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Pediatric spinal deformities.

Publication ,  Journal Article
Wiggins, GC; Shaffrey, CI; Abel, MF; Menezes, AH
Published in: Neurosurg Focus
January 15, 2003

Pediatric spinal deformity results from multiple conditions including congenital anomalies, neuromuscular disorders, skeletal dysplasia, and developmental disorders (idiopathic). Pediatric spinal deformities can be progressive and cause pulmonary compromise, neurological deficits, and cardiovascular compromise. The classification and treatment of these disorders have evolved since surgical treatment was popularized when Harrington distraction instrumentation was introduced. The advent of anterior-spine instrumentation systems has challenged the concepts of length of fusion needed to arrest curvature progression. Segmental fixation revolutionized the surgical treatment of these deformities. More recently, pedicle screw-augmented segmental fixation has been introduced and promises once again to shift the standard of surgical therapy. Recent advances in thoracoscopic surgery have made this technique applicable to scoliosis surgery. Not only has surgical treatment progressed but also the classification of different forms of pediatric deformity continues to evolve. Recently, Lenke and associates proposed a new classification for adolescent idiopathic scoliosis. This classification attempts to address some of the shortcomings of the King classification system. In this article the authors review the literature on pediatric spinal deformities and highlight recent insights into classification, treatment, and surgery-related complications.

Duke Scholars

Published In

Neurosurg Focus

DOI

EISSN

1092-0684

Publication Date

January 15, 2003

Volume

14

Issue

1

Start / End Page

e3

Location

United States

Related Subject Headings

  • Surgical Wound Infection
  • Spondylitis
  • Spine
  • Spinal Nerves
  • Spinal Fusion
  • Spinal Curvatures
  • Spinal Cord Ischemia
  • Spinal Cord Injuries
  • Scoliosis
  • Puberty
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Wiggins, G. C., Shaffrey, C. I., Abel, M. F., & Menezes, A. H. (2003). Pediatric spinal deformities. Neurosurg Focus, 14(1), e3. https://doi.org/10.3171/foc.2003.14.1.4
Wiggins, Gregory C., Christopher I. Shaffrey, Mark F. Abel, and Arnold H. Menezes. “Pediatric spinal deformities.Neurosurg Focus 14, no. 1 (January 15, 2003): e3. https://doi.org/10.3171/foc.2003.14.1.4.
Wiggins GC, Shaffrey CI, Abel MF, Menezes AH. Pediatric spinal deformities. Neurosurg Focus. 2003 Jan 15;14(1):e3.
Wiggins, Gregory C., et al. “Pediatric spinal deformities.Neurosurg Focus, vol. 14, no. 1, Jan. 2003, p. e3. Pubmed, doi:10.3171/foc.2003.14.1.4.
Wiggins GC, Shaffrey CI, Abel MF, Menezes AH. Pediatric spinal deformities. Neurosurg Focus. 2003 Jan 15;14(1):e3.

Published In

Neurosurg Focus

DOI

EISSN

1092-0684

Publication Date

January 15, 2003

Volume

14

Issue

1

Start / End Page

e3

Location

United States

Related Subject Headings

  • Surgical Wound Infection
  • Spondylitis
  • Spine
  • Spinal Nerves
  • Spinal Fusion
  • Spinal Curvatures
  • Spinal Cord Ischemia
  • Spinal Cord Injuries
  • Scoliosis
  • Puberty