Evaluation and management of adolescent idiopathic scoliosis: A review

Ajit Jada, Charles E. Mackel, Steven W. Hwang, Amer F. Samdani, James H. Stephen, James T. Bennett, Mhd-Ali - Baaj

Research output: Contribution to journalArticle

14 Scopus citations

Abstract

Adolescent idiopathic scoliosis (AIS) is a 3D spinal deformity affecting children between the ages of 11 and 18, without an identifiable etiology. The authors here reviewed the available literature to provide spine surgeons with a summary and update on current management options. Smaller thoracic and thoracolumbar curves can be managed conservatively with observation or bracing, but corrective surgery may be indicated for rapidly growing or larger curves. The authors summarize the atypical features to look for in patients who may warrant further investigation with MRI during diagnosis and review the fundamental principles of the surgical management of AIS. Patients with AIS can be managed very well with a combination of conservative and surgical options. Outcomes for these children are excellent with sustained longer-term results.

Original languageEnglish (US)
Article numberE2
JournalNeurosurgical Focus
Volume43
Issue number4
DOIs
StatePublished - 2017
Externally publishedYes

Keywords

  • Adolescent idiopathic scoliosis
  • Deformity
  • Pediatric
  • Spine

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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    Jada, A., Mackel, C. E., Hwang, S. W., Samdani, A. F., Stephen, J. H., Bennett, J. T., & Baaj, M-A. . (2017). Evaluation and management of adolescent idiopathic scoliosis: A review. Neurosurgical Focus, 43(4), [E2]. https://doi.org/10.3171/2017.7.FOCUS17297