Journal Orthopaedi and Traumatology Surabaya
ISSN 2460-8742
Vol. 8 / No. 1 / Published : 2019-04
Order : 6, and page :47 - 58
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Original Article :
Congenital scoliosis: an article review
Author :
- Komang Agung Irianto*1
- Hizbillah Yazid*2
- Dosen Fakultas Kedokteran
- Mahasiswa Fakultas Kedokteran
Abstract :
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.
Keyword :
Congenital scoliosis, pediatric scoliosis, crooked back,
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Archive Article
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 Volume : 8 / No. : 1 / Pub. : 2019-04 |
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