Modern concept of early detection and treatment of idiopathic scoliosis

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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.

作者简介

M. Mikhaylovskiy

Novosibirsk Institute of Traumatology and Orthopedics

Email: info@eco-vector.com
俄罗斯联邦, Novosibirsk

V. Novikov

Novosibirsk Institute of Traumatology and Orthopedics

Email: info@eco-vector.com
俄罗斯联邦, Novosibirsk

A. Vasyura

Novosibirsk Institute of Traumatology and Orthopedics

Email: info@eco-vector.com
俄罗斯联邦, Novosibirsk

V. Sarnadskiy

Novosibirsk Institute of Traumatology and Orthopedics

Email: info@eco-vector.com
俄罗斯联邦, Novosibirsk

L. Kuz'mishcheva

Novosibirsk Institute of Traumatology and Orthopedics

编辑信件的主要联系方式.
Email: info@eco-vector.com
俄罗斯联邦, Novosibirsk

参考

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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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