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Special Article: Update on the Magnetically Controlled Growing Rod: Tips and Pitfalls
- Source :
- Journal of Orthopaedic Surgery, Vol 23 (2015)
- Publication Year :
- 2015
- Publisher :
- SAGE Publications, 2015.
-
Abstract
- Magnetically controlled growing rods (MCGR) have become an important treatment option in young patients with spinal deformities. This device allows for gradual lengthening on an outpatient setting with continuous neurological monitoring in an awake patient. With its growing popularity and interest, this study reports the tips, pitfalls, and complications of the MCGR for management of scoliosis. On 3 June 2015 at the University of Hong Kong, 32 participants from 16 regions shared their experience with MCGR. Current indications for surgery include early-onset scoliosis patients. Adolescent idiopathic scoliosis and congenital scoliosis patients have less favourable outcomes. The number of instrumented levels should be minimised, as all instrumented levels must be included in the definitive fusion surgery. Rod contouring is important and owing to the straight portion of the rod housing the magnet, there is limited proximal rod portion for proper contouring, which may predispose to proximal junctional kyphosis. There is currently no consensus on the rod configuration, timing, frequency, technique, and amount of distraction. Risk factors for distraction failure include larger patients, internal magnets too close to each other, and magnets too close to the apex of the major curve. Future studies should resolve the issues regarding the technique of distraction, optimal frequency and amount of distraction per session. More comprehensive cost analyses should be performed.
- Subjects :
- Male
medicine.medical_specialty
Future studies
Adolescent
Kyphosis
Scoliosis
lcsh:Orthopedic surgery
Risk Factors
Distraction
Humans
Medicine
Orthopedic Procedures
Child
Orthodontics
Contouring
business.industry
Treatment options
Equipment Design
Prostheses and Implants
medicine.disease
Surgery
lcsh:RD701-811
Practice Guidelines as Topic
Magnets
Female
Growing rod
business
Subjects
Details
- ISSN :
- 23094990
- Volume :
- 23
- Database :
- OpenAIRE
- Journal :
- Journal of Orthopaedic Surgery
- Accession number :
- edsair.doi.dedup.....be2be37507e9c91456ba8895e1e17245