Strategies for Treating Scoliosis in Early Childhood
Standard
Strategies for Treating Scoliosis in Early Childhood. / Ridderbusch, Karsten; Spiro, Alexander S; Kunkel, Philip; Grolle, Benjamin; Stücker, Ralf; Rupprecht, Martin.
In: DTSCH ARZTEBL INT, Vol. 115, No. 22, 01.06.2018, p. 371-376.Research output: SCORING: Contribution to journal › SCORING: Review article › Research
Harvard
APA
Vancouver
Bibtex
}
RIS
TY - JOUR
T1 - Strategies for Treating Scoliosis in Early Childhood
AU - Ridderbusch, Karsten
AU - Spiro, Alexander S
AU - Kunkel, Philip
AU - Grolle, Benjamin
AU - Stücker, Ralf
AU - Rupprecht, Martin
PY - 2018/6/1
Y1 - 2018/6/1
N2 - BACKGROUND: Scoliosis in early childhood is defined as abnormal curvature of the spine of any etiology that arises before age 10. The affected children are at high risk of developing restrictive pulmonary dysfunction. The treatment presents major challenges because of the complexity and high morbidity of the disease.METHODS: This article is based on pertinent articles retrieved by a selective literature search, and on the results of a retrospective study by the authors.RESULTS: In addition to conservative treatment methods including physiotherapy, casts, and corsets, progressive scoliosis usually requires early surgical intervention. In recent years, many different so-called non-fusion techniques have been developed for the surgical treatment of early childhood scoliosis. The goal of this new strategy is to avoid early fusion procedures and to enable further growth of the rib cage, lungs, and spine in addition to correcting the scoliosis. The authors also present their own intermediate-term results with a novel growth-preserving spinal operation that exploits magnet technology.CONCLUSION: Because of the low prevalence and heterogeneous etiology of early childhood scoliosis, the literature to date contains no randomized controlled therapeutic trials concerning this small group of high-risk patients. For the treatment to succeed, it is essential for specialists from all of the involved medical disciplines to work closely together. Conservative measures such as physiotherapy, casts, and corsets can delay the (frequent) need for surgery or even make surgery unneces - sary, particularly in the idiopathic types of early childhood scoliosis. The new non-fusion techniques enable continued growth of the spine, rib cage, and lung in addition to correcting the scoliosis.
AB - BACKGROUND: Scoliosis in early childhood is defined as abnormal curvature of the spine of any etiology that arises before age 10. The affected children are at high risk of developing restrictive pulmonary dysfunction. The treatment presents major challenges because of the complexity and high morbidity of the disease.METHODS: This article is based on pertinent articles retrieved by a selective literature search, and on the results of a retrospective study by the authors.RESULTS: In addition to conservative treatment methods including physiotherapy, casts, and corsets, progressive scoliosis usually requires early surgical intervention. In recent years, many different so-called non-fusion techniques have been developed for the surgical treatment of early childhood scoliosis. The goal of this new strategy is to avoid early fusion procedures and to enable further growth of the rib cage, lungs, and spine in addition to correcting the scoliosis. The authors also present their own intermediate-term results with a novel growth-preserving spinal operation that exploits magnet technology.CONCLUSION: Because of the low prevalence and heterogeneous etiology of early childhood scoliosis, the literature to date contains no randomized controlled therapeutic trials concerning this small group of high-risk patients. For the treatment to succeed, it is essential for specialists from all of the involved medical disciplines to work closely together. Conservative measures such as physiotherapy, casts, and corsets can delay the (frequent) need for surgery or even make surgery unneces - sary, particularly in the idiopathic types of early childhood scoliosis. The new non-fusion techniques enable continued growth of the spine, rib cage, and lung in addition to correcting the scoliosis.
KW - Adolescent
KW - Child
KW - Child, Preschool
KW - Conservative Treatment/methods
KW - Female
KW - Humans
KW - Male
KW - Retrospective Studies
KW - Scoliosis/diagnostic imaging
KW - Spinal Fusion/methods
KW - Treatment Outcome
U2 - 10.3238/arztebl.2018.0371
DO - 10.3238/arztebl.2018.0371
M3 - SCORING: Review article
C2 - 29932047
VL - 115
SP - 371
EP - 376
JO - DTSCH ARZTEBL INT
JF - DTSCH ARZTEBL INT
SN - 1866-0452
IS - 22
ER -