The modern concept of early diagnosis and treatment of idiopathic scoliosis

The article describes an approach for early diagnosis and treatment of idiopathic scoliosis adopted at the Novosibirsk Re- search Institute of Traumatology and Orthopedics (NRITO). Idiopathic scoliosis is a genetically determined disease. Screening examinations of children and adolescents are req...

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Bibliographic Details
Main Authors: Mikhail V. Mikhaylovsky, Mikhail A. Sadovoy, Vyacheslav V. Novikov, Aleksandr S. Vasyura, Inga G. Udalova, Tatyana N. Sadovaya
Format: Article
Language:English
Published: Ministry of Health of Russian Federation, Federal State Budgetary Institution "Novosibirsk Research Institute of Traumatology and Orthopaedics n.a. Ya.L. Tsivyan" 2015-09-01
Series:Хирургия позвоночника
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Online Access:https://www.spinesurgery.ru/jour/article/view/289/1396
Description
Summary:The article describes an approach for early diagnosis and treatment of idiopathic scoliosis adopted at the Novosibirsk Re- search Institute of Traumatology and Orthopedics (NRITO). Idiopathic scoliosis is a genetically determined disease. Screening examinations of children and adolescents are required for early diagnosis of the disease. The most effective con- servative treatment is brace therapy. Surgical treatment is strictly differentiated depending on the patient age. Multi-stage treatment by means of VEPTR instrumentation has been used in patients of the first decade of life. One-stage surgery us- ing transpedicular fixation throughout the curve has been performed in patients aged 11–13 years. One- or two-stage sur- gery, depending on the curve mobility, has been used in patients aged 14–20 years. Deformities of more than 90° require a multistage intervention with anterior and posterior spinal mobilization.
ISSN:1810-8997
2313-1497