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Congenital scoliosis: an up-to-date.

Burnei G, Gavriliu S, Vlad C, Georgescu I, Ghita RA, Dughilă C, Japie EM, Onilă A - J Med Life (2015 Jul-Sep)

Bottom Line: Therapeutic criteria are significantly different.It is essential to assess the difference in growth of the concavity related to the convexity when choosing a particular procedure.The magnitude of the curve and the progressive rate are fundamental issues to the surgeon.

View Article: PubMed Central - PubMed

Affiliation: "M. S. Curie" Clinical Emergency Hospital for Children, Bucharest, Romania ; "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania ; "Regina Maria" Private Medical Network, Baneasa Hospital, Bucharest, Romania.

ABSTRACT
Congenital scoliosis represents a spinal malformation due to defects of formation, segmentation or mixed ones. It is characterized by a longitudinal and rotational imbalance. 54 patients were analyzed and 39 out of them were operated by various approaches with anterior and posterior instrumentations during 2000 and 2012. The impossibility to appoint some patients encountered in the daily practice into the known classifications, allowed us to purpose two categories of congenital scoliosis related to the predominance of spinal deviances in the coronal and transversal views. No certain etiology of congenital scoliosis has been identified until today. The susceptibility of some polygenic defects is obvious due to the presence of a sum of defects associated to most of the congenital scoliosis cases and the rarity of the presence of a unique defect. The diagnosis requires a thorough clinical and imaging examination in order to establish an individualized therapeutic strategy. The treatment of congenital scoliosis is different from the adolescent idiopathic one. Therapeutic criteria are significantly different. It is essential to assess the difference in growth of the concavity related to the convexity when choosing a particular procedure. The magnitude of the curve and the progressive rate are fundamental issues to the surgeon.

No MeSH data available.


Related in: MedlinePlus

Double curved congenital scoliosis due to 2 hemivertebrae disposed bilaterally, with a segment of 5 normal vertebrae in between
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Figure 5: Double curved congenital scoliosis due to 2 hemivertebrae disposed bilaterally, with a segment of 5 normal vertebrae in between

Mentions: The anomalies situated in the cervico-thoracic or lumbosacral area produce deformities more obvious than those situated elsewhere. In the cervical area, most deformities are due to segmentation defects [12]. The presence of 2 hemivertebrae placed on a distance of more than 5 normal vertebrae, but situated on both sides of the spine induce a congenital double thoracolumbar scoliosis, which may be approached in an-one stage surgery or in separate procedures (Fig. 5).


Congenital scoliosis: an up-to-date.

Burnei G, Gavriliu S, Vlad C, Georgescu I, Ghita RA, Dughilă C, Japie EM, Onilă A - J Med Life (2015 Jul-Sep)

Double curved congenital scoliosis due to 2 hemivertebrae disposed bilaterally, with a segment of 5 normal vertebrae in between
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4556925&req=5

Figure 5: Double curved congenital scoliosis due to 2 hemivertebrae disposed bilaterally, with a segment of 5 normal vertebrae in between
Mentions: The anomalies situated in the cervico-thoracic or lumbosacral area produce deformities more obvious than those situated elsewhere. In the cervical area, most deformities are due to segmentation defects [12]. The presence of 2 hemivertebrae placed on a distance of more than 5 normal vertebrae, but situated on both sides of the spine induce a congenital double thoracolumbar scoliosis, which may be approached in an-one stage surgery or in separate procedures (Fig. 5).

Bottom Line: Therapeutic criteria are significantly different.It is essential to assess the difference in growth of the concavity related to the convexity when choosing a particular procedure.The magnitude of the curve and the progressive rate are fundamental issues to the surgeon.

View Article: PubMed Central - PubMed

Affiliation: "M. S. Curie" Clinical Emergency Hospital for Children, Bucharest, Romania ; "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania ; "Regina Maria" Private Medical Network, Baneasa Hospital, Bucharest, Romania.

ABSTRACT
Congenital scoliosis represents a spinal malformation due to defects of formation, segmentation or mixed ones. It is characterized by a longitudinal and rotational imbalance. 54 patients were analyzed and 39 out of them were operated by various approaches with anterior and posterior instrumentations during 2000 and 2012. The impossibility to appoint some patients encountered in the daily practice into the known classifications, allowed us to purpose two categories of congenital scoliosis related to the predominance of spinal deviances in the coronal and transversal views. No certain etiology of congenital scoliosis has been identified until today. The susceptibility of some polygenic defects is obvious due to the presence of a sum of defects associated to most of the congenital scoliosis cases and the rarity of the presence of a unique defect. The diagnosis requires a thorough clinical and imaging examination in order to establish an individualized therapeutic strategy. The treatment of congenital scoliosis is different from the adolescent idiopathic one. Therapeutic criteria are significantly different. It is essential to assess the difference in growth of the concavity related to the convexity when choosing a particular procedure. The magnitude of the curve and the progressive rate are fundamental issues to the surgeon.

No MeSH data available.


Related in: MedlinePlus