Non Idiopathic Spine Deformities In Young Children

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.

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.

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.

Covers the anatomy, etiology, and natural history of scoliosis - from patient evaluation and an algorithm for treatment to pulmonary function after surgical treatment and the use of instruments to evaluate surgical treatment. This new monograph focuses on the most common form of scoliosis occurring otherwise normal adolescents, affecting spinal alignment, growth, and function.

An estimated 9 million children every year are affected by pediatric spinal deformities, encompassing a broad spectrum of pathologies. New classification systems, innovative imaging modalities, and advances in surgical techniques have contributed to a continually evolving, evidence-based treatment paradigm. Patient variables such as the age of onset, severity, course of deformity progression, as well as the availability of technology pose individualized challenges. AOSpine Masters Series, Volume 9: Pediatric Spinal Deformity is a concise yet comprehensive review of fundamental surgical and nonsurgical approaches, contemporary issues, and treatment obstacles. Internationally renowned spine surgeons Luis Roberto Vialle, Marinus de Kleuver, and Sigurd Berven and a cadre of esteemed contributors deliver a state-of-the-art reference on deformities of the pediatric spine. From early childhood to adolescent spine disorders, 17 richly illustrated chapters cover diagnosis, preoperative evaluation, imaging, spine surgery interventions, non-fusion procedures, and long-term management. Key Highlights Overviews on the classification and natural history of early onset scoliosis and adolescent idiopathic scoliosis, with subsequent chapters covering non-operative management and contemporary surgical techniques Evidence-based discussion of long-term surgical care outcomes, indications for revision surgery, and strategies for achieving optimal results Management of congenital and developmental kyphosis, lordosis, syndromic conditions, and low and high grade spondylolisthesis Clinical pearls on spine surgery in the developing world, safety issues and complications, and the importance of developing outcome metrics The AOSpine Masters series, a copublication of Thieme and the AOSpine Foundation, addresses current clinical issues featuring international masters sharing their expertise in the core areas in the field. The goal of the series is to contribute to an evolving, dynamic model of evidence-based approach to spine care. This outstanding textbook is a must have for spine surgeons, in particular those who specialize in treating childhood spine disorders. Orthopaedic and neurosurgery residents, as well as veteran surgeons with extensive knowledge will find this an indispensable tool for daily practice.

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.

An estimated 9 million children every year are affected by pediatric spinal deformities, encompassing a broad spectrum of pathologies. New classification systems, innovative imaging modalities, and advances in surgical techniques have contributed to a continually evolving, evidence-based treatment paradigm. Patient variables such as the age of onset, severity, course of deformity progression, as well as the availability of technology pose individualized challenges. AOSpine Masters Series, Volume 9: Pediatric Spinal Deformity is a concise yet comprehensive review of fundamental surgical and nonsurgical approaches, contemporary issues, and treatment obstacles. Internationally renowned spine surgeons Luis Roberto Vialle, Marinus de Kleuver, and Sigurd Berven and a cadre of esteemed contributors deliver a state-of-the-art reference on deformities of the pediatric spine. From early childhood to adolescent spine disorders, 17 richly illustrated chapters cover diagnosis, preoperative evaluation, imaging, spine surgery interventions, non-fusion procedures, and long-term management. Key Highlights Overviews on the classification and natural history of early onset scoliosis and adolescent idiopathic scoliosis, with subsequent chapters covering non-operative management and contemporary surgical techniques Evidence-based discussion of long-term surgical care outcomes, indications for revision surgery, and strategies for achieving optimal results Management of congenital and developmental kyphosis, lordosis, syndromic conditions, and low and high grade spondylolisthesis Clinical pearls on spine surgery in the developing world, safety issues and complications, and the importance of developing outcome metrics The AOSpine Masters series, a copublication of Thieme and the AOSpine Foundation, addresses current clinical issues featuring international masters sharing their expertise in the core areas in the field. The goal of the series is to contribute to an evolving, dynamic model of evidence-based approach to spine care. This outstanding textbook is a must have for spine surgeons, in particular those who specialize in treating childhood spine disorders. Orthopaedic and neurosurgery residents, as well as veteran surgeons with extensive knowledge will find this an indispensable tool for daily practice.