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                  ~ Juvenile Idiopathic Scoliosis ~

 

 

 

 

      When one considers the Progression Risks Chart for Adolescent Idiopathic Scoliosis developed by the Scoliosis Research Society, it stands to reason that a child with infantile or juvenile scoliosis will eventually reach the adolescent growth spurt at some point in their lives! The prognosis for these children is actually worse than AIS because long standing deformities become rigid over time. Early treatment is critical!

 

 

 

At this support group, there are many children with infantile and juvenile scoliosis who are being successfully treated with non-operative treatments such as night time bracing, casts, tlso's and even exercise treatments. By sharing experiences, we learn from one another and our children receive better quality care. One of the mission statements of the group is that: The prognosis for infantile and juvenile scoliosis does not have to be bleak!

 

 

 

Juvenile idiopathic scoliosis is far from trivial! Dismissing this condition and hoping it will go away on its own is a huge disservice to these children and their future! According to the SRS, 95% of children diagnosed with juvenile idiopathic scoliosis will eventually require surgery. However, one has to question whether these dismal results are because of the protocol of "Watchful Waiting" or "Doing Nothing" until the scoliosis is already in the advanced stages before commencing treatment! Infantile and juvenile scoliosis has the greatest potential for permanent correction because growth will lock the correction in place; at least this has been the case with my daughter and the examples below:

 

 

 

Examples of bracing success in the literature for Juvenile Idiopathic

Scoliosis:

 

 

 

 

Figure 1. S.W. was an eight year old girl with rapidly progressive juvenile idiopathic thoracic scoliosis measuring 58° when first seen by the author in 1963.


 

 

 

 

 

Figure 6. At age 37, 20 years after brace removal, her curve was 24°. She had brought her daughter in for brace treatment.

 

 

 



The article is here:

http://www.oandp.org/jpo/library/2000_01_002.asp

 

 

 


Another example of a bracing success:

http://www.acpoc.org/library/1992_01_016.asp

 

 

 

 

 

 

 

 

 

Fig. 2-a This 10-year-old girl was seen at Gillette Children's Hospital in 1962, presenting with a 42 degree right thoracic scoliosis. She was immediately placed in a Milwaukee brace. Fig. 2-b At the age of 15 years, 6 months, the end of brace treatment, her curve measured 21 degrees out of the brace. Fig. 2-c At the followup in 1974 at the age of 22, 7 years following brace removal, her curve measured 22 degrees. Such a result cannot happen by chance alone and can be only explained due to the benefit of the Milwaukee brace.

 


 

 

  





 

 

 

Correcting Scoliosis during the AIS

Growth Spurt:

 

 

Free Kindle App. available on Amazon.







 

 

 

 

 

Progression Risk of Idiopathic Juvenile Scoliosis During Pubertal Growth Yan Philippe Charles, MD et al.   Progression Risk of JIS.pdf,

  

 

Infantile and Juvenile Scoliosis, Dobbs and Weinstein: Infantile and Juvenile Scoliosis.pdf

 

Juvenile-Onset Scoliosis Followed up to Adulthood: Juvenile Onset Scoliosis.pdf

 

Jarvis J, et.al.,:  The Effectiveness of Part-Time Bracing in Juvenile Idiopathic Scoliosis

 

Mannherz, R.E. et., al:Juvenile Idiopathic Scoliosis Followed to Skeletal Maturity

 

 

 

 

William E. Stehbens* and Rachel L. Cooper:     Regression of juvenile idiopathic scoliosis

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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