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Posterior spinal fusion with instrumentation
1%
11/1074
Anterior-posterior hemiepiphysiodesis
2%
17/1074
Brace management
6%
64/1074
Cardiac and renal evaluation
77%
825/1074
Hemivertebrectomy and fusion
14%
150/1074
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Congenital scoliosis in an infant warrants evaluation of the renal, cardiac, and neurologic systems because frequently there is concurrent pathology. Progression in this instance is possible but not certain; therefore, progression must be documented prior to any surgical intervention. Close observation with serial radiographs every 4 to 6 months is appropriate. All of the surgical options listed may be reasonable choices in the future, but cardiac evaluation is the most important issue at this time.
4.1
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