Comparison of Growing Rod Instrumentation Versus Serial Cast Treatment for Early-Onset Scoliosis

Johnston, Charles E.; McClung, Anna; Thompson, George H.; Poe-Kochert, Connie; Sanders, James O.

doi:10.1016/j.jspd.2013.05.006

Cited by 49 publications

(22 citation statements)

References 10 publications

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“…The mean Cobb angle remained stable (65.3°→64.9°) after a mean duration of treatment of 2.4 years. However, no distinction was made between infantile and juvenile patients, nor were the results of the idiopathic patients described separately from those of the patients with syndromic diagnoses [30].…”

Section: Discussionmentioning

confidence: 99%

Effective nonoperative treatment in juvenile idiopathic scoliosis

Hessem

Schimmel²,

Graat³

et al. 2014

Journal of Pediatric Orthopaedics B

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Nonoperative management of juvenile idiopathic scoliosis (JIS) has been reported to be less effective than that of infantile idiopathic scoliosis. The goal of this study was to analyse the results of casting and/or bracing in JIS. Clinical data from seven patients with JIS, treated with casting followed by bracing (n=3) or by bracing alone (n=4), were retrospectively collected, and curve severity was measured before, during and after treatment. The median Cobb angle decreased from 37° to 25°. No patient needed surgery at a median follow-up of 4.6 years (3.4-9.1 years). Casting and/or bracing is effective for the management of JIS.

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Section: Discussionmentioning

confidence: 99%

Effective nonoperative treatment in juvenile idiopathic scoliosis

Hessem

Schimmel²,

Graat³

et al. 2014

Journal of Pediatric Orthopaedics B

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“…11 Recently, serial casting regained popularity in the treatment of early-onset scoliosis (EOS). [14][15][16][17] Although the aforementioned reports include a few patients with congenital deformity, the role of serial casting in congenital scoliosis has not been sufficiently studied. 12,13 For older children with more severe curves, there is recent evidence showing that serial casting may also help delay the first growing rod surgery in noncongenital EOS, which would theoretically decrease the number of complications related to recurrent surgical procedures.…”

mentioning

confidence: 99%

Serial Derotational Casting in Congenital Scoliosis as a Time-buying Strategy

Demirkiran¹,

Bekmez²,

Celilov³

et al. 2015

Journal of Pediatric Orthopaedics

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“…Casting can control the deformity and avoid complications associated with growing rods, but patients undergoing growing rod surgery may achieve better curve correction. 59 TGRs are a well-described and established technique for treating EOS. 60 Several of the advantages and disadvantages of MAGEC compared to TGRs have already been discussed.…”

Section: Comparison Of Magec With Existing Treatments For Eosmentioning

confidence: 99%

<p>Magnetic Controlled Growth Rods in the Treatment of Scoliosis: Safety, Efficacy and Patient Selection</p>

Roberts

2020

MDER

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Early-onset scoliosis is defined as a spinal curvature greater than 10°in children prior to 10 years of age. Untreated EOS may lead to progressively severe spinal deformity, impaired pulmonary development, restrictive lung disease, and both increased morbidity and mortality. Limitations of established conservative treatments include inability to correct severe deformity, as well as challenges with compliance when casting and bracing is applied. In addition, surgical treatment in the form of traditional growing rods requires regular surgical lengthenings and is associated with complications inherent with repeated invasive procedures and exposure to general anesthesia. MAGEC is an evolving magnetically controlled growing rod system for the treatment of EOS. After initial implantation, lengthening is achieved non-invasively by using magnetic external remote control. MAGEC offers the potential to control moderate and severe EOS, while avoiding repeated surgical procedures and associated complications. In this review, we examine the results from clinical, radiological and explant studies following the use of MAGEC, in the context of other established and emerging treatments for EOS.

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Comparison of Growing Rod Instrumentation Versus Serial Cast Treatment for Early-Onset Scoliosis

Abstract: Cast treatment is a valuable delaying tactic for younger children with early-onset scoliosis. Spine deformity is adequately controlled, spine length is not compromised, and surgical complications associated with early GRI treatment are avoided.

Cited by 49 publications

References 10 publications

Effective nonoperative treatment in juvenile idiopathic scoliosis

Effective nonoperative treatment in juvenile idiopathic scoliosis

Serial Derotational Casting in Congenital Scoliosis as a Time-buying Strategy

<p>Magnetic Controlled Growth Rods in the Treatment of Scoliosis: Safety, Efficacy and Patient Selection</p>

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