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Pediatric spinal deformity: what every orthopaedic surgeon needs to know
Paul D Sponseller1, Behrooz A Akbarnia, Lawrence G Lenke
1Department of Orthopaedic Surgery, Johns Hopkins Medical Institutions, Baltimore, MD, USA.
Summary
Pediatric spinal deformities require orthopaedic surgeons to understand diagnostic methods and natural history. Awareness of conditions like scoliosis and kyphosis guides appropriate diagnosis and treatment for children.
Area of Science:
- Orthopaedic Surgery
- Pediatric Spine Conditions
Background:
- Pediatric spinal deformity is a key area within orthopaedic surgery.
- Understanding diagnostic methods and natural history is crucial for establishing practice standards.
Purpose of the Study:
- To highlight the importance of awareness regarding pediatric spinal deformities.
- To provide foundational knowledge for diagnosing and treating spinal conditions in children.
Main Methods:
- Review of diagnostic methods for pediatric spinal deformities.
- Analysis of the natural history of various spinal conditions in children.
- Examination of growth and maturation principles relevant to the pediatric spine and thorax.
Main Results:
- The spectrum of pediatric spinal deformities includes early-onset scoliosis, adolescent idiopathic scoliosis, kyphosis, and spondylolisthesis.
- Knowledge of spinal and thoracic growth is essential for managing these conditions.
Conclusions:
- Orthopaedic surgeons must be well-versed in pediatric spinal deformity diagnosis and management.
- Appropriate diagnosis, treatment, and referral depend on understanding the spectrum of deformities and growth principles.

