TEAM APPROACH: CONTEMPORARY TREATMENT OF CONGENITAL SCOLIOSIS

OpenAlex İngilizce

» Congenital scoliosis is caused by developmental abnormalities such as failure of segmentation, failure of formation, or a combination of these conditions. » The multi-organ nature of congenital scoliosis necessitates a team approach in which spinal and intraspinal deformities are treated by orthopaedic surgeons, neurosurgeons, and physical therapists, and associated anomalies are treated by pediatricians, pediatric surgeons, cardiologists, pulmonologists, and urologists. » At the initial time of diagnosis, observation is appropriate for most cases. Although early arthrodesis may be appropriate for select cases, delaying tactics that are nonoperative (bracing and casting) or operative (growing rod and growth guidance) may preserve (or even stimulate) spine and chest cage development while controlling the deformity. » Early hemivertebra resection and short-segment arthrodesis provide excellent outcomes. » Patients with a neurological deficit may require neurosurgical intervention, which may be performed either before a deformity correction surgical procedure or simultaneously with the procedure.