A study of the progression of congenital scoliosis in non-operated cases.
Non-operated cases of congenital scoliosis were analyzed to determine the prognosis. There were 114 males and 132 females with an average age of 8 years. Of these, 151 cases underwent brace treatment. One hundred and eighty-nine cases were followed with an average follow-up period of 5 years. Hemivertebrae were subdivided into 3 groups according to their radiological features. With this classification, the prediction of progression was possible. A unilateral bar and a bar with contralateral hemivertebra had unfavorable prognosis as described in the literature. The unclassifiable type showed progression in more than 50% of cases, but prediction was difficult. Curves with incomplete block vertebrae, clinically recognized as disc space narrowing, were considered to be a specific type of congenital scoliosis which sometimes revealed a rapid progression during the adolescent growth spurt.
Tanaka
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Department of Orthopaedic Surgery, Chiba University School of Medicine, Japan.
D000293:Adolescent; D000328:Adult; D001915:Braces; D002648:Child; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D008297:Male; D011379:Prognosis; D012600:Scoliosis / Q000145:classification / Q000151:congenital* / Q000628:therapy