Decade Long Progress of a Patient with Early Onset Scoliosis Treated with Serial Casting, Traditional Growth Rods and Posterior Spinal Instrumentation with Fusion – a Case Report

Articles in Press

Document Type : CASE REPORT

Authors

1 Spine Unit, Orthopaedic & Traumatology Department, Universiti Kebangsaan Malaysia Medical Center

2 Spine Unit, Orthopedic Department, Universiti Kebangsaan Malaysia Medical Center

10.22038/abjs.2025.87025.3954

Abstract

Early-onset scoliosis poses unique challenges for spinal and pediatric surgeons, as well as clinicians. Patients present at a young age, which means their spine will develop as they grow into adulthood. The abnormal curvature of the spine could progress further, leading to abnormal thoracic cage growth, which then causes abnormal lung development and poor respiratory tolerance. The treatment strategies aim to correct the spinal deformity while preserving the spine's mobility during growth. This is important because the growing spine will allow the child to achieve optimal height, a healthy thoracic cage, and cardiopulmonary system development. We can divide treatment modalities into observation, serial casting, bracing, and surgery. We are presenting a decade long progress report of a patient who initially underwent treatment with serial casting, growing rods, and definitive fixation for early-onset scoliosis. We strive to illustrate the complexities of early-onset scoliosis treatment by progressing from bracing to the application of a growth-friendly rod system, and finally to definitive posterior instrumentation.

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Main Subjects

The Archives of Bone and Joint Surgery

Articles in Press, Accepted Manuscript
Available Online from 17 September 2025

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History

  • Receive Date: 09 April 2025
  • Revise Date:
  • Accept Date: 23 June 2025

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