ABSTRACT
This chapter describes the challenges dealt with during the implementation of an early-onset scoliosis (EOS) service in Mozambique, which gives similar guidelines for implementing this service in sub-Saharan region. The idea of implementing this service came in 2017 through collaboration between the Palestine International Cooperation Agency (PICA) and the Ministry of Health (MOH) in Mozambique. The surgical implants and instruments were available as a generous donation from a company that manufactures spinal surgical equipment. Paediatric spine surgery, including EOS, is a service with high priority, as the timely management of this condition is considered a life-saving measure. Surgery, which plays big role in managing these cases, can be done in these areas within the health and financial context by applying techniques that can overcome excessive intraoperative bleeding, expensive implant usage, and a malfunctioning follow-up system, as well as avoiding the risk of doing complicated procedures such as osteotomies or putting screws in severely deformed pedicles.
