{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,26]],"date-time":"2026-10-26T20:09:20Z","timestamp":1793045360848,"version":"4.5.0"},"reference-count":128,"publisher":"Bioscientifica","issue":"8","license":[{"start":{"date-parts":[[2022,8,1]],"date-time":"2022-08-01T00:00:00Z","timestamp":1659312000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["eor.bioscientifica.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,8,1]]},"abstract":"<jats:p>\n                    <jats:list list-type=\"bullet\">\n                      <jats:list-item>\n                        <jats:p>Early-onset scoliosis (EOS) is defined as any spinal deformity that is present before 10 years old, regardless of etiology.<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>Deformity must be evaluated based on the intercorrelation between the lungs, spine, and thorax.<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>Curvatures of early-onset have increased risk of progression, cardiorespiratory problems, and increased morbidity and mortality.<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>Progression of the deformity may produce thoracic insufficiency syndrome, where a distorted thorax is unable to support normal respiratory function or lung growth.<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>Management and treatment of EOS should pursue a holistic approach in which the psychological impact and quality of life of the patient are also taken into consideration.<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>Growth-friendly surgical techniques have not met the initial expectations of correcting scoliotic deformity, promoting thoracic growth, and improving pulmonary function.<\/jats:p>\n                      <\/jats:list-item>\n                    <\/jats:list>\n                  <\/jats:p>","DOI":"10.1530\/eor-22-0040","type":"journal-article","created":{"date-parts":[[2022,8,4]],"date-time":"2022-08-04T05:28:15Z","timestamp":1659590895000},"page":"599-610","update-policy":"https:\/\/doi.org\/10.1530\/crossmarkpolicy-16","source":"Crossref","is-referenced-by-count":56,"title":["Early-onset scoliosis: a narrative review"],"prefix":"10.1530","volume":"7","author":[{"given":"Geovanny","family":"Ruiz","sequence":"first","affiliation":[{"name":"Ponce Health Sciences University, School of Medicine, Ponce, Puerto Rico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4573-0766","authenticated-orcid":true,"given":"Norberto J","family":"Torres-Lugo","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, University of Puerto Rico, Medical Sciences Campus, San Juan, Puerto Rico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pablo","family":"Marrero-Ortiz","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, University of Puerto Rico, Medical Sciences Campus, San Juan, Puerto Rico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Humberto","family":"Guzm\u00e1n","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, University of Puerto Rico, Medical Sciences Campus, San Juan, Puerto Rico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4792-4625","authenticated-orcid":true,"given":"Gerardo","family":"Olivella","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, University of Puerto Rico, Medical Sciences Campus, San Juan, Puerto Rico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Norman","family":"Ram\u00edrez","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Mayag\u00fcez Medical Center, Mayag\u00fcez, Puerto Rico"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"416","reference":[{"key":"bib1","series-title":"Journal of Bone and Joint Surgery: American volume","first-page":"381","article-title":"Prognosis in idiopathic scoliosis","volume":"32A","author":"Ponseti","year":"1950","unstructured":"Ponseti IVFriedman B. 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