Early-onset scoliosis is challenging to treat. Management must balance the risks of deformity progression with the need to preserve thoracic growth to allow for appropriate adult pulmonary reserve [1]. Traditional growing rods (TGRs) or vertebral expandable prosthetic titanium rib (VEPTR)—whereby an expandable construct is created using connectors—have historically been employed. TGR or VEPTR requires multiple trips to the operating room and incurs the incumbent risks thereof. Magnetically controlled growing rods (MCGRs) are implanted in a single stage and may be lengthened in the clinic through an external modulating magnetic device. Although this can obviate some of the anesthetic and surgical risks of TGR or VEPTR, MCGR have their own set of unique pitfalls. It is therefore necessary to use strict indications when employing MCGR.

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How and When to Use Magnetically Controlled Growing Rods

  • Chinmay Paranjape,
  • Michelle Welborn

摘要

Early-onset scoliosis is challenging to treat. Management must balance the risks of deformity progression with the need to preserve thoracic growth to allow for appropriate adult pulmonary reserve [1]. Traditional growing rods (TGRs) or vertebral expandable prosthetic titanium rib (VEPTR)—whereby an expandable construct is created using connectors—have historically been employed. TGR or VEPTR requires multiple trips to the operating room and incurs the incumbent risks thereof. Magnetically controlled growing rods (MCGRs) are implanted in a single stage and may be lengthened in the clinic through an external modulating magnetic device. Although this can obviate some of the anesthetic and surgical risks of TGR or VEPTR, MCGR have their own set of unique pitfalls. It is therefore necessary to use strict indications when employing MCGR.