CONGENITAL SCOLIOSIS: AN ARTICLE REVIEW
Background: Congenital Scoliosis (CS) defined as vertebral lateral deviation which forms during the intrauterine embryonic phase, carrying incidence between 0,5-1 per 1000 births. Mortality rate increases in untreated case, especially due to pulmonary problem (40%). Contents: CS can range from hemi...
Saved in:
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Universitas Airlangga
2019-12-01
|
| Series: | Journal Orthopaedi and Traumatology Surabaya |
| Subjects: | |
| Online Access: | https://e-journal.unair.ac.id/JOINTS/article/view/16580 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1823856525043564544 |
|---|---|
| author | Komang Agung Irianto Hizbillah Yazid |
| author_facet | Komang Agung Irianto Hizbillah Yazid |
| author_sort | Komang Agung Irianto |
| collection | DOAJ |
| description | Background: Congenital Scoliosis (CS) defined as vertebral lateral deviation which forms during the intrauterine embryonic phase, carrying incidence between 0,5-1 per 1000 births. Mortality rate increases in untreated case, especially due to pulmonary problem (40%).
Contents: CS can range from hemivertebrae (HV) which may be single or multiple, vertebral bar with or without HV, block vertebrae, wedge shaped or butterfly vertebrae. The risk factors for progression include: type of defect, site of defect, and the patient's age. Plain radiographs remain standard diagnosis. MRI evaluation should be considered. The goal of managing CS is to obtain a balanced trunk and spine while maintaining as much normal spinal growth as possible and preventing neural deficit. Non-operative management is including observation, brace, and traction. The operative procedures are broadly divided into (a) those preventing further deformity: in situ fusion, convex hemiepiphysiodesis, and HV excision, (b) those that correct the present deformity: hemiepiphyseodesis & hemiarthrodesis, single & dual growing rods, HV excision, and reconstructive osteotomy.
Conclusion: The treatment of CS remains one of the more challenging aspects of pediatric orthopaedic surgery. Operative treatment should be reserved for patients whom non-operative management didn't meet the criteria or failed. |
| format | Article |
| id | doaj-art-b42e08bb4a694cfbbb3e2adf314dbeec |
| institution | Kabale University |
| issn | 2722-712X 2460-8742 |
| language | English |
| publishDate | 2019-12-01 |
| publisher | Universitas Airlangga |
| record_format | Article |
| series | Journal Orthopaedi and Traumatology Surabaya |
| spelling | doaj-art-b42e08bb4a694cfbbb3e2adf314dbeec2025-02-12T07:29:07ZengUniversitas AirlanggaJournal Orthopaedi and Traumatology Surabaya2722-712X2460-87422019-12-0181475810.20473/joints.v8i1.2019.47-5813530CONGENITAL SCOLIOSIS: AN ARTICLE REVIEWKomang Agung Irianto0Hizbillah Yazid1Staff of Orthopaedic and Traumatology Department, Faculty of Medicine, Universitas Airlangga, Dr Soetomo General Hospital, SurabayaResident of Orthopaedic and Traumatology Department, Faculty of Medicine, Universitas Airlangga, Dr Soetomo General Hospital, SurabayaBackground: Congenital Scoliosis (CS) defined as vertebral lateral deviation which forms during the intrauterine embryonic phase, carrying incidence between 0,5-1 per 1000 births. Mortality rate increases in untreated case, especially due to pulmonary problem (40%). Contents: CS can range from hemivertebrae (HV) which may be single or multiple, vertebral bar with or without HV, block vertebrae, wedge shaped or butterfly vertebrae. The risk factors for progression include: type of defect, site of defect, and the patient's age. Plain radiographs remain standard diagnosis. MRI evaluation should be considered. The goal of managing CS is to obtain a balanced trunk and spine while maintaining as much normal spinal growth as possible and preventing neural deficit. Non-operative management is including observation, brace, and traction. The operative procedures are broadly divided into (a) those preventing further deformity: in situ fusion, convex hemiepiphysiodesis, and HV excision, (b) those that correct the present deformity: hemiepiphyseodesis & hemiarthrodesis, single & dual growing rods, HV excision, and reconstructive osteotomy. Conclusion: The treatment of CS remains one of the more challenging aspects of pediatric orthopaedic surgery. Operative treatment should be reserved for patients whom non-operative management didn't meet the criteria or failed.https://e-journal.unair.ac.id/JOINTS/article/view/16580congenital scoliosispediatric scoliosiscrooked back |
| spellingShingle | Komang Agung Irianto Hizbillah Yazid CONGENITAL SCOLIOSIS: AN ARTICLE REVIEW Journal Orthopaedi and Traumatology Surabaya congenital scoliosis pediatric scoliosis crooked back |
| title | CONGENITAL SCOLIOSIS: AN ARTICLE REVIEW |
| title_full | CONGENITAL SCOLIOSIS: AN ARTICLE REVIEW |
| title_fullStr | CONGENITAL SCOLIOSIS: AN ARTICLE REVIEW |
| title_full_unstemmed | CONGENITAL SCOLIOSIS: AN ARTICLE REVIEW |
| title_short | CONGENITAL SCOLIOSIS: AN ARTICLE REVIEW |
| title_sort | congenital scoliosis an article review |
| topic | congenital scoliosis pediatric scoliosis crooked back |
| url | https://e-journal.unair.ac.id/JOINTS/article/view/16580 |
| work_keys_str_mv | AT komangagungirianto congenitalscoliosisanarticlereview AT hizbillahyazid congenitalscoliosisanarticlereview |