scholarly journals Traditional Dual Growing Rod Technique in the Management of Early Onset Scoliosis and Its Effects on Spinal Growth and Lung Development: The Mid-Term Prospective Results

Cureus ◽  
2021 ◽  
Author(s):  
Bertan Cengiz ◽  
Haci Mustafa Ozdemir ◽  
Abdurrahman Sakaogullari ◽  
Metin Isik ◽  
Nevres Hürriyet Aydoğan
Keyword(s):  
Early Onset ◽  
Lung Development ◽  
Early Onset Scoliosis ◽  
Spinal Growth ◽  
Growing Rod ◽  
Growing Rod Technique

Mid-term results of a modified self-growing rod technique for the treatment of early-onset scoliosis

2020 ◽  
Vol 102-B (11) ◽  
pp. 1560-1566
Author(s):  
Hossein Mehdian ◽  
Sleiman Haddad ◽  
Dritan Pasku ◽  
Luigi Aurelio Nasto
Keyword(s):  
Cerebral Palsy ◽  
Cobb Angle ◽  
Early Onset ◽  
Early Onset Scoliosis ◽  
Growth Spurt ◽  
Spinal Growth ◽  
Growing Rod ◽  
The Mean ◽  
Mid Term Results

Aims To report the mid-term results of a modified self-growing rod (SGR) technique for the treatment of idiopathic and neuromuscular early-onset scoliosis (EOS). Methods We carried out a retrospective analysis of 16 consecutive patients with EOS treated with an SGR construct at a single hospital between September 2008 and December 2014. General demographics and deformity variables (i.e. major Cobb angle, T1 to T12 length, T1 to S1 length, pelvic obliquity, shoulder obliquity, and C7 plumb line) were recorded preoperatively, and postoperatively at yearly follow-up. Complications and revision procedures were also recorded. Only patients with a minimum follow-up of five years after surgery were included. Results A total of 16 patients were included. Six patients had an idiopathic EOS while ten patients had a neuromuscular or syndromic EOS (seven spinal muscular atrophy (SMA) and three with cerebral palsy or a syndrome). Their mean ages at surgery were 7.1 years (SD 2.2) and 13.3 years (SD 2.6) respectively at final follow-up. The mean preoperative Cobb angle of the major curve was 66.1° (SD 8.5°) and had improved to 25.5° (SD 9.9°) at final follow-up. The T1 to S1 length increased from 289.7 mm (SD 24.9) before surgery to 330.6 mm (SD 30.4) immediately after surgery. The mean T1 to S1 and T1 to T12 growth after surgery were 64.1 mm (SD 19.9) and 47.4 mm (SD 18.8), respectively, thus accounting for a mean T1 to S1 and T1 to T12 spinal growth after surgery of 10.5 mm/year (SD 3.7) and 7.8 mm/year (SD 3.3), respectively. A total of six patients (five idiopathic EOS, one cerebral palsy EOS) had broken rods during their growth spurt but were uneventfully revised with a fusion procedure. No other complications were noted. Conclusion Our data show that SGR is a safe and effective technique for the treatment of EOS in nonambulatory hypotonic patients with a neuromuscular condition. Significant spinal growth can be expected after surgery and is comparable to other published techniques for EOS. While satisfactory correction of the deformity can be achieved and maintained with this technique, a high rate of rod breakage was seen in patients with an idiopathic or cerebral palsy EOS. Cite this article: Bone Joint J 2020;102-B(11):1560–1566.

Paper #5 Sliding-Growing Rod Technique in the Treatment of Early Onset Scoliosis: Clinical and Radiological Outcomes and Effect on Pulmonary Functions

2016 ◽  
Vol 4 (6) ◽  
pp. 448 ◽  
Author(s):  
Tunay Sanli ◽  
Sinan Kahraman ◽  
Meric Enercan ◽  
Azmi Hamzaoglu ◽  
Selhan Karadereller ◽  
...  
Keyword(s):  
Early Onset ◽  
Early Onset Scoliosis ◽  
Growing Rod ◽  
Pulmonary Functions ◽  
Growing Rod Technique

scholarly journals H3S2 (3 hooks, 2 screws) construct: a simple growing rod technique for early onset scoliosis

2012 ◽  
Vol 22 (S2) ◽  
pp. 96-105 ◽  
Author(s):  
Lotfi Miladi ◽  
Alexandre Journe ◽  
Maryline Mousny
Keyword(s):  
Early Onset ◽  
Early Onset Scoliosis ◽  
Growing Rod ◽  
Growing Rod Technique

Growing Rod Technique for Early Onset Scoliosis

2012 ◽  
pp. 291-291
Author(s):  
Bhavuk Garg ◽  
Upendra BN ◽  
Arvind Jayaswal ◽  
Pankaj Kandwal
Keyword(s):  
Early Onset ◽  
Early Onset Scoliosis ◽  
Growing Rod ◽  
Growing Rod Technique

Paper #3: Sliding-Growing Rod Technique for Management of Early-Onset Scoliosis

2014 ◽  
Vol 2 (6) ◽  
pp. 499
Author(s):  
Meric Enercan ◽  
Mutlu Cobanoglu ◽  
Sinan Kahraman ◽  
Bahadir H. Gokcen ◽  
Sinan Yilar ◽  
...  
Keyword(s):  
Early Onset ◽  
Early Onset Scoliosis ◽  
Growing Rod ◽  
Growing Rod Technique

Dual Growing Rod Technique for the Treatment of Progressive Early-Onset Scoliosis

Spine ◽  
2005 ◽  
Vol 30 (Supplement) ◽  
pp. S46-S57 ◽  
Author(s):  
Behrooz A. Akbarnia ◽  
David S. Marks ◽  
Oheneba Boachie-Adjei ◽  
Alistair G. Thompson ◽  
Marc A. Asher
Keyword(s):  
Early Onset ◽  
Early Onset Scoliosis ◽  
Growing Rod ◽  
Growing Rod Technique

Paper #29: Magnetically Controlled Growing Rod Technique in 33 Patients With Early-Onset Scoliosis—Preliminary Results

2014 ◽  
Vol 2 (6) ◽  
pp. 510 ◽  
Author(s):  
Karsten Ridderbusch ◽  
Ralf Stuecker ◽  
Martin Rupprecht ◽  
Philip Kunkel ◽  
Christian Hagemann
Keyword(s):  
Early Onset ◽  
Early Onset Scoliosis ◽  
Preliminary Results ◽  
Growing Rod ◽  
Magnetically Controlled Growing Rod ◽  
Growing Rod Technique

Innovation in Growing Rod Technique for Early Onset Scoliosis: An Experimental Study Based on a Porcine Scoliosis Model

2015 ◽  
Vol 15 (10) ◽  
pp. S174-S175
Author(s):  
Weijun Wang ◽  
Xin Zheng ◽  
Yong Qiu ◽  
Bangping Qian ◽  
Xu Sun ◽  
...  
Keyword(s):  
Experimental Study ◽  
Early Onset ◽  
Early Onset Scoliosis ◽  
Growing Rod ◽  
Growing Rod Technique

scholarly journals Analysis of serum levels of titanium and aluminium ions in patients with early onset scoliosis operated upon using the magnetic growing rod—a single centre study of 14 patients

2021 ◽  
Author(s):  
Mandar Deepak Borde ◽  
Sarang Sapare ◽  
Emile Schutgens ◽  
Chadi Ali ◽  
Hilali Noordeen
Keyword(s):  
Early Onset ◽  
Serum Levels ◽  
Early Onset Scoliosis ◽  
Ion Concentration ◽  
Long Term Effects ◽  
Blood Concentrations ◽  
Growing Rod ◽  
Rod System ◽  
Rod Breakage

Abstract Study design A cross-sectional retrospective Level 3 study. Objective To study the serum levels of Titanium and Aluminium ions in patients operated using the magnetically controlled growing rod (MCGR) system. Summary of background data 14 consecutive patients of early onset scoliosis with varying etiology managed with MCGR system with a minimum follow-up of 24 months were selected for the study. The group consisted of two boys (14.3%) and 12 girls (85.7%). The average age of the patients at the time of surgery was 10.4 years (5–15 years). The average period of follow-up was 43.7 months (28–79 months). After informed consent of the subjects and their caretakers, serum levels of titanium and aluminium were measured. These levels were then assessed with regards to the number of screws used, number of distractions and complications. Methods The concentration of titanium and aluminium ions in the serum was measured using high resolution inductively coupled plasma mass spectrometry. Results For the sake of ease of assessment, patients were divided into three etiology-based groups—idiopathic (n = 6), neuromuscular (n = 2) and syndromic (n = 6). The mean serum titanium level was 15.9 μg/L (5.1–28.2 μg/L) while that of aluminium was 0.1 μmol/L (0.1–0.2 μmol/L). Of the 14 patients, 2 (14.2%) patients had mechanical failure (actuator pin dysfunction), 3 (21.4%) had rod breakage requiring revision surgery and one patient (7.1%) had surgical site infection managed with appropriate antibiotics. Patients undergoing revision for rod breakage did not show any metallosis of the tissues during surgery. Conclusion Analysis of patients with scoliosis operated using the magnetic growing rod system concludes that it is accompanied by presence of titanium in the blood but whether clinically significant or not needs to be ascertained by comparison of preoperative and postoperative blood concentrations of the titanium ions in individual subjects. The aluminium ion concentration remains within normal limits. Though implant malfunction may raise the titanium levels in the blood, its clinical significance needs to be determined. The aluminium levels are not affected irrespective to the presence or absence of complications. The long-term effects of raised titanium levels in the blood also warrant further prospective studies designed for precise and deeper analyses.

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