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OFFICIAL SBC VIDEOCAST SERIES

Treatise in Debate

Scientific clinical discussions and surgical insights directly with the authors of each chapter of the SBC Spine Treatise.

Episode 06 • Now Playing46:00 min
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Episode 06 – Early-Onset Scoliosis
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Official SBC Scientific Videocast•Section 4: Spinal Deformities

Episode 06 – Early-Onset Scoliosis

Lungs and the Growing Spine: thoracic development, C-EOS classification, and growth-friendly surgical techniques

Episode Overview & Objectives

In this sixth episode of the Treatise in Debate, Dr. Alberto Gotfryd hosts Dr. Alexandre Fogaça Cristante (President of the SBC and Full Professor at FMUSP) to discuss clinical and surgical management of Early-Onset Scoliosis (Chapter 28 of the SBC Treatise). They explore the physiological relationship between spinal growth and pulmonary alveolar development, strategies to prevent thoracic insufficiency syndrome, the C-EOS classification system, conservative treatment with serial casting and bracing, and modern growth-friendly spinal instrumentation (traditional, magnetically controlled MAGEC rods, and guided-growth systems) prior to definitive fusion.

Key Scientific Topics Covered in this Episode

1Biological synchronization: the impact of spinal growth on pulmonary alveolar multiplication under age 10.
2Prevention of Thoracic Insufficiency Syndrome (TIS): clinical assessment and radiographic volumetric monitoring.
3C-EOS Classification: staging by etiology, major curve magnitude, kyphosis, and annual progression modifier.
4Non-operative strategies: role of serial derotational casting (Mehta) and custom orthoses in curve control.
5Growth-friendly spinal systems: traditional dual rods vs. magnetically controlled (MAGEC) rods and timing for definitive spinal fusion.

Debate Participants & Specialists

Dr. Alberto Gotfryd
Dr. Alberto GotfrydApresentação • Ortopedista e Cirurgião de ColunaView full bio→
Dr. Alexandre Fogaça Cristante
Dr. Alexandre Fogaça CristanteConvidado • Autor do Cap. 28 • Cirurgião de ColunaView full bio→
Related Chapter

Chapter 28: Early-Onset Scoliosis

Study clinical objectives, surgical steps, and referenced literature for this chapter.

Treatise in Debate • Official SBC Videocast | Spine Surgery | Treatise on Spine Surgery | Official SBC Publication