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Article: A novel approach to gradual correction of severe spinal deformity in a pediatric patient using the magnetically-controlled growing rod

TitleA novel approach to gradual correction of severe spinal deformity in a pediatric patient using the magnetically-controlled growing rod
Authors
Issue Date2014
Citation
The Spine Journal, 2014, v. 14 n. 7, p. e7-e13 How to Cite?
AbstractBACKGROUND CONTEXT: Acute correction of severe spinal deformities significantly increases the risk of neurologic complications. Previously used methods to safely correct these deformities include halo-traction devices and internal distraction rods. PURPOSE: This report introduces a novel method for gradual correction of severe spinal deformity by using the magnetically controlled growing rod (MCGR). STUDY DESIGN: This is a case report. METHODS: A 12-year-old girl with severe kyphoscoliosis and concurrent syringomyelia and Arnold-Chiari Type I malformation underwent implantation of the MCGR. After implantation of the device, daily distractions of the implant were performed over the course of 2.5 months. RESULTS: The patient underwent MCGR implantation without acute correction of her left-sided thoracic scoliosis (109 degrees from T6 to T11) and upper thoracic kyphosis (72 degrees ). After 2.5 months of daily distractions in the ward, the scoliosis improved to 66 degrees and the kyphosis to 62 degrees . Final fusion was performed without problems, and her overall truncal balance was much improved. CONCLUSIONS: This report is the first to note the safety and efficacy of the MCGR in treating young patients with severe spinal deformities. This technique allows correction of the deformity while the patient is awake so that neurology can be continuously monitored. The patient is also ambulatory throughout the distraction process and can be distracted on an outpatient basis. Repeated surgery can be avoided, and the MCGR has been shown to be safe and effective with this case illustration.
Persistent Identifierhttp://hdl.handle.net/10722/203254
ISSN
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorCheung, JPYen_US
dc.contributor.authorSamartzis, Den_US
dc.contributor.authorCheung, KMCen_US
dc.date.accessioned2014-09-19T13:11:34Z-
dc.date.available2014-09-19T13:11:34Z-
dc.date.issued2014en_US
dc.identifier.citationThe Spine Journal, 2014, v. 14 n. 7, p. e7-e13en_US
dc.identifier.issn1878-1632 (Electronic) 1529-9430 (Linkinen_US
dc.identifier.urihttp://hdl.handle.net/10722/203254-
dc.description.abstractBACKGROUND CONTEXT: Acute correction of severe spinal deformities significantly increases the risk of neurologic complications. Previously used methods to safely correct these deformities include halo-traction devices and internal distraction rods. PURPOSE: This report introduces a novel method for gradual correction of severe spinal deformity by using the magnetically controlled growing rod (MCGR). STUDY DESIGN: This is a case report. METHODS: A 12-year-old girl with severe kyphoscoliosis and concurrent syringomyelia and Arnold-Chiari Type I malformation underwent implantation of the MCGR. After implantation of the device, daily distractions of the implant were performed over the course of 2.5 months. RESULTS: The patient underwent MCGR implantation without acute correction of her left-sided thoracic scoliosis (109 degrees from T6 to T11) and upper thoracic kyphosis (72 degrees ). After 2.5 months of daily distractions in the ward, the scoliosis improved to 66 degrees and the kyphosis to 62 degrees . Final fusion was performed without problems, and her overall truncal balance was much improved. CONCLUSIONS: This report is the first to note the safety and efficacy of the MCGR in treating young patients with severe spinal deformities. This technique allows correction of the deformity while the patient is awake so that neurology can be continuously monitored. The patient is also ambulatory throughout the distraction process and can be distracted on an outpatient basis. Repeated surgery can be avoided, and the MCGR has been shown to be safe and effective with this case illustration.en_US
dc.languageengen_US
dc.relation.ispartofThe Spine Journalen_US
dc.titleA novel approach to gradual correction of severe spinal deformity in a pediatric patient using the magnetically-controlled growing roden_US
dc.typeArticleen_US
dc.identifier.emailCheung, JPY: cheungjp@hku.hken_US
dc.identifier.emailSamartzis, D: dspine@hku.hken_US
dc.identifier.emailCheung, KMC: cheungmc@hku.hken_US
dc.identifier.authorityCheung, JPY=rp01685en_US
dc.identifier.authoritySamartzis, D=rp01430en_US
dc.identifier.authorityCheung, KMC=rp00387en_US
dc.identifier.doi10.1016/j.spinee.2014.01.046en_US
dc.identifier.pmid24495992-
dc.identifier.hkuros238015en_US
dc.identifier.hkuros228884-
dc.identifier.volume14en_US
dc.identifier.issue7en_US
dc.identifier.spagee7en_US
dc.identifier.epagee13en_US
dc.identifier.isiWOS:000338467000002-

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