Early onset scoliosis (EOS) is a term for patients presenting with scoliosis prior to 10 years of age. Patients with EOS are often multi-systemic and may have deformity present in any region of the spine and potentially the chest.
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Underlying medical conditions of patients with early onset scoliosis help determine prognosis and treatment. For example, patients with neuromuscular conditions have a different prognosis and treatment than patients without other medical problems.
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EOS curves are often very aggressive and progress rapidly without treatment. Treatment for EOS aims to control the progression of deformity while allowing the spine to grow. Treatment is challenging and may include non-operative and/or operative care.
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When you a patient has EOS, it is appropriate to refer to an orthopedic surgeon as soon as possible. Some types of treatment such as casting or bracing are age and time sensitive, with higher efficacy for younger patients and earlier initiation of treatment.
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The diagnosis of early onset scoliosis is often overwhelming to parents with a young child. Parents are reassured to know that these curves, regardless of how severe, have options for treatment.
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