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Topic:

Early Onset Scoliosis

Issue:

Spine

Category:

Developmental

Title:

Magnetically Controlled Growing Rods Graduation: Lessons From a Single-center Series of 48 Patients

Author:

Gurel, Ron MD, MPH; Elbaz, Etay MD; Sigal, Amit MD; Gigi, Roy MD; Otremski, Hila MD; Lebel, David E. MD, PhD; Ovadia, Dror MD

Journal:

Journal of Pediatric Orthopaedics

Date:

February 2024

Reference:

44(2): p e157-e162, DOI: 10.1097/BPO.0000000000002560

Level Of Evidence:

IV

# of Patients:

48

Study Type:

Retrospective cohort study

Location:

Single institution

Summary:

This study investigates the outcomes of magnetically controlled growing rods (MCGR) in treating early-onset scoliosis (EOS) and evaluates the complications and radiographic improvement from a large cohort of patients treated at a single center.

Methods:

A retrospective analysis was conducted on 48 patients with EOS who were treated with MCGR between 2012 and 2022. These patients reached the end of treatment and had data on baseline and final radiographic measurements and surgery-related complications.

Exclusions:

Not specified

Results:

Coronal Deformity Improvement: The mean percent improvement in the major coronal deformity was 51.7 ± 25.0%. Thoracic Spine Growth: The mean total growth from T1 to T12 was 52.9 ± 21.9 mm. Complication Rate: The total complication rate was 22.9%. Of these: 12.5% required a single unplanned surgery 6.3% required multiple unplanned surgeries 4% did not require any unplanned surgery

Conclusions:

The study concluded that MCGR treatment provides adequate control of EOS, contributing to satisfactory growth of the thoracic spine. The complication rate in this large-volume center was moderate, suggesting that experience with a larger cohort may reduce the rate of complications when compared to previous reports from other studies.

Relevance:

Limitations:

Perspective:

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