Small Child Scoliosis/Early Onset Scoliosis (Birth to 7 years old)

scoliosis surgery austin, scoliosis surgery houston, scoliosis surgery san antonio, scoliosis treatment for children with 120 degree scoliosis - dr matthew geck texas scoliosis surgeon, dallas scoliosis surgeon, houston scoliosis surgeon, austin scoliosis surgeonSmall children, from birth to 7 years of age, pose special challenges in the treatment of their scoliosis. In these patients, growth of the spine and the lungs via the ribcage are intertwined, and must be maintained. Causes can be infantile or juvenile idiopathic scoliosis, congenital scoliosis and rib fusions, or neuromuscular or genetic syndromes, or connective tissue disorders.

In these patients, initial attempts to control the scoliosis and maintain ribcage and lung growth can focus on observation, bracing, or casting, though one downside of bracing and casting is that braces and casts push on the ribcage as it grows. If this is not successful in progressive curves, then a variety of growth preserving procedures can be attempted, including growing rods, Shilla procedures, titanium rib or vertical expandable prosthetic titanium rib (VEPTR), or a stapling or tethering procedure. However, as their name implies, these growth preserving procedures may need multiple repeat surgeries to maintain growth, but this sometimes is the only way to maintain thoracic growth and lung function.

Case Study

This 3 year old girl with Ehlers-Danlos syndrome and multiple neurosurgical and orthopedic issues had a 120 degree progressive scoliosis. Initial treatment with growing rods is shown.

Congenital Scoliosis

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Case Study

This 13 year old boy had a congenital hemivertebrae and anterior failure of formation at L1 giving him a 45 degree scoliosis and a 70 degree acute kyphosis. He was feeling worsening pain with time.

A complex osteotomy of his spine was performed, resecting the hemivertebrae but also correcting the kyphosis, with reconstruction from T11 to L3. 3 years later he has no back pain, no deformity, and has no physical limitations.

scoliosis and kyphosis treatment for child - dr matthew geck texas scoliosis surgeon, new mexico scoliosis surgeon, louisiana scoliosis surgeonNeuromuscular Scoliosis

This term describes a clinical picture resulting primarily from neurological or muscular diseases and characterized by a wide variety of symptoms of varying degrees of severity (for example disorders affecting posture and the locomotor system or damage to sensory perception functions). Many of these diseases have their onset in childhood and may, in addition to the many individual primary symptoms observed, also lead to the formation of a scoliosis due to the neuromuscular disturbance of the postural apparatus with local or generalized muscular dysfunctions. Examples include cerebral palsy, myelomeningocele (spina bifida), Duchenne's muscular dystrophy, spinal muscular atrophy, Charcot-Marie-Tooth, and Friedreich's ataxia.

Case Study

This 16 year old boy with severe total body cerebral palsy had a progressive scoliosis to 135 degrees, pelvic obliquity, and kyphosis. This was preventing him from sitting in his wheelchair and making nursing care difficult. A single posterior approach with multiple osteotomies leveled his pelvis, corrected his curve. At two year follow up he sits comfortably, straight, and nursing care is facilitated.

Treatments
  • Traditional Treatments
    • Learn about traditional treatments for pain relief to bridge from inactivity to physical therapy
  • Scoliosis Surgery
    • Learn about advances in scoliosis treatment and current minimally invasive options.
  • Osteotomy Surgery
    • For the most complex spinal deformities learn about how osteotomy surgery can balance the spine.
  • Thoracoscopic Surgery
    • Video assisted thoracoscopic surgery uses techniques for minimal invasion of the chest wall or thoracic cavity.
  • Vertebral Body Stapling
    • Vertebral body stapling is an innovative, minimally invasive approach that is an alternative therapy for early onset scoliosis.
  • XLIF, DLIF, TLIF
    • Learn about minimally invasive interbody techniques such as XLIF, DLIF, and TLIF.
What do Your Symptoms Indicate?
  • Red Flag Symptoms
    • Many back problems can improve on their own or with non-surgical treatment. They key is to understand which symptoms are emergencies and need to be seen immediately.
Home Remedy Book
  • Home Remedy Book
    • Have back or neck pain? Learn what causes symptoms and the home remedies that relieve pain. Scoliosis Texas mails out Home Remedy Books to residents throughout the Austin area.

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