The Challenge of Accurate Spinal Growth Assessment in the Treatment of Early Onset Scoliosis with Growth-Friendly Systems

All scoliosis treatments in children share the common goal of maximizing control of deformity progression while minimizing the risk of negative impact in the short and long-term. Early onset scoliosis (EOS), a rare collection of multiple scoliosis types (idiopathic, congenital, neuromuscular and syndromic) in children younger than 10 years of age, often with other diagnoses and comorbidities, presents certain challenges to treatment that can affect both morbidity and mortality [1-11]. While non-operative treatments like bracing or cast techniques are attractive in EOS, in that they offer potential control of deformity progression in a reasonably physiologic manner (by preserving growth, motion and function of the spine), they are often not effective or definitive.

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