Early-onset scoliosis (EOS) is defined as any spinal deformity that is present before 10 years old, regardless of etiology. Deformity must be evaluated based on the intercorrelation between the lungs, spine, and thorax. Curvatures of early-onset have increased risk of progression, cardiorespiratory problems, and increased morbidity and mortality. Progression of the deformity may produce thoracic insufficiency syndrome, where a distorted thorax is unable to support normal respiratory function or lung growth. Management and treatment of EOS should pursue a holistic approach in which the psychological impact and quality of life of the patient are also taken into consideration. Growth-friendly surgical techniques have not met the initial expectations of correcting scoliotic deformity, promoting thoracic growth, and improving pulmonary function.

中文翻译：

---

早发性脊柱侧弯：叙述性回顾。

早发性脊柱侧弯 (EOS) 定义为 10 岁之前出现的任何脊柱畸形，无论病因如何。必须根据肺、脊柱和胸部之间的相互关系来评估畸形。早发性弯曲增加了疾病进展、心肺问题以及发病率和死亡率的风险。畸形的进展可能会产生胸廓功能不全综合征，即扭曲的胸廓无法支持正常的呼吸功能或肺部生长。EOS 的管理和治疗应采用整体方法，同时考虑患者的心理影响和生活质量。有利于生长的手术技术尚未达到矫正脊柱侧凸畸形、促进胸廓发育和改善肺功能的最初期望。