Derotational Casting for Progressive Infantile Scoliosis

Sanders, James O.; D’Astous, Jacques; Fitzgerald, Marcie; Khoury, Joseph G.; Kishan, Shyam; Sturm, Peter

doi:10.1097/bpo.0b013e3181b2f8df

Cited by 137 publications

(87 citation statements)

References 15 publications

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“…In recent years, there has been a growing interest for expanding non-operative and operative alternatives for EOS, and many new techniques have emerged [6][7][8][9]. Skaggs [10] introduced a classification of growth-friendly procedures based on the mechanism by which they modulate the spinal and chest wall growth.…”

Section: Introductionmentioning

confidence: 99%

Fusionless procedures for the management of early-onset spine deformities in 2011: What do we know?

Akbarnia

Campbell

Diméglio

et al. 2011

Journal of Children's Orthopaedics

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While attempts to understand them better and treat them more effectively, early-onset deformities have gained great pace in the past few years. Large patient series with long follow-ups that would provide high levels of evidence are still almost non-existent. That there is no safe treatment algorithm defined and agreed upon for this patient population continues to pose a challenge for pediatric spine surgeons. In this review, authors who are well known for their research and experience in the treatment of early-onset scoliosis (EOS) have come together in order to answer those questions which are most frequently asked by other surgeons. The most basic eight questions in this field have been answered succinctly by these authors and a current overview is provided.

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Section: Introductionmentioning

confidence: 99%

Fusionless procedures for the management of early-onset spine deformities in 2011: What do we know?

Akbarnia

Campbell

Diméglio

et al. 2011

Journal of Children's Orthopaedics

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“…Although early definitive fusion does still have a role in isolated vertebral malformations, particularly in the lumbar spine, the effect of fusion before age 5 on the growth of the thoracic cage is life-altering for many children. Nonoperative measures to control or correct spinal deformity such as casting should be pursued in young babies with idiopathic scoliosis with the goal of preventing deformities that will require surgical management [28,41]. New surgical techniques that allow expansion of the thorax and growth of the spine through thoracoplasty with implantation of expandable rib devices or dual growing spinal rods without fusion offer the potential for continued pulmonary development in young children with severe deformities [1,2,9,17].…”

Section: Discussionmentioning

confidence: 99%

Early Definitive Spinal Fusion in Young Children: What We Have Learned

Karol¹

2011

Clinical Orthopaedics &Amp; Related Research

111

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Background Early-onset scoliosis, when left untreated, leads to severe deformity. Until the last decade, treatment of progressive curves in young children often consisted of definitive spinal fusion. The recognition of thoracic insufficiency syndrome associated with definitive early fusion has led to the development of new surgical techniques developed to preserve spinal and thoracic growth in young patients with progressive scoliosis. Questions/purposes We asked: (1) Does early definitive fusion arrest progression of spinal deformity? To what extent does early definitive spinal fusion influence (2) pulmonary function and (3) thoracic growth? Methods A Medline search of the published literature on early-onset scoliosis, congenital scoliosis, and infantile scoliosis between 2008 and 2010 was performed on spinal fusion for early-onset scoliosis, focusing on studies reporting pulmonary function at followup. Results Spinal deformity is apparently not well controlled by early fusion since revision surgery has been required in 24% to 39% of patients who underwent presumed definitive fusion in early childhood. Restrictive pulmonary disease, defined as forced vital capacity less than 50% of normal, occurs in 43% to 64% of patients who undergo early fusion surgery with those children who have extensive thoracic fusions and whose fusions involve the proximal thoracic spine at highest risk. Thoracic growth after early surgery is an average of 50% of that seen in children with scoliosis who do not have early surgery. Diminished thoracic spinal height correlates with decreased forced vital capacity. Conclusions The literature does not support routine definitive fusion of thoracic spinal deformity at an early age in children with scoliosis.

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“…В отличие от другой патологии, вызывающей младенческий сколиоз, при артрогрипозе метод M. Mehta не дает полного излечения, однако по-зволяет замедлить прогрессирование сколиоза и способствует более симметричному росту груд-ной клетки, пока ребенок не достигнет возраста для постановки спинальных конструкций, по-зволяющих осуществлять коррекцию деформа-ций позвоночника и грудной клетки в процессе роста. Альтернативным методом лечения больных со среднетяжелыми сколиозами старше 5 лет яв-ляется корсетирование для дальнейшей отсрочки оперативного лечения [4,9,13].…”

Section: лечениеunclassified

Scoliosis in patients with arthrogryposis: a literature review

Agranovich

Евгеньевна²,

Комолкин

et al. 2017

Pediatr Traum Orthop Reconstr Surg

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2 ФГБОУ ВО «Санкт-Петербургский государственный педиатрический медицинский университет» Минздрава России, Санкт-Петербург Сколиоз у пациентов с артрогрипозом встречается в 2,5-69 % случаев и часто характеризуется быстро про-грессирующим течением, а также ригидностью. По локализации наиболее часто отмечаются деформации груд-ного и грудопоясничного отделов позвоночника, при этом возможно поражение одного либо обоих отделов. Часто сколиоз грудопоясничного отдела позвоночника сочетается с контрактурами в тазобедренных суставах и с перекосом таза. Сколиоз у детей с артрогрипозом, в отличие от аномалий конечностей, как правило, редко диагностируется при рождении, чаще в возрасте 5 лет, что может объясняться периодом быстрого роста по-звоночника. Плохими прогностическими признаками, обусловливающими быстрое развитие сколиоза, служат: прогрессирование в раннем возрасте, паралитический характер деформации, а также наличие перекоса таза. Цель лечения деформаций позвоночника у больных с артрогрипозом -создание предпосылок для нормаль-ного роста и развития грудной клетки, а также восстановление баланса туловища и оси позвоночника. Основ-ными методами лечения данной патологии при артрогрипозе являются: гипсовая коррекция, корсетирование, использование спинальных конструкций, позволяющих осуществлять коррекцию деформаций позвоночника и грудной клетки в процессе роста, а также выполнение спондилодеза. В статье анализируются современные подходы к лечению сколиоза у пациентов с артрогрипозом.Ключевые слова: артрогрипоз, сколиоз, корсетирование, оперативное лечение. The reported incidence of scoliosis in patients with arthrogryposis varies greatly between 2,5% and 69%. Curves can progress quickly. The most typical localizations of scoliosis are the thoracic and the thoracolumbar parts of the spine. In some cases, thoracolumbar scoliosis is combined with contractures in the hip and pelvis oblique. Scoliosis in children with arthrogryposis, as opposed to limb abnormalities, is generally rarely diagnosed at birth. The diagnosis is often established at the age of 5 years and can be explained by a period of rapid spine growth. The poor prognostic signs that determine the rapid development of scoliosis include progression at an early age, paralytic deformity, and pelvis oblique. Treatment options include spine casting, bracing, expandable implant surgery, and spinal fusion. The treatment goal is to allow optimal growth and development of the chest and a well-balanced spine. This article analyzes the modern approach to treatment scoliosis in patients with arthrogryposis. SCOLIOSIS IN PATIENTS WITH ARTHROGRYPOSIS: A LITERATURE REVIEW

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Derotational Casting for Progressive Infantile Scoliosis

Abstract: Level 4, therapeutic study.

Cited by 137 publications

References 15 publications

Fusionless procedures for the management of early-onset spine deformities in 2011: What do we know?

Fusionless procedures for the management of early-onset spine deformities in 2011: What do we know?

Early Definitive Spinal Fusion in Young Children: What We Have Learned

Scoliosis in patients with arthrogryposis: a literature review

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