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Infantile idiopathic scoliosis in the newborn

We have reviewed 7 patients (5 boys and 2 girls) with infantile idiopathic scoliosis which was present at birth and was diagnosed at ages from 1 day to 1 month. The mean follow up was 16 years. The objectives were to discover whether intrauterine forces play a role in the aetiology and to determine whether early treatment of a potentially progressive curve can induce resolution. Two infants were male conjoined twins and were united by skin over the posterior sacrum. Six infants had a rib vertebral angle difference greater than 20 degrees in the first radiograph and 5 had stiff curves. In 2 with flexible curves, the deformity disappeared by the end of the first year. The 5 with stiff curves were treated conservatively for 6 to 24 months. Growth has now been completed in 5; 4 have a straight spine and one developed an adolescent curve of 26 degrees. The 2 who are still growing have no scoliosis. Intrauterine moulding was only demonstrated in the conjoined twins. There was a correlation between the rib vertebral angle difference above 20 degrees and the rigidity of the curve. Early treatment of a potentially progressive curve can lead to resolution

Keywords : Adolescent,diagnostic imaging,etiology,Female,Growth,Humans,Infant,Infant,Newborn,Male,Posture,Radiography,Sacrum,Scoliosis,Spine,surgery,therapy,Treatment Outcome,Twins,Conjoined,, Idiopathic,Scoliosis,Newborn, orthopedist london

Date of Publication : 1998

Authors : Ventura N;Huguet R;Ey A;Montaner A;Lizarraga I;Vives E;

Organisation : Department of Paediatric Orthopaedic Surgery, Hospital Sant Joan Deu, Hospital Universitari de la B. U., Barcelona, Spain

Journal of Publication : Int Orthop

Pubmed Link : https://www.ncbi.nlm.nih.gov/pubmed/9651771

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