Growing Implant For The Treatment Of Early Onset Scoliosis

Comprised exclusively of clinical cases demonstrating the management of idiopathic, congenital, syndromic and neuromuscular early onset scoliosis (EOS), this concise, practical casebook will provide orthopedic surgeons with the best real-world strategies to properly manage the differing presentations of EOS they may encounter. Each chapter is a case that opens with a unique clinical presentation, followed by a description of the diagnosis, assessment and management techniques used to treat it, as well as the case outcome, clinical pearls and pitfalls, and literature review. Cases included illustrate different types and management strategies for EOS, including various spine-based growing rods, the vertical expandable prosthetic titanium rib (VEPTR), anterior vertebral body tethering (AVBT) and congenital resection. Treatment strategies for EOS with related conditions such as myelomeningocele, cerebral palsy and skeletal dysplasia are also discussed, as are common complications and the role of traction. Pragmatic and reader-friendly, Early Onset Scoliosis: A Clinical Casebook is an excellent resource for pediatric orthopedic surgeons and other physicians confronted with both common and complex disorders of the child’s spine.

This book follows a context-based approach to management of early-onset scoliosis (EOS) in countries with limited resources in education, finance, and research. Due to the great variety in etiology, onset age, progression rate, and severity associated with EOS, it calls for a unique treatment plan. This book enumerates the optimal provision of surgical and non-surgical services, from education/training of local surgeons, to effective teamwork, to implementing an effective data collection system; helping the surgeon to gain a hands-on experience. It also illustrates the successful execution of deformity correction using real life experiences from countries in Asia, Africa, and Latin America. Key Features Discusses biomedical principles that will help to get universally standard implants that are credible and affordable for countries with limited resources. Specific surgical Guidelines and the ability to develop evidence-based practice for this service would be an interesting read for surgeons working in global organizations as well as to local surgeons. First book to focus on countries with limited resources for the management of early onset scoliosis.

A comprehensive guide to modern treatment in a complex and evolving specialty FIVE STARS from Doody's Star Ratings™ Covering the spectrum of spinal deformity that occurs between birth and 10 years, early onset scoliosis (EOS) is an evolving specialty that faces unique challenges, especially in controlling the progression of the condition while allowing the growth of the developing spine, lungs and thorax. This important book was inspired by the inaugural early onset scoliosis meeting of spine surgeons and other medical professionals in Christ Church, Oxford, UK, in September 2011. It provides a complete picture of the field today, with topics ranging from spinal development and genetics to advances in medical management to breakthrough surgical techniques that offer promising new options for young patients. Special Features Provides practical, evidence-based solutions to managing the full range of congenital, idiopathic, neuromuscular and syndromic conditions that present in early onset scoliosis Describes pioneering surgical procedures, such as non-invasive, magnetically controlled growing rod systems that reduce the number of repetitive surgeries and hospitalizations Explores such complex topics as surgical strategies for sitting comfort and features of optimal heelchair seating Details treatments and outcome measures in diverse, multi-system disorders, such as early onset neuromuscular scoliosis Highlights perioperative care and the vital role of physiotherapy in children with EOS Introduces an EOS questionnaire that establishes validated, patient-reported data for outcome assessment Recognizing the importance of the multidisciplinary team approach in effective management, Early Onset Scoliosis offers the valuable international perspective of many leaders in the field. It is essential for orthopedic and pediatric surgeons, residents and trainees, who will use the book to develop a clear understanding of what EOS is, how it is best treated, and the principles that underlie effective clinical decision-making in these complex cases.

Spinal disorders in very young children may be caused by a variety of conditions. The treatment of such conditions is often challenging due to the age of the patient and the progressive nature of the deformity. There also may be associated problems such as congenital anomalies, respiratory insufficiency, and neurological problems. Depending on the etiology of the deformity, these children are often cared for by multiple specialists including pediatricians, pediatric orthopaedists or orthopaedic spine surgeons, neurologists, pediatric surgeons, pediatric neurosurgeons, oncologists, and/or pulmonologists. Health professionals in all of the mentioned disciplines are involved in the management of these patients, which is why compiling a comprehensive textbook that is not limited to orthopedic specialists is essential. This textbook will effectively help to standardize the care of these patients. Furthermore, other professionals such as nurses, physical therapists and healthcare professionals in training are usually not familiar with these conditions and are in need of a reference book to consult when caring for children with spinal deformities.

There has been significant progress in the field of spinal disorders in very young children over the past two decades. However, the treatment of such conditions remains challenging due to the age of the patient, different etiologies, associated morbidities and the progressive nature of the deformity. Depending on the etiology of the deformity, these children are often cared for by multiple specialists including pediatricians, pulmonologists, pediatric orthopedists or orthopedic spine surgeons, pediatric surgeons, pediatric neurosurgeons, neurologists and oncologists. Health professionals in all of the mentioned disciplines are involved in the management of these patients, which is why compiling a comprehensive text that is not limited to orthopedic specialists is essential. Since the second edition of this book was published, there has been a significant body of literature that has been published and advances made in the care of young children with spinal and thoracic deformities. This new edition will effectively help to standardize the care of these patients. Furthermore, other professionals, such as nurses, physical therapists and healthcare professionals in training, are usually not familiar with these conditions and are in need of a reference book to consult when caring for young children with spinal deformities. Sections are arranged thematically and comprise a comprehensive presentation of the current knowledge on disorders of the growing spine. After opening sections discussing general considerations and patient evaluation and diagnosis, subsequent sections describe the various categories of spinal deformity - idiopathic, congenital, neuromuscular, syndromic, and others - followed by surgical and non-surgical management strategies, both traditional and growth-friendly. Concluding sections address patient care and outcomes and outline future directions for research and practice.

Idiopathic scoliosis remains a fascinating and enigmatic disease, and research in the area of spinal deformities involves a broad range of specialties, from etiology to molecular biology and growth regulation. The International Research Society of Spinal Deformities (IRSSD) promotes a multidisciplinary approach to scoliosis and spinal problems, with a strong emphasis on research in the field of etiology, as well as the clinical effectiveness of a wide range of interventions. The society has been active in one form or another for three decades, encouraging open discussion in all areas related to spinal deformities. This book presents the proceedings of the 9th biennial IRSSD meeting, held in Poznan, Poland, in July 2012. It includes peer-reviewed short papers or abstracts summarizing the 129 papers and posters included in the program, and covers all aspects of spinal deformity research, including etiology, genetics, biology, growth, metabolism, biomechanics, imaging technologies, innovations in treatment and treatment outcomes. This current overview of topics related to spinal deformities provides the opportunity for readers to learn more about the latest developments in this field, and it contributes to the advancement of study and research into spinal deformities for the benefit of patients.

Non-idiopathic early onset scoliosis represents a true challenge to the physician due to the significance of the ongoing growth of the spine, the risk of curve progression, and the risk of pulmonary insufficiency. A comprehensive review of the growth mechanisms of spine in infancy forms the basis of the book. Clinical evaluation and imaging of early onset scoliosis contribute to the diagnostic overview. The main causes of non-idiopathic early onset scoliosis are briefly described in the second part of the book. The last group of chapters presents the conservative and surgical treatments that are available along with their results, chances and challenges. This comprehensive guide is an opportunity for every specialist involved in the treatment of these severe deformities, to obtain an update of the actual trends and knowledge in the field in a one-point reference.