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SUNY Downstate Medical School, New York City, New York, USA
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Department of Orthopaedic Surgery, Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA
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proportion of these patients continue to have symptomatic AIS in adulthood ( 2 , 3 , 4 , 5 ). The natural history of AIS is curve progression, mainly in curves that reach a cobb angle >40° at the end of growth; thus, an adolescent with AIS will eventually
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. Variability among treatment methods ( 14 , 15 ) and the need for consistency in EOS research and literature prompted the development of a classificatory system ( 6 ). It has been long established that age represents an important aspect in the progression
Faculty of Medicine, Saint Joseph University, Beirut, Lebanon
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Faculty of Medicine, Saint Joseph University, Beirut, Lebanon
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Introduction Congenital scoliosis (CS) is a spinal deformity resulting from underlying spinal malformations ( 1 ). Its progressions and treatment vary depending on the patient’s and the curve’s characteristics ( 1 ). The causes of these
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contributors to slip progression, including a lower intercristal line ( Fig. 2 ), 7 tilting of the intervertebral disc, 4 tropism and sagittal orientation of the facet joints ( Figs 3 and 4 ), 8 increased pelvic incidence, 9 increased
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also been observed, which is an uncommon deformity causing abnormal posterior convex angulation of a segment of the spin. Therefore, the treatment of such patients with human GH showed progression in the short-statured condition; however, a cohort of
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involved) Higher 2 Age Rajasekaran has considered young age to be an important predictor for the progression of deformity. The immaturity and flexibility of paediatric spine may render spine unstable even in the presence of minor deformity
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curve, presence of kyphosis and annual progression ratio. 3 The reliability and validity of C-EOS has been already demonstrated. 4 The basic principle in the treatment of EOS is to create a well-developed chest and lung with an optimal overall
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.5%, respectively). When decompression alone is performed, preservation of the facet joints leads to better outcomes and less risk of slip progression. 37 Two randomised controlled trials compared decompression alone with decompression and posterolateral fusion
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nature but do not involve the spinal (zone II of Denis). In fact, the progression of the subtype number in AO classification corresponds to the progression of instability and not to the frequency of neurological compromise. One should consider in type B
Orthopedic Department, Spine Unit, Hotel Dieu de France Hospital, Beirut, Lebanon
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Orthopedic Department, Spine Unit, Hotel Dieu de France Hospital, Beirut, Lebanon
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correlation between the extent of progression of the kyphosis and function ( 26 ). In other studies, untreated SK resulted in ‘severe thoracic spine pain’ in nearly 50% of the cases ( 27 , 28 ). Such discrepancies may be explained by the fact that these
