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The Bone & Joint Journal
Vol. 101-B, Issue 12 | Pages 1563 - 1569
1 Dec 2019
Helenius IJ Saarinen AJ White KK McClung A Yazici M Garg S Thompson GH Johnston CE Pahys JM Vitale MG Akbarnia BA Sponseller PD

Aims

The aim of this study was to compare the surgical and quality-of-life outcomes of children with skeletal dysplasia to those in children with idiopathic early-onset scoliosis (EOS) undergoing growth-friendly management.

Patients and Methods

A retrospective review of two prospective multicentre EOS databases identified 33 children with skeletal dysplasia and EOS (major curve ≥ 30°) who were treated with growth-friendly instrumentation at younger than ten years of age, had a minimum two years of postoperative follow-up, and had undergone three or more lengthening procedures. From the same registries, 33 matched controls with idiopathic EOS were identified. A total of 20 children in both groups were treated with growing rods and 13 children were treated with vertical expandable prosthetic titanium rib (VEPTR) instrumentation.