The Role of Orthopedic Interventions in Treating Pediatric Musculoskeletal Disorders: Exploring Surgical and Non- Surgical Approaches for Managing Conditions Like Scoliosis, Developmental Dysplasia of the Hip, and Blount’s Disease
1Ali Raza, 2Hadi Raza, 3Mobeen Ali, 4Mohib Ali, 5Dr Kishore Kumar Khatri, 6Dr Muhammad Azeem Akhund
1UHS Lahore
2PIMS
3PIMS
4PIMS
5Assistant Professor Department of Orthopaedic Surgery and Traumatology, PUMHS Nawabshah
6Associste Professor Department of Orthopaedic Surgery and Traumatology PUMHS Nawabshah
Vol 14,-01
Submission: 10th January 2024, Acceptance: 8th September 2024, Publication: 13th October 2024
Abstract
Background: Scoliosis, developmental dysplasia of hip, and Blount disease are few of the musculoskeletal disorders that children are likely to present with and orthopaedic implications during childhood. It seems that the earlier detection and treatment are applied, the less chances are there that a child may develop long term deformities and functional disabilities.
Aim: This paper aims at identifying the efficiency of the surgical and non-surgical aspect of managing MSDs in children and with specific emphasis in scoliosis, DDH, and Blount’s disease. Its purpose is to present cumulative evaluation of the results, effectiveness rates, and after-effects of the utilized treatments.
Method: A literature review involving meta-analysis was done whereby clinical results of surgical and non-surgical management of scoliosis, DDH, and Blount’s diseases such as spinal fusion, osteotomy, bracing and Pavlik harness were compared. Information concerning patient improvement, complication status, and treatment outcomes were obtained.
Results: Bracing and the Pavlik harness were most beneficial in mild instances of scoliosis and DDH, with the success of 90 percent, but only when applied at an early stage. In more advanced stages or cases detected later, surgical operations operated better with efficiency over 80% for scoliosis (spinal fusion) and DDH (open reduction, osteotomy). It was noted that those surgeries posed concerns such as increased length of post-surgery, and increased risk of complications.
Conclusion: Surgical and nonsurgical interventions are part of the management of paediatric MSDs with emphasis on early diagnosis. In some cases, or where other modalities has proven ineffective, surgical procedures forms part of management. More research should be directed toward making non-invasive treatments effective and toward decreasing surgical complications through prospective investigations.
Keywords: pediatric musculoskeletal disorders, scoliosis, developmental dysplasia of the hip, Blount’s disease, orthopedic surgery, non-surgical interventions, bracing, spinal fusion, Pavlik harness.