Early onset scoliosis (<5 years) with progressive curves require surgical intervention. The goals of surgery in this age group include scoliosis correction, maintenance of spinal growth along with expansion of the thorax, assisting in lung maturation. Fusion procedures in this age group adversely affects spinal growth and pulmonary alveolar development, leading to development of possible thoracic insufficiency. Instrumented nonfusion surgeries with dual growing rod technique have been shown to achieve good correction of scoliosis with maintenance of spinal growth and expansion of the thorax [1]. The dual growing rods have been shown to have better biomechanical stability and fewer implant related complications as compared with the subcutaneous harrington rods or the single growing rod techniques [2]. Dual growth rod techniques have now been accepted as a reliable method for surgical management of progressive early onset scoliosis with growth maintenance.
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