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Related Experiment Video

Updated: Mar 30, 2026

Cell-based Assay Protocol for the Prognostic Prediction of Idiopathic Scoliosis Using Cellular Dielectric Spectroscopy
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Congenital Scoliosis.

M Moramarco, H R Weiss1

  • 1Orthopedic Surgeon, Physical Medicine and Rehabilitation Chiropractor (German school) Rehabilitation Services Gesundheitsforum Nahetal Alzeyer Str. 23 D-55457 Gensingen, Germany. hr.weiss@skoliose-dr-weiss.com.

Current Pediatric Reviews
|November 18, 2015
PubMed
Summary

Current evidence does not support early spinal fusion surgery for congenital scoliosis. Advanced bracing may help patients avoid surgery, suggesting conservative management should be prioritized.

Area of Science:

  • Orthopedics
  • Spinal Surgery
  • Pediatric Deformity

Background:

  • Congenital scoliosis involves spinal and rib malformations, often treated surgically before age three.
  • Previous reviews found no evidence supporting early surgical intervention for congenital scoliosis.
  • This review updates the evidence search for studies published between 2011 and March 2015.

Purpose of the Study:

  • To conduct an updated literature search for evidence supporting early surgical intervention in congenital scoliosis.
  • To evaluate the evidence-based nature of spinal fusion surgery for congenital scoliosis.
  • To assess the safety and efficacy of current surgical techniques and alternative treatments.

Main Methods:

  • Systematic literature review of studies published from 2011 to March 2015.

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Modified Posterior Vertebral Column Resection for Patients with Thoracolumbar Kyphotic Deformity
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  • Focused search for prospective and randomized controlled trials on congenital scoliosis treatment.
  • Analysis of data regarding surgical outcomes, complications, and conservative management.

    • Main Results:

    • No prospective or randomized controlled studies were found to support early spinal fusion as evidence-based treatment.
    • Conflicting results exist regarding the safety of hemivertebra resection and pedicle screw fixation.
    • High complication rates are associated with the VEPTR (vertical expandable prosthetic titanium rib) device.

    Conclusions:

    • There is a lack of evidence supporting early spinal fusion surgery for congenital scoliosis.
    • Conservative management, including advanced bracing, may allow many patients to avoid surgery.
    • Prioritizing conservative approaches before considering surgical intervention is recommended for congenital scoliosis.