Kuhns, Craig A; Scaduto, Anthony
Purpose of review: Our understanding of the etiology, evaluation, and management of idiopathic scoliosis continues to evolve. Relevant articles for this review published over the past year were selected to highlight the important advancements and contributions in idiopathic scoliosis.
An increased interest in minimally invasive thorascopic spine approaches and procedures is reflected in the recent literature. Prone positioning for anterior thorascopic release has been shown to decrease operative time and the potential complications associated with single lung ventilation. Pedicle screw instrumentation of the thoracic spine has been demonstrated to provide significant rotational correction, which can decrease the need for thoracoplasty previously used to address the rib deformities associated with idiopathic scoliosis.
Advances in our collective knowledge of idiopathic scoliosis on several levels continue to be made at a rapid pace. As investigators continue the search for possible genetic clues for the causes of idiopathic scoliosis, progress has been made in the evaluation, classification, and application of novel techniques that, it is hoped, will improve the outcomes in patients currently treated for idiopathic scoliosis.
Current Opinion in Orthopedics. 15(6):404-410, December 2004.