Principles of scoliosis treatment within 10 years of age

  1, conservative treatment such as undershirts, gymnastics, etc., generally only on the child’s secondary arc has some control over the development of the role, or to maintain a certain degree of flexibility, while the vertebral deformity must be corrected through surgery. The type of scoliosis must first be diagnosed in order to determine the treatment method.  2, to timely treatment, not just consider surgery will cause fusion of the vertebral body affect the height of the child and postpone treatment, allowing the development of the deformity. It should be recognized that the deformity will gradually aggravate, which will certainly cause the expansion of the scope of surgery. The difficulty of surgery, the increased risk, the financial burden on the parents, the growth and development of the child, and the development of the internal organs will cause greater harm. It is important to consider the degree of tolerance of the child’s body, the safety factor, the choice of internal implants, the difficulty of the operation, the impact of the operation on the development of the child, and so on, and to choose the appropriate period of surgery.  3, if the spinal deformity can be orthopedically fixed in a small area, such as hemivertebral deformity, should be completely removed as soon as possible, the deformity will be orthopedically fixed, so that the deformity is both orthopedic and less likely to affect the growth and development of the child, the best of both worlds, if the deformity is too long, fluke orthopedic fixed surgery will certainly be very wide, within ten years of the child’s development is still very immature height is also too short, the operation will affect the child’s The growth and development of the child will be affected by the surgery, the anterior and posterior surgery is big, the blow is heavy, the complications are many, the simple posterior surgery continues to grow because of the epiphysis of the anterior road, which causes the imbalance of the anterior and posterior development of the vertebral body, resulting in the phenomenon of “curved axis”, the vertebral body rotates and the back gradually bulges a big bag, so we should choose partial epiphyseal blocking surgery subcutaneous growth rods in stages to open and other surgical procedures, using The growth of the epiphysis on the concave side of the lateral curvature, and gradually correct the deformity, phased propping rod, can make a certain degree of correction of the deformity to prevent the development, but also to increase the height, correction of thoracic stenosis, pelvic shoulder tilt, for trunk tilt imbalance also has a very good adjustment effect, the visceral development also has a certain role in promoting.  4, within five years of age is an important stage in the development of a person’s internal organs, so within five years of age due to spinal deformities caused by the deformation of the thoracic cavity children especially need to perform thoracic cavity enlargement molding as soon as possible, on the one hand, the spinal deformity has a certain orthopedic control role, on the other hand, through the rib support, the expansion of the thoracic cavity, the heart and lung development to obtain the appropriate space, to promote the development of the heart and lung, which is very important. In order to ensure the healthy development of the child, parents must not be lax in finding out that their child has scoliosis, and early detection and treatment.