Abstract
Congenital scoliosis is the most common congenital spinal deformity caused by a failure in the formation or segmentation or both. Clinical manifestations may vary from stable hemivertebra to complex deformities that can lead to pulmonary, cardiac, genitourinary and neurological complications. Other system anomalies may accompany as well. Prenatal ultrasound, physical examination and x-rays are used for diagnosis. MR is helpful in detecting accompanying pathologies. CT may be useful in preoperative planning. The treatment plan is tailored to each patient according to location and magnitude of the curve, patient age, type of the deformity and the anticipated natural history. Treatment consists of controlled observation, conservative and surgical methods. Hemivertebrectomy and limited fusion are recommended at an early age for single hemivertebra. Hemiepiphysiodesis, distraction-based non-fusion methods or combinations of these may be used for more complex deformities. Technological advances today allow for concurrent surgeries for spinal deformity and intradural pathologies. Corrective osteotomies may be required in neglected severe cases. Due to the challenging technique and risk of neurological injury, corrective osteotomies necessitate well-equipped centers and experienced surgeons
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.