Progress in Non-surgical Treatment of Early Onset Scoliosis
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摘要: 早发性脊柱侧弯(early-onset scoliosis,EOS)是一种儿童的三维脊柱畸形。目前临床主要的治疗方法包括随访、手术治疗和非手术治疗,而非手术治疗能延缓、控制病情进展,为生长发育以及手术治疗争取时间。石膏治疗、牵引治疗及脊柱侧弯专项运动均为临床应用多年非手术治疗方式。随技术和治疗思路进步,对EOS非手术治疗方式提供了新的思路,例如:治疗作用方式及作用部位的改变、药理学研究、心理健康监测等。现将早发性脊柱侧弯的非手术治疗方法及进展新思路综述如下。Abstract: Early-onset scoliosis (EOS) is a three-dimensional spinal deformity in children. At present, the main clinical treatment methods include follow-up, surgical treatment and non-surgical treatment, while non-surgical treatment can delay and control the progression of the disease and buy time for growth and development as well as surgical treatment. Serial casting, traction therapy and targeted exercise for scoliosis are all non-surgical treatments that have been used in clinical practice for many years. With the progress of technology and treatment, new ideas have been provided for the non-surgical treatment of EOS, such as the change of treatment mode and site of action, pharmacological research, mental health monitoring, etc. This article summarizes the nonsurgical treatment methods and new ideas for the development of early onset scoliosis.
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Key words:
- Early-onset scoliosis /
- Non-surgical treatment /
- Serial casting /
- Brace
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[1] Karol L A. The Natural History of Early-onset Scoliosis[J]. Pediatr Orthop,2019,39(Issue 6,Suppl 1):S38-S43. [2] Bess S,Akbarnia B A,Thompson G H,et al. Complications of growing-rod treatment for early-onset scoliosis: analysis of one hundred and forty patients[J]. Bone Joint Surg Am,2010,92(15):2533-2543. doi: 10.2106/JBJS.I.01471 [3] Upasani V V,Parvaresh K C,Pawelek J B,et al. Age at Initiation and Deformity Magnitude Influence Complication Rates of Surgical Treatment With Traditional Growing Rods in Early-Onset Scoliosis[J]. Spine Deform,2016,4(5):344-350. doi: 10.1016/j.jspd.2016.04.002 [4] Teoh K H, Winson D M, James S H, et al. Do magnetic growing rods have lower complication rates compared with conventional growing rods?[J]. Spine, 2016, 16(4 Suppl): S40-S44. [5] Murphy R F,Moisan A,Kelly D M,et al. Use of vertical expandable prosthetic titanium rib (VEPTR) in the treatment of congenital scoliosis without fused ribs[J]. Pediatr Orthop,2016,36(4):329-335. doi: 10.1097/BPO.0000000000000460 [6] Lucas G,Bollini G,Jouve J L,et al. Complications in pediatric spine surgery using the vertical expandable prosthetic titanium rib: the French experience[J]. Spine (Phila Pa,1976,),2013,38(25):E1589-E1599. [7] Sankar W N,Skaggs D L,Yazici M,et al. Lengthening of dual growing rods and the law of diminishing returns[J]. Spine (Phila Pa,1976,),2011,36(10):806-809. [8] Fletcher N D,McClung A,Rathjen K E,et al. Serial casting as a delay tactic in the treatment of moderate-to-severe early-onset scoliosis[J]. Pediatr Orthop,2012,32(7):664-671. doi: 10.1097/BPO.0b013e31824bdb55 [9] Baulesh D M,Huh J,Judkins T,et al. The role of serial casting in early-onset scoliosis (EOS)[J]. Pediatr Orthop,2012,32(7):658-663. doi: 10.1097/BPO.0b013e318269c438 [10] Demirkiran H G,Bekmez S,Celilov R,et al. Serial derotational casting in congenital scoliosis as a time-buying strategy[J]. Pediatr Orthop,2015,35(1):43-49. doi: 10.1097/BPO.0000000000000229 [11] Gussous Y M,Tarima S,Zhao S,et al. Serial Derotational Casting in Idiopathic and Non-Idiopathic Progressive Early-Onset Scoliosis[J]. Spine Deform,2015,3(3):233-238. doi: 10.1016/j.jspd.2014.10.001 [12] Cao J,Zhang X J,Sun N,et al. The therapeutic characteristics of serial casting on congenital scoliosis: a comparison with non-congenital cases from a single-center experience[J]. Orthop Surg Res,2017,12(1):56. doi: 10.1186/s13018-017-0554-7 [13] Stasikelis P J,Carpenter A M. Results of casting in severe curves in infantile scoliosis[J]. Pediatr Orthop,2018,38(4):e186-e189. doi: 10.1097/BPO.0000000000001140 [14] Dede O,Sturm P F. A brief history and review of modern casting techniques in early onset scoliosis[J]. Child Orthop,2016,10(5):405-411. doi: 10.1007/s11832-016-0762-4 [15] Mehta M H. Growth as a corrective force in the early treatment of progressive infantile scoliosis[J]. Bone Joint Surg Br.,2005,87(9):1237-1247. [16] Fedorak G T,D'Astous J L,Nielson A N,et al. Minimum 5-year follow-up of mehta casting to treat idiopathic early-onset scoliosis[J]. Bone Joint Surg Am,2019,101(17):1530-1538. doi: 10.2106/JBJS.18.01268 [17] RISSER J C. The application of body casts for the correction of scoliosis[J]. Instr Course Lect,1955,12:255-259. [18] Waldron S R,Poe-Kochert C,Son-Hing J P,Thompson G H. Early onset scoliosis: the value of serial risser casts[J]. Pediatr Orthop,2013,33(8):775-780. doi: 10.1097/BPO.0000000000000072 [19] Thorsness R J,Faust J R,Behrend C J,et al. Nonsurgical management of early-onset scoliosis[J]. Am Acad Orthop Surg,2015,23(9):519-528. [20] Negrini S,Aulisa A G,Cerny P,et al. The classification of scoliosis braces developed by SOSORT with SRS,ISPO,and POSNA and approved by ESPRM[published correction appears in Eur Spine[J]. Eur Spine,2022,31(4):980-989. doi: 10.1007/s00586-022-07131-z [21] Coillard C,Leroux M A,Zabjek K,et al. Spine cora non-rigid brace for the treatment of idiopathic scoliosis: post-treatment results[J]. Eur Spine,2003,12(2):141-148. doi: 10.1007/s00586-002-0467-x [22] Rożek K,Jasiewicz B. Effect of preoperative spineCor® treatment on surgical outcome in idiopathic scoliosis: An observational study[J]. Med Sci Monit,2019,25:754-759. doi: 10.12659/MSM.912228 [23] Zaina F,De Mauroy J C,Grivas T,et al. Bracing for scoliosis in 2014: state of the art[J]. Eur J Phys Rehabil Med,2014,50(1):93-110. [24] Clin J,Aubin C É,Sangole A,et al. Correlation between immediate in-brace correction and biomechanical effectiveness of brace treatment in adolescent idiopathic scoliosis[J]. Spine (Phila Pa,1976,2010,35(18):1706-1713. [25] Luaks K,Tassone C,Liu X. et al. Providence brace in treatment of Adolescent Idiopathic Scoliosis[J]. Stud Health Technol Inform,2021,280:179-183. [26] Yahyaiee Bavil A,Rouhi G. The biomechanical performance of the night-time Providence brace: experimental and finite element investigations[J]. Heliyon,2020,6(10):e05210. doi: 10.1016/j.heliyon.2020.e05210 [27] Negrini S,Marchini G. Efficacy of the symmetric,patient-oriented,rigid,three-dimensional,active (SPoRT) concept of bracing for scoliosis: a prospective study of the Sforzesco versus Lyon brace[J]. Eura Medicophys,2007,43(2):171-184. [28] Negrini S,Atanasio S,Negrini F,et al. The Sforzesco brace can replace cast in the correction of adolescent idiopathic scoliosis: A controlled prospective cohort study[J]. Scoliosis,2008,3:15. doi: 10.1186/1748-7161-3-15 [29] Lusini M,Donzelli S,Minnella S,et al. Brace treatment is effective in idiopathic scoliosis over 45°: an observational prospective cohort controlled study[J]. Spine,2014,14(9):1951-1956. doi: 10.1016/j.spinee.2013.11.040 [30] de Mauroy J C,Lecante C,Barral F,et al. Prospective study and new concepts based on scoliosis detorsion of the first 225 early in-brace radiological results with the new Lyon brace: ARTbrace[J]. Scoliosis,2014,9:19. doi: 10.1186/1748-7161-9-19 [31] de Mauroy J C,Lecante C,Barral F. "Brace Technology" Thematic Series - The Lyon approach to the conservative treatment of scoliosis[J]. Scoliosis,2011,6:4. doi: 10.1186/1748-7161-6-4 [32] Li Y,Swallow J,Gagnier J,et al. A report of two conservative approaches to early onset scoliosis: serial casting and bracing[J]. Spine Deform,2021,9(2):595-602. doi: 10.1007/s43390-020-00213-2 [33] Zhang H,Yang G,Guo C,et al. Analysis of the corrective contribution of strong halo-femoral traction in the treatment of severe rigid nonidiopathic scoliosis[J]. Orthop Surg Res,2020,15(1):567. doi: 10.1186/s13018-020-02093-8 [34] Zhang H,Liu S,Guo C,et al. Posterior surgery assisted by halo ring traction for the treatment of severe rigid nonangular cervical kyphosis[J]. Orthopedics,2010,33(4):10.3928. [35] Zhang H Q,Deng A,Liu S H,et al. Posterior-only surgical correction with heavy halo-femoral traction for the treatment of severe and rigid congenital scoliosis associated with tethered spinal cord and type II split cord malformation[J]. World Neurosurg,2020,139:e151-e158. doi: 10.1016/j.wneu.2020.03.145 [36] Wang Y,Xie J,Zhao Z,et al. Preoperative short-term traction prior to posterior vertebral column resection: procedure and role[J]. Eur Spine,2016,25(3):687-697. doi: 10.1007/s00586-014-3752-6 [37] Sun K,Hu H,Gao L,et al. Perioperative halo-gravity traction in the treatment of scoliosis with intraspinal anomalies[J]. World Neurosurg,2020,140:e219-e224. doi: 10.1016/j.wneu.2020.04.242 [38] Bialek M,M'hango A. "FITS" concept Functional Individual Therapy of Scoliosis[J]. Stud Health Technol Inform,2008,135:250-261. [39] Dobosiewicz K,Durmala J,Kotwicki T. Dobosiewicz method physiotherapy for idiopathic scoliosis[J]. Stud Health Technol Inform,2008,135:228-236. [40] Maruyama T,Takeshita K,Kitagawa T. Side-shift exercise and hitch exercise[J]. Stud Health Technol Inform,2008,135:246-249. [41] Romano M,Negrini A,Parzini S,et al. SEAS (Scientific Exercises Approach to Scoliosis): a modern and effective evidence based approach to physiotherapic specific scoliosis exercises[J]. Scoliosis,2015,10:3. doi: 10.1186/s13013-014-0027-2 [42] Berdishevsky H,Lebel V A,Bettany-Saltikov J,et al. Physiotherapy scoliosis-specific exercises - a comprehensive review of seven major schools[J]. Scoliosis Spinal Disord,2016,11:20. doi: 10.1186/s13013-016-0076-9 [43] Fan Y,Ren Q,To M K T,et al. Effectiveness of scoliosis-specific exercises for alleviating adolescent idiopathic scoliosis: A systematic review[J]. BMC Musculoskelet Disord,2020,21(1):495. doi: 10.1186/s12891-020-03517-6 [44] Romano M,Minozzi S,Bettany-Saltikov J,et al. Exercises for adolescent idiopathic scoliosis[J]. Cochrane Database Syst Rev,2012,20(8):CD007837. [45] Negrini S, Donzelli S, Aulisa A G, et al, 2016 SOSORT guidelines: orthopaedic and rehabilitation treatment of idiopathic scoliosis during growth[J]. Scoliosis Spinal Disord, 2018, 13: 3.
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