Journal
ORTHOPEDIC CLINICS OF NORTH AMERICA
Volume 45, Issue 4, Pages 501-+Publisher
W B SAUNDERS CO-ELSEVIER INC
DOI: 10.1016/j.ocl.2014.06.010
Keywords
Early onset scoliosis; Casting; Growing rods; Shila; Nitinol staple; Expansion thoracoplasty
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As the undesired results of early spinal fusion have become apparent, growth-friendly management methods for early onset scoliosis have been increasing during recent years. Current literature supports the use of repeated corrective cast applications as the initial management for most early onset progressive spinal deformities as either definitive treatment or as a temporizing measure. If casting is not an option or the deformity cannot be controlled via casting, one of the growth-friendly instrumentation techniques is chosen. Growth-friendly surgical methods and implants have been evolving as understanding of the disease improves.
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