Hopper W C, Lovell W W
Clin Orthop Relat Res. 1977 Jul-Aug(126):26-32.
Infantile idiopathic scoliosis is unique in that it differs considerably from idiopathic scoliosis seen in the older child. Early recognition of the progressive type is essential if serious deformity is to be prevented. Treatment must be aimed at controlling the curvature by serial casts and the Milwaukee brace to support the spinal column without interference with the local mechanics of growth. Most children eventually require spinal fusion, but this should be delayed until early adolescence. If a curvature cannot be controlled satisfactorily, however, surgical fusion may be indicated earlier than desired. Never should a curve be allowed to progress beyond 60 degrees. Two cases are presented to illustrate these principles.
婴儿特发性脊柱侧弯有其独特之处，因为它与大龄儿童的特发性脊柱侧弯有很大不同。如果要预防严重畸形，早期识别进展型至关重要。治疗必须旨在通过系列石膏和密尔沃基支具控制弯曲度，以支撑脊柱，同时不干扰局部生长机制。大多数儿童最终需要脊柱融合术，但这应推迟到青春期早期。然而，如果弯曲度不能得到满意控制，手术融合可能需要比预期更早进行。绝不应让弯曲度进展超过60度。现介绍两个病例以说明这些原则。
