Paper #25 Cost Analysis of Magnetically-controlled Growing Rods Compared With Traditional Growing Rods for Early Onset Scoliosis in the United States

Polly, David W.; Ackerman, Stacey J.; Schneider, Karen; Pawelek, Jeff; Akbarnia, Behrooz A.

doi:10.1016/j.jspd.2015.09.029

Cited by 4 publications

(3 citation statements)

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“…По данным ряда сравнительных экономических исследований в системах здравоохранения США и Европейских стран, применение магнитных растущих стержней оказывается более выгодным по сравнению с другими технологиями в течение 4-летнего периода лечения [64][65][66][67] Исследователи из разных стран предлагают различные варианты фиксаторов, позволяющих осуществлять дистракции либо вообще без оперативного вмешательства, либо за счет минимально-инвазивных доступов. Примерами таких систем являются One-Way Self-Expanding Rod [4] Self-Adaptive Ratchet Growing Rod [5], которые объединяет единый принцип использования коннектора с храповым механизмом.…”

Section: Magnetically Controlled Growing Rods (Mcgr)unclassified

The effectiveness of growth-friendly systems in the treatment of early onset scoliosis: a systematic review

Molotkov,

Ryabykh,

Filatov

et al. 2023

Hir. pozvonoč.

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Objective. To perform a systematic analysis of the literature evaluating the effectiveness of growth-friendly systems in the treatment of early onset scoliosis.Material and Methods. A subject search was conducted in the Google Scholar database for the terms “growing rods”, “early onset scoliosis”, “treatment”, “surgery” and “growth-friendly” using AND or OR logical operators with a search depth of 10 years. At the first stage, 824 abstracts of publications were selected. The second stage of search was carried out in accordance with the PICOS criteria, 38 abstracts of original studies, case series and reviews of surgical techniques for spinal deformity correction with preservation of growth potential were selected. The evaluation criteria were divided into four groups: general data, correction of the frontal and sagittal components of the deformity, complications and unplanned scenarios.Results. In the analyzed studies, gender equality of distribution was observed, and the average age at the time of the primary operation was 6.6 years for patients with traditional growing rods (TGR) and Schilla/Luque trolley and 4.9 years for patients with Vertical Expandable Prosthetic Titanium Rib (VEPTR). From the point of view of the magnitude of spinal deformity correction, the VEPTR systems demonstrated the minimum result (18 % correction), and the TGR and Schilla results were comparable (42.1 and 53.1 %, respectively), as well as the indicators of the dynamics of body lengthening.Conclusion. The use of VEPTR systems is associated with a high risk of complications and a somewhat lower efficiency of spinal deformity correction, however, VEPTR is indispensable in the treatment of thoracic insufficiency syndrome, as well as severe deformities of the axial skeleton in young children using non-vertebral fixation points. Growth modulation systems (Schilla and Luque trolley) showed deformity correction results similar to those of TGR.

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Section: Magnetically Controlled Growing Rods (Mcgr)unclassified

The effectiveness of growth-friendly systems in the treatment of early onset scoliosis: a systematic review

Molotkov,

Ryabykh,

Filatov

et al. 2023

Hir. pozvonoč.

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“…В России данный метод лечения не применяется вследствие дороговизны и отсутствия аналогов. Авторы из США [22] провели анализ совокупных затрат при использовании обоих методов у 1000 пациентов в течение 6 лет. При использовании традиционного метода требуется выполнение повторных оперативных вмешательств под общим наркозом.…”

Section: метод двойных растущих стер-жней (Dual Growing Rods)unclassified

Surgical treatment of patients with scoliosis of the first decade of life: literature review

Mikhailovsky¹,

Suzdalov²,

Sadovoy³

2016

Hir. pozvonoč.

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“…Several cost model analyses in Europe and the US have shown that inclusion of revision surgeries and complications, the overall cost of the MCGR is similar to that of traditional growing rods. [37][38][39] Nonetheless, further regional studies should be performed. There are also other social and psychological factors to consider including patient satisfaction and complications.…”

Section: Future Directionsmentioning

confidence: 99%

Special Article: Update on the Magnetically Controlled Growing Rod: Tips and Pitfalls

Cheung

Cahill

Yaszay³

et al. 2015

J Orthop Surg (Hong Kong)

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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.

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Paper #25 Cost Analysis of Magnetically-controlled Growing Rods Compared With Traditional Growing Rods for Early Onset Scoliosis in the United States

Cited by 4 publications

References 0 publications

The effectiveness of growth-friendly systems in the treatment of early onset scoliosis: a systematic review

The effectiveness of growth-friendly systems in the treatment of early onset scoliosis: a systematic review

Surgical treatment of patients with scoliosis of the first decade of life: literature review

Special Article: Update on the Magnetically Controlled Growing Rod: Tips and Pitfalls

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