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Updated: Dec 28, 2025

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Past, present, and future in pediatric spinal surgery.

Jean Dubousset1

  • 1Académie Nationale de Médecine, rue Bonaparte, Paris, France.

Annals of Translational Medicine
|February 15, 2020
PubMed
Summary

Pediatric spinal surgery has evolved from non-instrumented techniques to advanced 3D strategies. Minimally invasive techniques offer promising results for spinal deformities, potentially avoiding final fusion surgery.

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Articles linked to this work by shared authors, journal, and citation graph.

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Same author

3D external shape analysis and barycentremetry can provide early signs of progression in adolescent idiopathic scoliosis.

Spine deformity·2024
Same author

Assessment of malalignment at early stage in adolescent idiopathic scoliosis: a longitudinal cohort study.

European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·2024
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Spinal axial torque assessment after surgical correction in adolescent idiopathic scoliosis: a new approach to 3D barycentremetry and mass distribution based on biplanar radiographs.

Spine deformity·2024
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Kyphectomy in myelomeningocele revisited: risk factors for failure.

European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·2023
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Proximal Junctional Kyphosis in Modern Spine Surgery: Why Is it So Common?

Spine surgery and related research·2023
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Spine slenderness is not an early sign of progression in adolescent idiopathic scoliosis.

Medical engineering & physics·2022

Area of Science:

  • Pediatric Orthopedics
  • Spinal Surgery
  • Biomedical Engineering

Background:

  • Spinal deformities have been treated with various techniques over 55 years.
  • Early methods included non-instrumented surgery and casting.
  • Advancements include Harrington, Luque, pedicle screws, and CD instrumentation.

Purpose of the Study:

  • To describe the evolution of surgical techniques and indications for pediatric spinal deformities.
  • To evaluate current and future treatment strategies.
  • To highlight the significance of 3D dynamic balance over maximal Cobb angle correction.

Main Methods:

  • Historical review of surgical techniques and instrumentation.
  • Analysis of treatment outcomes for localized and extended spinal lesions.
Keywords:
3D3D balancebipolar minimally invasive surgerypelvic obliquity

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  • Evaluation of minimally invasive techniques and their impact on spontaneous fusion.

    • Main Results:

    • Early surgery is indicated for localized lesions; casting/bracing is preferred for extended thoracic lesions.
    • Minimally invasive bipolar techniques show promising results, with potential for spontaneous fusion.
    • Maximal Cobb angle correction is less critical than preserving 3D dynamic balance in older patients.

    Conclusions:

    • Pediatric spinal surgery has progressed significantly, with minimally invasive approaches offering new hope.
    • Preserving dynamic balance is crucial for long-term spinal function.
    • Continued innovation is essential for improving outcomes in pediatric spinal deformity treatment.