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The use of magnetically controlled growing rod device for pediatric scoliosis

OBJECTIVE: To study the safety and efficacy of an innovative device using distraction-based magnetically controlled growing rods (MCGR) for the treatment of pediatric scoliosis. METHODS: This is an evidence-based systematic review of literature for the surgical management of patients with pediatric...

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Autores principales: Figueiredo, Nicandro, Kananeh, Salman F., Siqueira, Heloise H., Figueiredo, Rita C., Al Sebai, Mohamed W.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Riyadh : Armed Forces Hospital 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5224406/
https://www.ncbi.nlm.nih.gov/pubmed/26818162
http://dx.doi.org/10.17712/nsj.2016.1.20150266
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author Figueiredo, Nicandro
Kananeh, Salman F.
Siqueira, Heloise H.
Figueiredo, Rita C.
Al Sebai, Mohamed W.
author_facet Figueiredo, Nicandro
Kananeh, Salman F.
Siqueira, Heloise H.
Figueiredo, Rita C.
Al Sebai, Mohamed W.
author_sort Figueiredo, Nicandro
collection PubMed
description OBJECTIVE: To study the safety and efficacy of an innovative device using distraction-based magnetically controlled growing rods (MCGR) for the treatment of pediatric scoliosis. METHODS: This is an evidence-based systematic review of literature for the surgical management of patients with pediatric scoliosis using MCGR technique. Six clinical studies regarding the use of MCGR were included in this review, with a total of 68 patients, and mean age of 8.38 years. The dual-rod (DR) technique of rod construct with MCGR was used in 33.85% and the single-rod (SR) in 66.15% of the patients. RESULTS: The mean preoperative main coronal curve for the DR was 65.9°, and for the SR was 69.6° (p>0.05). At the latest follow-up, it was 36.8° for DR and 43.0° for SR (p<0.05). The mean preoperative T1-S1 spinal length was 298.7 mm for the DR and 303.5 mm for the SR group (p<0.05). According to the latest follow-up, using the DR construct, the spinal length increased to 347 mm with 13.92% of total lengthening; and using the SR construct, the average lengthening was 339 mm, with 10.48% of total lengthening (p<0.05). Postoperative complications were similar, 25% in DR and 31.57% in the SR group (p>0.05). CONCLUSION: Level IV of medical evidence supports the use of MCGR as a safe and effective alternative for the treatment of severe pediatric scoliosis. Recommendation Grade C supports the role of MCGR with DR construct as an option to achieve a better correction of the scoliotic curve and to maximize the postoperative T1-S1 spinal length.
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spelling pubmed-52244062017-01-17 The use of magnetically controlled growing rod device for pediatric scoliosis Figueiredo, Nicandro Kananeh, Salman F. Siqueira, Heloise H. Figueiredo, Rita C. Al Sebai, Mohamed W. Neurosciences (Riyadh) Systematic Review OBJECTIVE: To study the safety and efficacy of an innovative device using distraction-based magnetically controlled growing rods (MCGR) for the treatment of pediatric scoliosis. METHODS: This is an evidence-based systematic review of literature for the surgical management of patients with pediatric scoliosis using MCGR technique. Six clinical studies regarding the use of MCGR were included in this review, with a total of 68 patients, and mean age of 8.38 years. The dual-rod (DR) technique of rod construct with MCGR was used in 33.85% and the single-rod (SR) in 66.15% of the patients. RESULTS: The mean preoperative main coronal curve for the DR was 65.9°, and for the SR was 69.6° (p>0.05). At the latest follow-up, it was 36.8° for DR and 43.0° for SR (p<0.05). The mean preoperative T1-S1 spinal length was 298.7 mm for the DR and 303.5 mm for the SR group (p<0.05). According to the latest follow-up, using the DR construct, the spinal length increased to 347 mm with 13.92% of total lengthening; and using the SR construct, the average lengthening was 339 mm, with 10.48% of total lengthening (p<0.05). Postoperative complications were similar, 25% in DR and 31.57% in the SR group (p>0.05). CONCLUSION: Level IV of medical evidence supports the use of MCGR as a safe and effective alternative for the treatment of severe pediatric scoliosis. Recommendation Grade C supports the role of MCGR with DR construct as an option to achieve a better correction of the scoliotic curve and to maximize the postoperative T1-S1 spinal length. Riyadh : Armed Forces Hospital 2016-01 /pmc/articles/PMC5224406/ /pubmed/26818162 http://dx.doi.org/10.17712/nsj.2016.1.20150266 Text en Copyright: © Neurosciences https://creativecommons.org/licenses/by-nc-sa/3.0/Neurosciences is an Open Access journal and articles published are distributed under the terms of the Creative Commons Attribution-NonCommercial License (CC BY-NC). Readers may copy, distribute, and display the work for non-commercial purposes with the proper citation of the original work.
spellingShingle Systematic Review
Figueiredo, Nicandro
Kananeh, Salman F.
Siqueira, Heloise H.
Figueiredo, Rita C.
Al Sebai, Mohamed W.
The use of magnetically controlled growing rod device for pediatric scoliosis
title The use of magnetically controlled growing rod device for pediatric scoliosis
title_full The use of magnetically controlled growing rod device for pediatric scoliosis
title_fullStr The use of magnetically controlled growing rod device for pediatric scoliosis
title_full_unstemmed The use of magnetically controlled growing rod device for pediatric scoliosis
title_short The use of magnetically controlled growing rod device for pediatric scoliosis
title_sort use of magnetically controlled growing rod device for pediatric scoliosis
topic Systematic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5224406/
https://www.ncbi.nlm.nih.gov/pubmed/26818162
http://dx.doi.org/10.17712/nsj.2016.1.20150266
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