ABSTRACT

Patients with early-onset scoliosis (EOS) form a small but heterogeneous group. This makes study of the natural history and outcomes of treatments difficult given the paucity of large patient cohorts. Matters are further complicated by the absence of outcome assessment tools or agreed-upon criteria to measure success. Matters are further complicated in low- and middle-income countries (LMIC) where problems of funding expensive implants, logistics of follow-up visits, and expeditious management of complications all require an alternative strategy. Matters are further complicated in LMIC where problems of funding expensive implants, logistics of follow-up visits, and expeditious management of complications all require an alternative strategy. The inspiration for stapling the spine for scoliosis grew out of the success obtained in lower extremity deformity conditions in children. Vertebral body stapling is an option for the growing child with progressive scoliosis as an alternative to bracing.