21/07/2025
Congenital scoliosis remains one of the most complex spinal deformities, originating from failure
of vertebral formation, segmentation, or both during embryonic development. Unlike adolescent
idiopathic scoliosis, the natural history of congenital scoliosis is less forgiving—progression is
often rapid, particularly during early growth spurts, and early diagnosis is critical.
🔍 What Does the Evidence Say?
* Natural history studies show that 25–50% of congenital curves progress
significantly, especially those with unsegmented bars.
* Early MRI screening is now strongly recommended in all cases of congenital
scoliosis to rule out intraspinal anomalies (e.g., tethered cord, diastematomyelia), per Level I
and II evidence.
* Surgical timing and type of intervention (hemivertebra resection, growth-friendly
implants, vertebral column resection) depend on the type and location of the anomaly.
* Recent guidelines support early guided growth strategies (like VEPTR or MCGR)
in selected patients, avoiding long fusions during critical growth years.
* According to SRS and POSNA guidelines, multidisciplinary management,
including pediatric neurology and cardiology screening, is vital due to the high association with
systemic anomalies.
🌍 Wan’t more of this? Join us in Cairo for an international hands-on gathering at the 9th
International Scoliosis Week – a flagship event by the Egyptian Scoliosis Society in proud
collaboration with the Scoliosis Research Society (SRS) & AO Spine.
🗓 2–6 August 2025
📍 Holiday Inn Maadi Cairo, Egypt
Limited spots available, book your seat now: +201099805050
