Early Onset Scoliosis

Early onset scoliosis (EOS) is defined as scoliosis in children aged 5 years and less. There are many courses of EOS including congenital scoliosis and infantile idiopathic scoliosis.

Congenital scoliosis

Congenital scoliosis and congenital kyphosis refers to a spinal deformity caused by vertebrae that are malformed. The malformation occurs in the first six weeks of pregnancy. The abnormalities include vertebra that are not completely formed, vertebra that are fused (attached) together, and mis-shaped vertebra (wedging).

Because the vertebrae are abnormally shaped there is an imbalance in the growth of bones of the spine, this growth imbalance results in a deformity that is described by the area of vertebrae that are malformed:

  • Scoliosis – a curve to the right or left
  • Kyphosis – rounding of the back
  • Lordosis – swaying of the back
  • Often the child has a combination of the deformities described above.

In the thoracic (chest) part of the spine, there are often anomalies of the ribs as well. For example, an extra thoracic vertebra might attach to an extra rib. Vertebrae that are connected together may be associated with ribs that are connected together.

  • Surgery
  • Fusion
  • Hemi-epiphysiodesis
  • Hemivertebra Resection
  • Growing Rods
  • Vertical Expandable Prosthetic Titanium Rib (VEPTR)