Skoliose im Wachstum

Die Diagnostik und Therapie der Skoliose im Wachstumsalter orientiert sich am Alter des Kindes bei Diagnosestellung, der Ätiologie und der Progredienzgefahr. Bei der Behandlung dieser Kinder ist es überaus wichtig, das prognostizierte Wachstum und die Belastung der gewählten Behandlung ins beste Gleichgewicht zu setzen. Nicht versteifende Operationsmethoden kommen in diesem Zusammenhang mehr und mehr zum Portfolio der Therapieverfahren hinzu.

Schlüsselwörter

idiopathische Adoleszentenskoliose - neuromuskuläre Skoliose - Early-Onset Skoliose - Wirbelkörperfehlbildung

• Literatur

• 1 Andry de Boisregard N. L’Orthopédie ou l’art de prévenir et de corriger dans les enfants les difformités du corps. Le tout par des moyens a la portée des peres & des meres, & des personnes qui ont des enfants à élever. 2 Bd. Paris: Alix; 1741
• 2 Nash jr CL, Moe JH. A study of vertebral rotation. J Bone Joint Surg Am 1969; 51: 223-229
• 3 Cobb J. Outline for the study of scoliosis. Instr Course Lect AAOS 1948; 5: 261-275
• 4 Nault ML, Mac-Thiong JM, Roy-Beaudry M. et al. Three-dimensional spine parameters can differentiate between progressive and nonprogressive patients with AIS at the initial visit: a retrospective analysis. J Pediatr Orthop 2013; 33: 618-623
• 5 Sielatycki JA, Cerpa M, Baum G. et al. A novel MRI-based classification of spinal cord shape and CSF presence at the curve apex to assess risk of intraoperative neuromonitoring data loss with thoracic spinal deformity correction. Spine Deform 2020; 8: 655-661
• 6 Lenke LG, Betz RR, Harms J. et al. Adolescent idiopathic scoliosis: a new classification to determine extent of spinal arthrodesis. J Bone Joint Surg Am 2001; 83: 1169-1181
• 7 Sanders JO, Khoury JG, Khishan S. et al. Predicting scoliosis progression from skeletal maturity: a simplified classification during adolescence. J Bone Joint Surg Am 2008; 90: 540-553
• 8 Weinstein SL, Dolan LA, Wright JG. et al. Effects of bracing in adolescents with idiopathic scoliosis. N Engl J Med 2013; 369: 1512-1521
• 9 Newton PO, Kluck DG, Saito W. et al. Anterior Spinal Growth Tethering for Skeletally Immature Patients with Scoliosis: A Retrospective Look Two to Four Years Postoperatively. J Bone Joint Surg Am 2018; 100: 1691-1697
• 10 Newton PO, Bartley CE, Bastrom TP. et al. Anterior Spinal Growth Modulation in Skeletally Immature Patients with Idiopathic Scoliosis: A Comparison with Posterior Spinal Fusion at 2 to 5 Years Postoperatively. J Bone Joint Surg Am 2020; 102: 769-777
• 11 Hell AK, Braunschweig L, Tsaknakis K. et al. Children With Spinal Muscular Atrophy With Prior Growth-Friendly Spinal Implants Have Better Results After Definite Spinal Fusion in Comparison to Untreated Patients. Neurosurgery 2020; 87: 910-917
• 12 Kashii M, Kanayama S, Kitaoka T. et al. Development of scoliosis in young children with osteogenesis imperfecta undergoing intravenous bisphosphonate therapy. J Bone Miner Metab 2019; 37: 545-553
• 13 Karol LA. The Natural History of Early-onset Scoliosis. J Pediatr Orthop 2019; 39 (Suppl. 01) S38-S43
• 14 Karol LA, Johnston C, Mladenov K. et al. Pulmonary function following early thoracic fusion in non-neuromuscular scoliosis. J Bone Joint Surg Am 2008; 90: 1272-1281
• 15 Karol LA. Early definitive spinal fusion in young children: what we have learned. Clin Orthop Relat Res 2011; 469: 1323-1329
• 16 Mehta MA. Growth as a corrective force in the early treatment of progressive infantile scoliosis. J Bone Joint Surg Br 2005; 87: 1237-1247
• 17 Quan T, Matsumoto H, Bonsignore-Opp L. et al. Definition of Tweener: Consensus Among Experts in Treating Early-onset Scoliosis. J Pediatr Orthop 2023; 43: e215-e222