Cao Jun,Zhang Xuejun.Systemic treatments of pediatric early-onset scoliosis[J].Journal of Clinical Pediatric Surgery,,20():1-5.[doi:10.12260/lcxewkzz.2021.01.001]
Systemic treatments of pediatric early-onset scoliosis
- Keywords:
- Scoliosis/SU; Scoliosis/TH; Systematic Treatment; Spinal Fusion; Non-Fusion Surgery; Child
- CLC:
- R726.8;R682.3
- Abstract:
- As a management dilemma in pediatric orthopedics and spinal surgery,early onset scoliosis (EOS) requires thorough preoperative examinations and deformities beyond orthopedics need the consultations of multiple specialties.Current management options for EOS include non-surgical measures and surgery (including fusion and non-fusion).Systemic managements of EOS require appropriate interventions constant adjustments according to specific conditions and developmental characteristics of children.The therapeutic objective is not only focusing upon spinal malformations,but also maintaining normal spinal and thoracic developments,reducing the occurrences of complications and promoting overall health.
References:
1 El-Hawary R,Akbarnia BA.Early onset scoliosis-time for consensus[J].Spine Deform,2015,3(2):105-106.DOI:10.1016/j.jspd.2015.01.003.
2 Williams BA,Matsumoto H,McCalla DJ,et al.Development and initial validation of the classification of early-onset scoliosis (C-EOS)[J].J Bone Joint Surg Am,2014,96(16):1359-1367.DOI:10.2106/JBJS.M.00253.
3 郭东,曹隽,张学军,等.先天性脊柱畸形合并椎管内神经系统畸形发病因素分析[J].临床小儿外科杂志,2010,9(4):255-257.DOI:10.3969/j.issn.1671-6353.2010.04.005.Guo D,Cao J,Zhang XJ,et al.Pathogenic factors of congenital spinal cord with intraspinal nervous system malformations[J].J Clin Ped Sur,2010,9(4):255-257.DOI:10.3969/j.issn.1671-6353.2010.04.005.
4 曹隽,孙琳,宋宏程,等.先天性脊柱畸形合并泌尿生殖系统畸形发病情况及相关因素分析[J].中华小儿外科杂志,2010,31(1):27-29.DOI:10.3760/cma.j.issn.0253-3006.2010.01.008.Cao J,Sun L,Song HC,et al.Prevalence and factors of congenital spinal cord and urogenital system malformations[J].Chin J Pediatr Surg,2010,31(1):27-29.DOI:10.3760/cma.j.issn.0253-3006.2010.01.008.
5 曹隽,郭东,孙琳,等.先天性脊柱侧弯合并肋骨畸形及其对肺功能影响的分析[J].临床小儿外科杂志,2015,14(3):178-182.DOI:10.3969/j.issn.1671-6353.2015.03.005.Cao J,Guo D,Sun L,et al.Congenital scoliosis with rib malformations and its effect upon pulmonary functions[J].J Clin Ped Sur,2015,14(3):178-182.DOI:10.3969/j.issn.1671-6353.2015.03.005.
6 曹隽,张学军,曾骐,等.Nuss手术治疗漏斗胸患儿合并特发性脊柱侧弯的临床研究[J].临床小儿外科杂志,2019,18(1):13-17.DOI:10.3969/j.issn.1671-6353.2019.01.004.Cao J,Zhang XJ,Zeng Q,et al.Clinical trial of Nuss surgery for children of pectus excavatum with idopathic scoliosis[J].J Clin Ped Sur,2019,18(1):13-17.DOI:10.3969/j.issn.1671-6353.2019.01.004.
7 Campbell RM Jr,Smith MD,Mayes TC,et al.The characteristics of thoracic insufficiency syndrome associated with fused ribs and congenital scoliosis[J].J Bone Joint Surg Am,2003,85(3):399-408.DOI:10.2106/00004623-200303000-00001.
8 Mehta MH.Growth as a corrective force in the early treatment of progressive infantile scoliosis[J].J Bone Joint Surg Br,2005,87(9):1237-1247.DOI:10.1302/0301-620X.87B9.16124.
9 Cao J,Zhang XJ,Sun N,et al.The therapeutic characteristics of serial casting on congenital scoliosis:a comparison with non-congenital cases from a single-center experience[J].J Orthop Surg Res,2017,12(1):56.DOI:10.1186/s13018-017-0554-7.
10 Guo D,Yao Z,Qi X,et al.Short fixation with a 3-rod technique for posterior hemivertebra resection in children younger than 5 years old[J].Pediatr Investig,2020,4(2):104-108.DOI:10.1002/ped4.12206.
11 Bess S,Akbarnia BA,Thompson GH,et al.Complications of growing-rod treatment for early-onset scoliosis:analysis of one hundred and forty patients[J].J Bone Joint Surg Am,2010,92(15):2533-2543.DOI:10.2106/JBJS.I.01471.
12 Guille JT,D’ Andrea LP,Betz RR.Fusionless treatment of scoliosis[J].Orthop Clin North Am,2007,38(4):541-545.DOI:10.1016/j.ocl.2007.07.003.
13 Crawford CR,Lenke LG.Growth modulation by means of anterior tethering resulting in progressive correction of juvenile idiopathic scoliosis:a case report[J].J Bone Joint Surg Am,2010,92(1):202-209.DOI:10.2106/JBJS.H.01728.
14 McCarthy RE,Luhmann S,Lenke L,et al.The Shilla growth guidance technique for early-onset spinal deformities at 2-year follow-up:a preliminary report[J].J Pediatr Orthop,2014,34(1):1-7.DOI:10.1097/BPO.0b013e31829f92dc.
15 Wang S,Zhang J,Qiu G,et al.One-stage posterior osteotomy with short segmental fusion and dual growing rod technique for severe rigid congenital scoliosis:the preliminary clinical outcomes of a hybrid technique[J].Spine (Phila Pa 1976),2014,39(4):E294-E299.DOI:10.1097/BRS.0000000000000119.
Memo
收稿日期:2020-07-14。
基金项目:北京市医院管理局2018年度"杨帆"计划临床技术创新项目(编号:XMLX201818)
通讯作者:张学军,Email:zhang-x-j04@163.com