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Early onset scoliosis and current treatment methods
Institution:1. Department of Orthopedic Surgery, Nationwide Children''s Hospital, Columbus, OH, United States;2. Department of Orthopaedics, The Ohio State University Wexner Medical Center, Columbus, OH, United States;1. Orthopaedic Biomechanics Laboratories, Michigan State University, East Lansing, MI, 48824, USA;2. Department of Mechanical Engineering, College of Engineering, Michigan State University, East Lansing, MI, 48824, USA;3. Department of Radiology, College of Osteopathic Medicine, Michigan State University, East Lansing, MI, 48824, USA;1. Department of Orthopaedics, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands;2. Department of Orthopaedics, University Medical Center Utrecht, the Netherlands;3. Department of Traumatology, OLVG, Amsterdam, the Netherlands;1. Department of Pediatric Surgery, University Hospital of Brazzaville, Congo;2. Department of Traumatology and Orthopaedics, University Hospital of Brazzaville, Congo;1. Orthopedic Department, Faculty of Medicine, Menoufia University, Egypt;2. Rheumatology,physical Medicine and Rehabilitation Department, Faculty of Medicine, Menoufia University, Egypt;3. Radiology Department, Faculty of Medicine, Menoufia University, Egypt
Abstract:ObjectiveProvide an update of the management options for early onset scoliosis patients, including general assessment, conservative and surgical options.MethodsWe included the updated information about the assessment and management options of Early Onset Scoliosis, taking into consideration the non-fusion methods, including the burden on the patient and their family.ResultsWith the heterogeneity of this population, it is difficult to get a consensus about a unified protocol for management. Accordingly, the surgeon dealing with these cases needs to be aware of the broad range of surgical and non-surgical methods when treating these patients.ConclusionThe main aim of early onset scoliosis treatment is to gain a flexible spine associated with normal lung development and thoracic growth. Management needs to be individualized between the surgeon and patient in relation to the etiology and patient conditions.
Keywords:Early onset scoliosis  Growing spine  Lung growth  Non fusion technique  Posterior tethering
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