Juvenile idiopathic scoliosis

Abstract

A series of9S patients withjuvenile idiopathic scoliosis have been analysed. This showed that between the ages offour and six there was a higher incidence in boys whereas between seven and nine years of age, the proportion ofgirls was higher. Regardless ofsex and age the majority ofthe curves were convex to the right and the single thoracic curve was the commonest pattern. Spontaneous resolution occurred in seven patients: in four the curves resolved within two years; in the three others the curves resolved in three, four and five years respectively. Forty-four per cent of all patients were managed conservatively and in 56 per cent spinal fusion was carried between 1951 and 1979.

Scoliosis in association with the 22q11.2 deletion syndrome: an observational study

“…Consequently, it is impossible to compare these results with findings in patients with AIS. In our cohort, a subset of the patients developed a left thoracic curve, which resembles juvenile (ages 4–10 years) idiopathic scoliosis 35. In addition, a subset of the patients with 22q11.2DS has a right descending aorta, which is strongly correlated with a left thoracic curve 31.…”

Brace treatment in juvenile idiopathic scoliosis: a prospective study in accordance with the SRS criteria for bracing studies - SOSORT award 2013 winner

“…Other authors have reported much higher percentages of patients who needed surgery despite bracing. For instance, Figueiredo and James [39] reported a 62% incidence of surgery in patients treated with a modified Milwaukee brace, Mannherz [13] reported 80%, and McMaster 87% [10]. In a recent paper, Jarvis [32] highlighted the difficult in comparing the results of the various studies because they involve patients with different characteristics, non standard indications for surgery, which varies from 19% to 87%, and outcome analysis.…”

Effective nonoperative treatment in juvenile idiopathic scoliosis

“…In a third study, 89% of the infantile patients also had a good response to casting, with a surgery rate of 16% at final follow-up [10]. However, in the somewhat older patients with juvenile scoliosis, casting and/or bracing has been reported to be much less successful than in the infantile scoliosis population, with surgery rates ranging from 27 to 100% after nonoperative treatment [11][12][13][14][15][16][17][18].…”

“…The natural history shows that 70-95% of curves in juvenile scoliosis progress, of which 50% eventually need (surgical) treatment [15,16,22], which justifies earlier treatment if feasible. However, the optimal nonoperative treatment regimens are relatively unknown.…”