Abstract
The treatment of early onset scoliosis has improved with recent advances in the last ten years. The purpose of this review was to provide the reader with a brief description of the new therapeutic modalities, their indications, and outcomes. In children with a progressive curve that is less than 60 degrees and in whom no surgical treatment has been performed, derotational bracing may be considered; however, the role of bracing is mostly limited to maintenance of correction after surgery. Dual growing rods appear to afford better correction initially, maintenance of correction, increased T1-S1 length, and decreased implant-related issues. However, complication rates remain problematic with younger children, children with neuromuscular disorders or syndromes, and children with a greater degree of curvature having the highest rates. Patient heterogeneity and short follow-up after surgery largely explain the subjectivity of surgical decisions that are not reproducible.
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