Evaluation and management of adolescent idiopathic scoliosis: a review

Author:

Jada Ajit1,Mackel Charles E.2,Hwang Steven W.3,Samdani Amer F.3,Stephen James H.4,Bennett James T.5,Baaj Ali A.1

Affiliation:

1. Department of Neurological Surgery, Weill Cornell Medical College, New York, New York;

2. Department of Neurosurgery, Tufts Medical Center and Floating Hospital for Children, Boston, Massachusetts;

3. Shriners Hospitals for Children—Philadelphia;

4. Department of Neurosurgery, University of Pennsylvania; and

5. Department of Orthopaedic Surgery, Lewis Katz School of Medicine at Temple University, Philadelphia, Pennsylvania

Abstract

Adolescent idiopathic scoliosis (AIS) is a 3D spinal deformity affecting children between the ages of 11 and 18, without an identifiable etiology. The authors here reviewed the available literature to provide spine surgeons with a summary and update on current management options.Smaller thoracic and thoracolumbar curves can be managed conservatively with observation or bracing, but corrective surgery may be indicated for rapidly growing or larger curves. The authors summarize the atypical features to look for in patients who may warrant further investigation with MRI during diagnosis and review the fundamental principles of the surgical management of AIS.Patients with AIS can be managed very well with a combination of conservative and surgical options. Outcomes for these children are excellent with sustained longer-term results.

Publisher

Journal of Neurosurgery Publishing Group (JNSPG)

Subject

Neurology (clinical),General Medicine,Surgery

Reference118 articles.

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