Infantile idiopathic scoliosis: surgical treatment in rapidly progressive cases
© Lawniczak and Kotwicki; licensee BioMed Central Ltd. 2012
Published: 27 January 2012
To present 4 cases (5 curves) of infantile scoliosis in children initially managed with corrective brace and physiotherapy. All finally underwent surgical treatment.
Materilas and methods
Age at diagnosis in years
Curve magnitude before treatment Cobb angle
Brace treatment since
Curve magnitude before surgery Cobb angle
Age at surgery
Curve magnitude at last follow up Cobb angle
Finally patients underwent surgical treatment: anterior and posterior fusion in 2 patients (3 curves), posterior instrumentation (2 growing rods) in one patient, and VEPTR device in one case. All have led to clinical improvement.
In those cases the curve was rapidly progressing despite our efforts to stop it. As the conservative measures failed, we proceed to surgery for correction and stabilisation of the spine. There were no major complications during surgical treatment.
Conservative treatment plays a vital role in treatment of scoliosis. However, in cases of early onset and rapid progression, surgical treatment appears to be a reliable method.
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