Diverse approaches to scoliosis in young children

EFORT Open Reviews

article

Alpaslan Senkoylu¹  Rolf B. Riise²  Emre Acaroglu³  Ilkka Helenius³ 

[1] Gazi University, Department of Orthopaedics and Traumatology;Oslo University Hospital, Orthopaedic Clinic;University of Helsinki and Helsinki University Hospital

关键词: casting;    early onset;    growing rods;    scoliosis;    vertebral body tethering;    young children;   

DOI  :  10.1302/2058-5241.5.190087

学科分类：神经科学

来源: The British Editorial Society of Bone & Joint Surgery

【 摘 要 】

Scoliosis is a three-dimensional deformity of spine. Although it is seen predominantly in the adolescent age group, scoliosis in the young age group occasionally exists and requires sophisticated management. Traditionally, idiopathic scoliosis has been classified based on initial age at which the pathology is first identified. If the age at onset of scoliosis is younger than three years, it is defined as infantile. If the age at onset is between four and 10 years, it is described as juvenile and finally, if the curve is detected later than 10 years, it is classified as adolescent idiopathic scoliosis (AIS).1 After the development of better understanding of the relationship of spinal growth to thorax and lung development, a new description was developed. Early onset scoliosis (EOS) now refers to a coronal plain curvature of more than 10 degrees with onset earlier than 10 years of age including all types of aetiologies such as idiopathic, congenital, neuromuscular and also syndromic.2 This heterogeneous group of aetiologies helps in predicting outcome of EOS cases. Recently, Willliams et al developed a new classification system (C-EOS) which includes four domains: aetiology of deformity, magnitude of major curve, presence of kyphosis and annual progression ratio.3 The reliability and validity of C-EOS has been already demonstrated.

【 授权许可】

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