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MANAGEMENT OF CONGENITAL SCOLIOSIS: Review of One Hundred Seventy Cases

MANAGEMENT OF CONGENITAL SCOLIOSIS: Review of One Hundred Seventy Cases Abstract CONGENITAL scoliosis occurs in two distinct types. In the first type the scoliosis is the result of muscular and ligamentous contractures and there is no early deformation of the axial skeleton.1 This type of scoliosis is thought to be the result of prolonged lateral bending of the fetal spine in utero. It is usually corrected without great difficulty by daily stretching and by the use of a corrective plaster shell in infancy.2 This is a rare type of congenital scoliosis. Only five patients with this type of congenital scoliosis were seen by us during the last 25 years. In each of these patients the scoliosis was corrected or greatly improved during the period of observation. None of these patients presented a serious therapeutic problem. The five cases are not included in the subsequent discussion. In the second type of congenital scoliosis, the type commonly seen, the scoliosis is caused by congenital deformation of the spine and References 1. Harrenstein, R. J.: Die Skoliose bei Säuglingen und ihre Behandlung , Ztschr. orthop. chir. 52:1, 1929. 2. Kuhns, J. G.: Congenital Scoliosis , New England J. Med. 210:1310, 1934.Crossref 3. Dwight, T.: Description of Human Spines , Memoirs Boston Society of Natural History , 1901, Vol. 5, pp. 237-313. 4. Putti, V.: Die angeborenen Deformitäten der Wirbelsäule , Fortschr. Geb. Röntgenstrahlen 15:65, 1910. 5. Bardeen, C. R.: The Development of the Thoracic Vertebrae in Man , Am. J. Anat. 4:163, 1905.Crossref 6. Hobbs, A. A.: Hereditary Factors in Multiple Congenital Deformities , Am. J. Roentgenol. 51:677, 1944. 7. Duraiswami, P. K.: Insulin Induced Skeletal Abnormalities in Developing Chicks , Brit. M. J. 2:384, 1950.Crossref 8. Jansen, M.: Dysostosis Cleidocranialis , J. Orthop. Surg. 3:468, 1921. 9. Stockard, C. R.: Developmental Rate and Structural Expression: An Experimental Study of Twins, "Double Monsters" and Single Deformities , Am. J. Anat. 28:115, 1921.Crossref 10. Warkany, J.: Congenital Malformations Induced by Maternal Nutritional Deficiency , J. Pediat. 25:476, 1944.Crossref 11. Sawin, P. B.: Vertebral Processes and Growth Genes , Anat. Rec. 95:183, 1946.Crossref 12. Ehrenhaft, J. L.: Development of the Vertebral Column as Related to Certain Congenital and Pathological Changes , Surg., Gynec. & Obst. 76:282, 1943. 13. Ingraham, F. D., and Swan, H.: Spina Bifida and Cranium Bifidum , New England J. Med. 228:589, 1943. 14. Erskine, C. A.: An Analysis of the Klippel-Feil Syndrome , Arch. Path. 41:269, 1946. 15. Sternberg, H.: Zur Prognose angeborener Skoliosen , Arch. orthop. u. Unfall-Chir. 33:307, 1933. 16. Bisgard, J. D.: Deformities of Chest and Spine Resulting from Thoracic Disease and Operation , Am. J. Surg. 54:317, 1941. 17. Steindler, A.: Mechanics of Normal and Pathological Locomotion in Man , Springfield, Ill., Charles C Thomas, Publisher, 1935. 18. Cobb, J. R.: Treatment of Scoliosis , Connecticut M. J. 7:467, 1943. 19. Kuhns, J. G.: Physiological Scoliosis , Arch. Pediat. 55:343, 1938. 20. Blok, G.: Over aangeboren misformingen van de wervellichamen , Nederl. tijdschr. v. geneesk. 91:1622, 1947. 21. Arvin, A. M.: Prophylaxis in Scoliosis , J. Bone & Joint Surg. 34:47, 1952. 22. Kleinberg, S.: Treatment of Structural Scoliosis , Bull. Hosp. Joint Dis. 9:158, 1948. 23. Barr, J. S., and Buschenfeldt, K.: Turnbuckle Brace, 3 Point Pressure Brace for Corrective Treatment of Ambulatory Cases of Scoliosis , J. Bone & Joint Surg. 18:760, 1936. 24. Steindler, A., and Ruhlin, C. W.: The Conservative Compensation Derotation Treatment of Scoliosis , J. Bone & Joint Surg. 23:67, 1941. 25. Smith, E. M., and Shields, C. D.: Conservative Treatment of Scoliosis in Selected Cases , Arch. Phys. Med. 29:709, 1948. 26. Risser, J. C.: Important Practical Factors in the Treatment of Scoliosis , in American Academy of Orthopaedic Surgeons Lectures on Reconstructional Surgery , Ann Arbor, Mich. Edwards Brothers, Inc., 1948, Vol. 5, pp. 236-248. 27. Edwards, P., and Von Lackum, W. H.: Surgical Treatment of Scoliosis in American Academy of Orthopaedic Surgeons Lectures on Reconstructional Surgery , Ann Arbor, Mich., Edwards Brothers, Inc., 1948, Vol. 5, pp. 236-248. 28. Nachlas, I. W.: The Cure of Experimental Scoliosis by Directed Growth Control , J. Bone & Joint Surg. 33A:24, 1951. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Archives Surgery American Medical Association

MANAGEMENT OF CONGENITAL SCOLIOSIS: Review of One Hundred Seventy Cases

A.M.A. Archives Surgery , Volume 65 (2) – Aug 1, 1952

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Publisher
American Medical Association
Copyright
Copyright © 1952 American Medical Association. All Rights Reserved.
ISSN
0096-6908
DOI
10.1001/archsurg.1952.01260020263007
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Abstract

Abstract CONGENITAL scoliosis occurs in two distinct types. In the first type the scoliosis is the result of muscular and ligamentous contractures and there is no early deformation of the axial skeleton.1 This type of scoliosis is thought to be the result of prolonged lateral bending of the fetal spine in utero. It is usually corrected without great difficulty by daily stretching and by the use of a corrective plaster shell in infancy.2 This is a rare type of congenital scoliosis. Only five patients with this type of congenital scoliosis were seen by us during the last 25 years. In each of these patients the scoliosis was corrected or greatly improved during the period of observation. None of these patients presented a serious therapeutic problem. The five cases are not included in the subsequent discussion. In the second type of congenital scoliosis, the type commonly seen, the scoliosis is caused by congenital deformation of the spine and References 1. Harrenstein, R. J.: Die Skoliose bei Säuglingen und ihre Behandlung , Ztschr. orthop. chir. 52:1, 1929. 2. Kuhns, J. G.: Congenital Scoliosis , New England J. Med. 210:1310, 1934.Crossref 3. Dwight, T.: Description of Human Spines , Memoirs Boston Society of Natural History , 1901, Vol. 5, pp. 237-313. 4. Putti, V.: Die angeborenen Deformitäten der Wirbelsäule , Fortschr. Geb. Röntgenstrahlen 15:65, 1910. 5. Bardeen, C. R.: The Development of the Thoracic Vertebrae in Man , Am. J. Anat. 4:163, 1905.Crossref 6. Hobbs, A. A.: Hereditary Factors in Multiple Congenital Deformities , Am. J. Roentgenol. 51:677, 1944. 7. Duraiswami, P. K.: Insulin Induced Skeletal Abnormalities in Developing Chicks , Brit. M. J. 2:384, 1950.Crossref 8. Jansen, M.: Dysostosis Cleidocranialis , J. Orthop. Surg. 3:468, 1921. 9. Stockard, C. R.: Developmental Rate and Structural Expression: An Experimental Study of Twins, "Double Monsters" and Single Deformities , Am. J. Anat. 28:115, 1921.Crossref 10. Warkany, J.: Congenital Malformations Induced by Maternal Nutritional Deficiency , J. Pediat. 25:476, 1944.Crossref 11. Sawin, P. B.: Vertebral Processes and Growth Genes , Anat. Rec. 95:183, 1946.Crossref 12. Ehrenhaft, J. L.: Development of the Vertebral Column as Related to Certain Congenital and Pathological Changes , Surg., Gynec. & Obst. 76:282, 1943. 13. Ingraham, F. D., and Swan, H.: Spina Bifida and Cranium Bifidum , New England J. Med. 228:589, 1943. 14. Erskine, C. A.: An Analysis of the Klippel-Feil Syndrome , Arch. Path. 41:269, 1946. 15. Sternberg, H.: Zur Prognose angeborener Skoliosen , Arch. orthop. u. Unfall-Chir. 33:307, 1933. 16. Bisgard, J. D.: Deformities of Chest and Spine Resulting from Thoracic Disease and Operation , Am. J. Surg. 54:317, 1941. 17. Steindler, A.: Mechanics of Normal and Pathological Locomotion in Man , Springfield, Ill., Charles C Thomas, Publisher, 1935. 18. Cobb, J. R.: Treatment of Scoliosis , Connecticut M. J. 7:467, 1943. 19. Kuhns, J. G.: Physiological Scoliosis , Arch. Pediat. 55:343, 1938. 20. Blok, G.: Over aangeboren misformingen van de wervellichamen , Nederl. tijdschr. v. geneesk. 91:1622, 1947. 21. Arvin, A. M.: Prophylaxis in Scoliosis , J. Bone & Joint Surg. 34:47, 1952. 22. Kleinberg, S.: Treatment of Structural Scoliosis , Bull. Hosp. Joint Dis. 9:158, 1948. 23. Barr, J. S., and Buschenfeldt, K.: Turnbuckle Brace, 3 Point Pressure Brace for Corrective Treatment of Ambulatory Cases of Scoliosis , J. Bone & Joint Surg. 18:760, 1936. 24. Steindler, A., and Ruhlin, C. W.: The Conservative Compensation Derotation Treatment of Scoliosis , J. Bone & Joint Surg. 23:67, 1941. 25. Smith, E. M., and Shields, C. D.: Conservative Treatment of Scoliosis in Selected Cases , Arch. Phys. Med. 29:709, 1948. 26. Risser, J. C.: Important Practical Factors in the Treatment of Scoliosis , in American Academy of Orthopaedic Surgeons Lectures on Reconstructional Surgery , Ann Arbor, Mich. Edwards Brothers, Inc., 1948, Vol. 5, pp. 236-248. 27. Edwards, P., and Von Lackum, W. H.: Surgical Treatment of Scoliosis in American Academy of Orthopaedic Surgeons Lectures on Reconstructional Surgery , Ann Arbor, Mich., Edwards Brothers, Inc., 1948, Vol. 5, pp. 236-248. 28. Nachlas, I. W.: The Cure of Experimental Scoliosis by Directed Growth Control , J. Bone & Joint Surg. 33A:24, 1951.

Journal

A.M.A. Archives SurgeryAmerican Medical Association

Published: Aug 1, 1952

References