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...
Main Authors: | , , , , , |
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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
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Series: | Хирургия позвоночника |
Subjects: | |
Online Access: | https://www.spinesurgery.ru/jour/article/view/289/1396 |
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. |
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ISSN: | 1810-8997 2313-1497 |