Congenital scoliosis

KÖSE N., Campbell R.

MEDICAL SCIENCE MONITOR, cilt.10, sa.5, 2004 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Derleme
  • Cilt numarası: 10 Sayı: 5
  • Basım Tarihi: 2004
  • Dergi Adı: MEDICAL SCIENCE MONITOR
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Anahtar Kelimeler: congenital scoliosis, hypoplastic thorax, opening wedge thoracoplasty, thoracic insufficiency syndrome titanium rib, HARRINGTON INSTRUMENTATION, YOUNG-CHILDREN, PROGRESSIVE SCOLIOSIS, NATURAL-HISTORY, IDIOPATHIC SCOLIOSIS, SPINAL ARTHRODESIS, FUSION, EXCISION, ANTERIOR, HEMIVERTEBRAE
  • Eskişehir Osmangazi Üniversitesi Adresli: Evet

Özet

The management of congenital scoliosis requires a systematic approach with careful attention to detail. Any fortuitous diagnosis of vertebral anomalies in infancy, even if there is no significant scoliosis at that time on x-ray, requires frequent clinical and radiographic follow-up to detect progression. The presence of associated anomalies of the spinal cord, the kidneys and the heart should be evaluated by MRI, renal ultrasound or IVP, with cardiology evaluation as indicated. Curve progression or severe vertebral anomalies known to cause curve progression require immediate treatment to prevent deformity. Significant thoracic deformity, especially in a patient with thoracic insufficiency syndrome, is best treated with expansion thoracoplasty. The patient with congenital scoliosis requires a long term commitment to care with frequent orthopaedic follow-up throughout the growing years along with routine pulmonary function assessment once the patient is able to cooperate with testing.