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Early onset scoliosis: current concepts and controversies

  • Nicholas D. FletcherEmail author
  • Robert W. Bruce
Pediatrics (M Glotzbecker, Section Editor)

Abstract

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.

Keywords

Scoliosis Early onset scoliosis Thoracic insufficiency syndrome Infantile scoliosis Juvenile scoliosis Bracing Serial casting Mehta casting Risser casting Growing rods VEPTR Expansion thoracoplasty Pediatrics 

Notes

Disclosures

No potential conflicts of interest relevant to this article were reported.

References

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© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  1. 1.Emory University Orthopaedics and Spine CenterAtlantaUSA

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