Juvenile Idiopathic Scoliosis.
10.4055/jkoa.2016.51.2.117
- Author:
Min Seok KANG
1
;
Seung Woo SUH
;
Seungjin CHOI
;
Jin Ho HWANG
Author Information
1. Department of Orthopedic Surgery, Konkuk University School of Medicine, Seoul, Korea.
- Publication Type:Review
- Keywords:
juvenile idiopathic scoliosis;
spinal growth;
chest growth;
growing rod;
growth modulation
- MeSH:
Congenital Abnormalities;
Scoliosis*;
Spine;
Thoracic Wall;
Thorax
- From:The Journal of the Korean Orthopaedic Association
2016;51(2):117-124
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Juvenile idiopathic scoliosis includes scoliosis diagnosed from three to ten years old according to the chronological age. Spine growth in juveniles does not occur at a rapid rate spinal deformity does not show rapid progress. However, because of the intimate relationship between chest wall growth and the spine, decrease of chest wall capacity due to scoliosis could lead to development of cardiovascular and pulmonary complication, especially in early age. In scoliosis in early age, other causes of the deformity including neurological problems should be evaluated. If the scoliosis angle is more than 25 degrees, it could progress very easily, thus aggressive treatment is needed. A new growing-sparing surgical technique (growing rod and growth modulation) is introduced for improvement of spine and chest growth, and for prevention of crankshaft phenomenon.
