Modern concept of early detection and treatment of idiopathic scoliosis

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Abstract

Concept of early detection and treatment of patients with idiopathic scoliosis is presented. That concept has been elaborated at Novosibirsk Institute of Traumatology and Orthpaedics (Republican Center of spine pathology) and includes the following stages. 1. Screening of large groups of children for early diagnosis of spine deformities using computer optic tomography. 2. Follow up of children from the “risk groups”. 3. Conservative treatment of children with deformities within 20-40° by Cobb using jacket elaborated at Novosibirsk. 4. Surgical treatment of progressive deformities with individual approach to the following groups of patients: children under 10 years; intermediate group (11-13 years, skeleton growth not completed); adolescents (14-20 years); patients with neglected deformities over 90°. 5. Postoperative rehabilitation using segmental instrumentation of CDI type takes several weeks.

About the authors

M. N. Mikhaylovskiy

Novosibirsk Institute of Traumatology and Orthopedics

Email: info@eco-vector.com
Russian Federation, Novosibirsk

V. V. Novikov

Novosibirsk Institute of Traumatology and Orthopedics

Email: info@eco-vector.com
Russian Federation, Novosibirsk

A. S. Vasyura

Novosibirsk Institute of Traumatology and Orthopedics

Email: info@eco-vector.com
Russian Federation, Novosibirsk

V. N. Sarnadskiy

Novosibirsk Institute of Traumatology and Orthopedics

Email: info@eco-vector.com
Russian Federation, Novosibirsk

L. G. Kuz'mishcheva

Novosibirsk Institute of Traumatology and Orthopedics

Author for correspondence.
Email: info@eco-vector.com
Russian Federation, Novosibirsk

References

  1. Аксенович Т.И., Семенов И.Р., Гинзбург Э.Х., Зайдман А.М. //Генетика. — 1988. — Т. 24. — С. 2056-2063.
  2. Дудин М.Г. Особенности гормональной регуляции обменных процессов в костной ткани как этиопатогене- тический фактор идиопатического сколиоза: Авто- реф. дис.... д-ра мед. наук. — СПб, 1993.
  3. Лебедева М.Н. Анестезиологическое обеспечение одномоментной двухэтапной хирургической коррекции сколиоза: Автореф. дис. ... канд. мед. наук. — Новосибирск, 2001.
  4. Михайловский М.В. //Вести, травматол. ортопед. — 1999, —N3. —С. 41-45.
  5. Михайловский М.В., Новиков В.В., Васюра А.С. и др. //Там же. — 2002. — N 3. — С. 42-46.
  6. Фомичев Н.Г., Садовой М.А., Сарнадский В.Н. //Все- рос. науч.-практ. конф., посвященная 50-летию Новосибирского НИИТО: Тезисы докладов. —Новосибирск, 1996. — С. 145-146.
  7. Цивъян Я.Л. Оперативное лечение горбов. — М., 1973.
  8. Albert Е. Учебник частной хирургии. — СПб, 1902. — Т. 1.
  9. Carr W.A., Мое J.H., Winter R.B., Lonstein J.E. // J. Bone Jt Surg. — 1980. — Vol. 62A. — P. 599-612.
  10. Cotrel Y., Dubousset J. C-D instrumentation in spine surgery. Principles, technicals, mistakes and traps. — 1992.
  11. Delonne S., Labelle H., Dansereau J., Aubin C. et al. //Int. Philip Zorab Symp., 10th: Programme and abstracts. — Oxford, 1998. — P. 22.
  12. Dickson R.A. //J. Bone Jt Surg. — 1985. — Vol. 67B. - P. 176-181.
  13. Dubousset J. //Proceedings Group etud de la scoliose. — Lyon, 1973. — P. 62-67.
  14. Duhaime M., Archambault J., Poitras B. School screening for scoliosis: Presented to the Quebec Scoliosis society. — Montreal, June, 1976.
  15. Emans J.B., Kaelin A. //Spine. — 1986. — Vol. 11, N 8. — P. 230-237.
  16. Hamill C.L., Bridwell K.H., Lenke L.G., Chapman M.P. et al. //Ibid. — 1997. — Vol. 22, N 12. — P. 1343-1351.
  17. Hensinger R.N., Cowell H.R., MacEwen J.D. et al. //Orthop. Rev. — 1975. — Vol. 4. — P. 23-28.
  18. Klemme W.R., Denis F., Winter R.B., Lonstein J.E. et al. //Am. Acad, of orthop. surg. ann. meeting: Final program. — 1996. — Paper 406.
  19. Lonstein J.E., Bjorkland S., Wanninger M.H., Nelson R.P. //J. Bone Jt Surg. — 1982. — Vol. 64A. — P. 481- 488.
  20. Lonstein J.E., Karlson J.M. //Ibid. — 1984. — Vol. 66A. — P. 1061.
  21. Mitulescu A. //ARGOS Spine News. — 2002, April. — P. 33-36.
  22. Pare A. Oeuvres. Cinq livres de chirurgie. — Paris, 1575.
  23. Pratt R.K., Webb J.K., Cummings S.L., Burwell R.G. // J. Bone Jt Surg. — 1997. — Vol. 79B, Suppl. — P. 112.
  24. Roaf R. //Ibid. — 1963. — Vol. 45B, N 4. — P. 637-651.
  25. Roberto R.E., Lonstein J.E., Winter R.B., Denis F. //Am. Acad, of orthop. surg. ann. meeting: Final program. — 1996. — Paper 361.
  26. Sevastik J .A. //State of the art reviews. Spine: etiology of adolescent idiopathic scoliosis. /Eds. R.G. Burwell, P.H. Dangerfield, T.G. Lowe, J.Y. Margulies. — Hanley & Belfus Inc., 2000. — P. 391-400.
  27. Shands A.R. Jr., Eisberg H.B. //J. Bone Jt Surg. — 1955. — Vol. 37A. — P. 1243.
  28. Shufflebarger H.L., Clark C.E. //Spine. — 1990. — Vol. 15, N 9. — P. 916-920.
  29. Shufflebarger H.L., Clark C.E. //Ibid. — 1991. — Vol. 15, N 8, Suppl. — P. 409-411.
  30. Skogland L.B., Miller A.A. //Acta Orthop. Scand. — 1978. — Vol. 49. — P. 635.
  31. Soucacos P.N., Soucacos P.K., Zacharis K.C. et al. //J. Bone Jt Surg. — 1997. — Vol. 79A, N 10. — P. 1498- 1509.
  32. Tello C.A. //Orthop. Clin. North Am. — 1994. — Vol. 25, N 2. — P. 333-351.
  33. Webb J., Cole A., Burwell G. //The Second Congress of EFORT: Abstracts. — Munich, 1995. — P. 30.
  34. Winter R.B. //Orthop. Rev. — 1977. — N 7. — P. 17.
  35. Winter R.B. //Orthop. Clin. North Am. — 1994. -— Vol. 25, N 2. — P. 195-204.
  36. Winter R.B., Lonstein J.E. //Spine. — 1999. — Vol. 24, N 2. — P. 194-197.
  37. Zeller R., Dubousset J. The technique of the new CD Horizon: how we operate on adolescent idiopathic scoliosis: Personal communication. — 1997.

Supplementary files

Supplementary Files
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2. Fig. 1. Sick G-ra. Malignant progression of infantile scoliosis excludes the possibility of expectant management: at the age of 1 year, the deformity is 23° (a), at 2 years old — 48° (b), at 4 years old — 110° (c).

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3. Fig. 2. The "crankshaft" phenomenon (Dubousset, 1973).

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4. Fig. 3. Patient P-va, 12 years old (intermediate group). Correction of the primary arch as a result of a two-stage intervention from 66° (a) to 28° (b). The follow-up period was 3 years (c), no loss of correction was noted.

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5. Fig. 4. Patient X-va, 15 years old (adolescent scoliosis). Correction of the primary arch as a result of a one-stage intervention from 64° (a) to 23° (b). The thoracic kyphosis was increased from 6° (c) to 27° (d) with the help of a derotation maneuver. The follow-up period is 5 years (b), the loss of correction is 3°.

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6. Fig. 5. Patient G-va, 16 years old (adolescent scoliosis). Correction of the primary arch as a result of a two-stage intervention using a three-rod technique from 105° (a) to 54° (b). The follow-up period is 3 years (c), the loss of correction is 2°.

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7. Fig. 6. Patient S-s, 16 years old (neglected deformity). Correction of the thoracolumbar arch as a result of a two-stage intervention from 128° (a) to 36° (b). The follow-up period was 3 years (c), no loss of correction was noted.

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8. Fig. 7. Stages of early detection and treatment of idiopathic scoliosis.

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