Early onset scoliosis. Instructional course
DOI:
https://doi.org/10.1016/j.rccot.2020.06.007Keywords:
early onset, scoliosisAbstract
Background: Early onset scoliosis presents before the age of 10 years old due to congenital structural anomalies of the thorax, neuromuscular diseases, and syndromes, or is idiopathic.
Methods: A review of the literature from 2003 to 2018 on the early onset scoliosis.
Result: A deformity of the spine at an early age limits lung development and proper respiratory function, thereby provoking the onset of a thoracic insufficiency syndrome. Historically, the natural path of this condition can be lethal, and the damage caused by the early onset scoliosis tends to be permanent, regardless of its restoration after the age of 10. The early onset scoliosis classification is currently based on the age, aetiology, and the extent of the deformity. The treatment modalities most often used are: serial casts, vertical expandable prosthetic titanium ribs, double traditional growing rods, ShillaTM growing rods, and magnetically controlled growing rods.
Discussion: Undoubtedly, it is imperative to know its manifestations and peculiarities in order to classify the disease, as well as to monitor the disease. Treatment should be personalised, and the deterioration of the spine halted as soon as possible, as well as to prevent respiratory insufficiency
Level of evidence: IV
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