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Congenital scoliosis are created because of congenital anomalies of the vertebrae. These congenital anomalies are created during pregnancy and they may be due to incomplete formation, such as hemi vertebrae's or an incomplete separation of the vertebra, such as in unilateral vertebrae blocks.

 

Depending on their location, the type of the congenital anomaly and the number of them, they create large or small asymmetries in the spine.

 

 

 

 

 

Treatment

 

Monitoring is performing from the infant stage and very good assessment and prognosis must be performed concerning the size of the scoliosis that will arise.

In any case even if surgery is scheduled, we must apply a scoliosis brace to limit the rise of scoliotic angle.

In some cases treated early with brace and the lesions were symmetric, they will not have spinal fusion.

In cases where it is apparent that there will be large scoliosis, then partial limited fusion of the vertebrae responsible may be performed at a very young age, as well as the removal of the hemi vertebra responsible, with concurrent fusion of the adjacent vertebras.

 

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A 13-year-old patient Riser 0, with 27° congenital scoliosis, due to hemi vertebras and vertebral blocks formation in different levels. A SPONDYLOS Rigo Cheneau brace was applied and 4 years later (Riser 5), scoliosis remained at the same levels.