September 10, 2025JBJS Reviews

Pulmonary Function in Early-Onset Scoliosis

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Observational analysis reveals poor lung function improvements in early-onset scoliosis kids, suggesting the need for better outcome measures.

Lung function remains poor in children with early-onset scoliosis despite growth-friendly surgical techniques, limiting normal growth.
Restrictive lung disease arises from thoracic cavity deformation, chest wall stiffening, and weak respiratory muscles.
Spinal fusion may hinder thoracic growth, contributing to suboptimal pulmonary outcomes post-surgery.
Outcome measures and lung function tests should be explored to understand the impact of treatments on early-onset scoliosis.

Manning et al. (2025) studied this question.

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Observational analysis reveals poor lung function improvements in early-onset scoliosis kids, suggesting the need for better outcome measures.