Современная концепция раннего выявления и лечения идиопатического сколиоза

The paper presents the tactics of early detection and treatment of idiopathic scoliosis adopted in Novosibirsk NIITO. Idiopathic scoliosis is a genetically determined disease. Its early detection requires screening of children and adolescents. The most effective conservative method is brace treatment. Surgical treatment is strictly differentiated depending on the age of a patient. Patients in the first decade of life are treated by multi-stage surgery with VEPTR instrumentation. Patients aged 11-13 years undergo one-step intervention using transpedicular fixation of the whole curve. Patients aged 14-20 years are treated in one- or two-stage intervention depending on the curve mobility. Deformities over 90° require multi-stage intervention with anterior and posterior mobilization of the spine.