Diagnostic and therapeutic strategies in early onset scoliosis: A current concept review.
| Autor: | Studer D; Orthopaedic Department, University Children's Hospital Basel UKBB, Basel, Switzerland., Hasler CC; Orthopaedic Department, University Children's Hospital Basel UKBB, Basel, Switzerland. |
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| Jazyk: | angličtina |
| Zdroj: | Journal of children's orthopaedics [J Child Orthop] 2024 Feb 04; Vol. 18 (2), pp. 113-123. Date of Electronic Publication: 2024 Feb 04 (Print Publication: 2024). |
| DOI: | 10.1177/18632521241228141 |
| Abstrakt: | Substantial advances in the treatment of early onset scoliosis (EOS) over the past two to three decades have resulted in significant improvements in health-related quality of life of affected children. In addition to classifications that address the marked heterogeneity of this patient population, increasing understanding of the natural history of the disease, and new implants and treatment techniques have resulted in innovations unlike any other area of pediatric orthopedics. The growing understanding of the interaction between spinal and thoracic growth, as well as dependent lung maturation, has had a lasting impact on the treatment strategy of this potentially life-threatening disease. The previous treatment approach with early corrective fusion gave way to a growth-friendly concept. Despite the steady development of new growth-friendly surgical treatment options, whose efficacy still needs to be validated, as well as a revival of conservative growth control with serial casts and/or braces, the psychosocial burden of the long lasting and complication-prone treatments remains high. As a consequence, EOS still represents one of the greatest pediatric orthopedic challenges. Competing Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. (© The Author(s) 2024.) |
| Databáze: | MEDLINE |
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