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KMID : 0361620160510020117
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Journal of the Korean Orthopaedic Association
2016 Volume.51 No. 2 p.117 ~ p.124
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Juvenile Idiopathic Scoliosis
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강민석:Kang Min-Seok
서승우:Suh Seung-Woo/최승진:Choi Seung-Jin/황진호:Hwang Jin-Ho
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Abstract
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Juvenile idiopathic scoliosis includes scoliosis diagnosed from three to ten years old according to the chronological age. Spine growth in juveniles does not occur at a rapid rate spinal deformity does not show rapid progress. However, because of the intimate relationship between chest wall growth and the spine, decrease of chest wall capacity due to scoliosis could lead to development of cardiovascular and pulmonary complication, especially in early age. In scoliosis in early age, other causes of the deformity including neurological problems should be evaluated. If the scoliosis angle is more than 25 degrees, it could progress very easily, thus aggressive treatment is needed. A new growing-sparing surgical technique (growing rod and growth modulation) is introduced for improvement of spine and chest growth, and for prevention of crankshaft phenomenon.
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KEYWORD
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juvenile idiopathic scoliosis, spinal growth, chest growth, growing rod, growth modulation
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