Early-Onset Scoliosis: Updated Treatment Techniques and Results

Abstract

Study design: This is a review of the current literature on early-onset scoliosis (EOS) techniques and treatment written by the Growing Spine Committee of the Scoliosis Research Society.

Objectives: The Growing Spine Committee of the Scoliosis Research Society sought to update the information available on the definition and treatment of EOS, including new information about existing techniques.

Summary of background data: EOS represents a diverse, heterogeneous, and clinically challenging group of spinal disorders occurring in children under the age of 10. Our understanding of EOS has changed dramatically in the last 15 years, and management of EOS has changed even more rapidly in the last five years.

Methods: The Growing Spine Committee of the Scoliosis Research Society has embarked upon a review of the most current literature on EOS techniques and treatment.

Results: This white paper provides recent updates on current techniques, including a summary of new modalities, indications, contraindications, and clinical results.

Conclusions: Although treatment of EOS is still challenging and complicated, the evolution of options and knowledge presents hope for better understanding and management in the future.

Level of evidence: Level V.

Keywords: Complications; Early-onset scoliosis; Pediatric scoliosis; Spinal deformity; Techniques.