What are the approach considerations in the treatment of idiopathic scoliosis?

Updated: Dec 02, 2020
  • Author: Charles T Mehlman, DO, MPH; Chief Editor: Jeffrey A Goldstein, MD  more...
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Answer

The future of the understanding of idiopathic scoliosis will clearly be guided by human genome analysis. [87] The characterization of the structure and function of specific gene loci and eventual ability to regulate their expression will undoubtedly form the basis of scoliosis treatments of the future. Someday, clinicians may look back upon present mechanically based treatments of scoliosis and wonder how patients ever benefited.

Controversies exist at this time regarding several surgical tactics that may be used to treat similar curve types. Examples of this include anterior fusion and instrumentation versus posterior fusion and instrumentation for isolated thoracic curves. Both validated methods of curve classification and prospective, randomized, controlled studies comparing the surgical methods will be necessary before definitive answers can be embraced.

Future potential also exists in strategies for modulating spinal growth as a means of treating idiopathic scoliosis. This modulation may be genetic or mechanical in nature.


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