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Review
. 2021 Aug;50(8):633-637.
doi: 10.1007/s00132-021-04128-2. Epub 2021 Jul 6.

[Surgical strategies in the treatment of neuromuscular scoliosis]

[Article in German]
Friederike Schömig  1 , Jasmin Fussi  2 , Matthias Pumberger  2 , Michael Putzier  2
Affiliations
Review

[Surgical strategies in the treatment of neuromuscular scoliosis]

[Article in German]
Friederike Schömig et al. Orthopade. 2021 Aug.

Abstract
in English, German

As part of the underlying condition, neuromuscular scoliosis occurs in early childhood. Compared to idiopathic scoliosis, neuromuscular scoliosis shows a more rapid progress of deformity, which continues even after the end of growth. This progress and the associated complications can only be prevented by surgical treatment. Depending on the patient's age and the extent of the deformity, different strategies have been established: in early childhood, so-called "growing implants" are used, while between the ages of 10 to 12, definitive treatment by reposition and fusion of the deformity is the treatment of choice. In this review, we present different surgical strategies as well as indications for surgery and discuss challenges in the treatment of these complex deformities.

Neuromuskuläre Skoliosen treten im Rahmen der Grunderkrankung bereits im frühen Kindesalter auf und zeigen im Vergleich zu idiopathischen Skoliosen eine rasche Progredienz, die auch mit Wachstumsabschluss nicht sistiert. Ein Aufhalten des Krümmungszuwachses und damit einhergehender Komplikationen lässt sich dauerhaft nur über eine operative Versorgung erreichen. Hierfür haben sich, abhängig von Patientenalter und Ausmaß der Deformität, verschiedene operative Strategien etabliert: Im frühen Kindesalter werden „mitwachsende Implantate“ eingesetzt, während ab dem 10.–12. Lebensjahr eine definitive Versorgung mittels Korrektur und Fusion der Skoliose die Therapie der Wahl ist. Diese unterschiedlichen Operationsstrategien stellen wir neben den Indikationen zur operativen Versorgung vor und diskutieren Herausforderungen bei der Behandlung dieser komplexen Deformitäten.

Keywords: Children, preschool; Duchenne muscular dystrophy; Implants, artificial; Spinal fusion; Vertebral column.

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References

Literatur

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