Please use this identifier to cite or link to this item: http://hdl.handle.net/10553/69935
DC FieldValueLanguage
dc.contributor.authorPeiro-Garcia, Alejandroen_US
dc.contributor.authorBourget-Murray, Jonathanen_US
dc.contributor.authorSuárez Lorenzo, Isadoraen_US
dc.contributor.authorParsons, Daviden_US
dc.contributor.authorFerri-de-Barros, Fabioen_US
dc.date.accessioned2020-02-05T12:51:25Z-
dc.date.available2020-02-05T12:51:25Z-
dc.date.issued2019en_US
dc.identifier.issn2212-134Xen_US
dc.identifier.otherScopus-
dc.identifier.urihttp://hdl.handle.net/10553/69935-
dc.description.abstractSevere scoliosis, kyphosis, stiffer curves, short trunk height, and poor bone density are known risk factors for instrumentation failure with traditional growing rods or magnetically controlled growing rods (MCGR). To minimize the risk of instrumentation failure in managing classification early-onset scoliosis (EOS) with MCGR, we propose a strategy for staged MCGR insertion. Methods: We performed a single-center retrospective review of all consecutive MCGR cases with 24 months’ minimum follow-up. Inclusion criteria included diagnosis of EOS of any etiology with severe and stiff curves in the coronal or sagittal planes, poor bone density, short trunk height (T1–T12 smaller than 150 mm) or previous instrumentation failure managed with staged MCGR. During the first stage, anchor points and halo-gravity were applied, followed by halo-gravity traction. At a second stage, halo-gravity was removed and MCGR were inserted. Outcome measures included pre- and postoperative radiographic measurements and complications. Results: Seventeen patients with a median age of seven (range: six to nine) years were managed in two stages. Indications for two-stage surgery were short trunk height (T1–T12 height less than 150 mm) in six patients, five poor bone quality, three dislodgement of proximal anchor points in previous instrumentation, and three rigid curves. The rate of unplanned revision surgeries was 11.8%. No infections or traction-related complications were found. Conclusions: According to our results, the staged MCGR insertion strategy combined with halo-gravity traction to manage complex EOS yielded a relatively low instrumentation failure rate as compared with the rates previously reported in the current literature. To our knowledge, this is the first study reporting the staged strategy for instrumentation with MCGR. Level of Evidence: Level IV.en_US
dc.languageengen_US
dc.relation.ispartofSpine Deformityen_US
dc.sourceSpine Deformity [ISSN 2212-134X], v. 8, 317-325en_US
dc.subject321315 Traumatologíaen_US
dc.subject.otherEosen_US
dc.subject.otherGrowing Rodsen_US
dc.subject.otherMCGRen_US
dc.subject.otherPediatric Spineen_US
dc.subject.otherScoliosisen_US
dc.titleStaged Instrumentation With Magnetically Controlled Growing Rods in Early-Onset Scoliosis: Indications and Preliminary Outcomesen_US
dc.typeinfo:eu-repo/semantics/articleen_US
dc.typeArticleen_US
dc.identifier.doi10.1007/s43390-020-00045-0en_US
dc.identifier.scopus85079686536-
dc.contributor.authorscopusid56521710500-
dc.contributor.authorscopusid56366805600-
dc.contributor.authorscopusid56529544100-
dc.contributor.authorscopusid20235545300-
dc.contributor.authorscopusid12774628100-
dc.investigacionCiencias de la Saluden_US
dc.type2Artículoen_US
dc.utils.revisionen_US
dc.identifier.ulpgces
dc.description.sjr0,793
dc.description.sjrqQ2
item.grantfulltextnone-
item.fulltextSin texto completo-
Appears in Collections:Artículos
Show simple item record

Page view(s)

173
checked on Jan 8, 2022

Google ScholarTM

Check

Altmetric


Share



Export metadata



Items in accedaCRIS are protected by copyright, with all rights reserved, unless otherwise indicated.