scoliosis and techniques that limit growth on the convex curve side. Just as neuromuscular, syndromic, traumatic, and congenital deformities of the limb usually respond to growth modulation, non-idiopathic scoliosis can respond to growth modulation. Because the human spinal growth plates adjoin the disc, a non-fusion growth modulation device must span the mobile intervertebral joint, which raises technical challenges beyond those of growth modulation techniques for long bones. If these challenges are solved, non-fusion spinal growth modulation may join convex hemifusion techniques as an important surgical option for scoliosis in young children with non-idiopathic scoliosis.

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  1. Department of Orthopedics, 3333 Burnet Avenue, Cincinnati, OH, 45229-3026, USA

    Eric J. Wall & Donita I. Bylski-Austrow

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  1. Eric J. Wall
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  2. Donita I. Bylski-Austrow
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Correspondence to Eric J. Wall .

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  1. Dept. Orthopedics & Traumatology, Hacettepe University, Sihhiye, Ankara, 06100, Turkey

    Muharrem Yazici

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Wall, E.J., Bylski-Austrow, D.I. (2011). Growth Modulation Techniques for Non-Idiopathic Early Onset Scoliosis. In: Yazici, M. (eds) Non-Idiopathic Spine Deformities in Young Children. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-19417-7_11

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