Natural history of scoliosis in congenital heart disease
Farley FA. Phillips WA. Herzenberg JE. Rosenthal A. Hensinger RN. Department of Orthopaedics, University of Michigan, Ann Arbor. J Pediatr Orthop. 11(1):42-7, 1991 Jan-Feb. We defined the natural history of scoliosis in congenital heart disease (CHD) with respect to the risk of progression and indications for treatment. We reviewed radiographs of 48 children with CHD and scoliosis. Thirty-seven had developmental scoliosis (77%), and 11 (23%) had congenital scoliosis. Children with congenital scoliosis can be managed in the same way as children without CHD. Developmental curves less than 30 degrees in children aged greater than 10 years showed no progression. Developmental curves greater than 30 degrees with onset in children aged less than 10 years and progression greater than 9 degrees per year require treatment.
Original Text by Clifford R. Wheeless, III, MD.
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