Complications of single growing rod constructs in the treatment of severe early-onset scoliosis: a lesson relearned

Nematian, Hossein; Clarke, Andrew; Hedayat, Ehsan; Vahdati, Zahra; Milan, Nesa; Mehrpour, Saeed Reza; Nabian, Mohammad Hossein; Mazda, Keyvan

doi:10.1007/s43390-022-00554-0

Cited by 4 publications

(3 citation statements)

References 29 publications

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“…Moreover, this method carries both direct and indirect financial burdens for families and the healthcare system, making it a significant concern in its application [42,43]. Multiple studies have reported a high rate of complications, with as many as 77% of patients experiencing at least one complication [40,42,44,45]. Notably, the reported complication rates can vary due to differences in fixation methods, types of growing rods, and surgical strategies [46,47].…”

Section: Traditional Growing Rodsmentioning

confidence: 99%

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Advances in Early Onset Scoliosis Management: A Narrative Review of Treatment Modalities

Nematian,

Clarke,

Vahdati

et al. 2024

Adult and Pediatric Spinal Deformities - Recent Advances and Evolution of Technologies

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Early-onset scoliosis (EOS) refers to a heterogeneous group of spinal deformities in children aged below 10 years. These conditions exhibit significant variations in their causes, natural progression, and available treatment options. As EOS progresses, it can lead to thoracic insufficiency syndrome, characterized by an altered thoracic structure that hinders normal respiratory function and lung development. This chapter provides an overview of the current treatment methods for EOS, focusing on nonoperative interventions, growth-friendly surgical techniques, and advanced technologies. Nonoperative approaches include bracing, casting, and physiotherapy, aiming to slow or halt curve progression. Surgical interventions are often necessary for severe cases and utilize growth-friendly techniques such as traditional or magnetically controlled growing rods. This chapter highlights the various treatment options available for EOS, emphasizing the importance of early detection and intervention. By effectively managing EOS, healthcare professionals can optimize patient outcomes, minimize complications, and improve the quality of life for affected children. Potential avenues for future research and advancements in EOS treatment are discussed, focusing on minimizing complications and maximizing functional outcomes for affected children. Furthermore, this chapter aims to guide healthcare professionals in making informed decisions regarding the management of EOS.

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Section: Traditional Growing Rodsmentioning

confidence: 99%

“…Nematian et al [45] conducted a study involving 35 cases of EOS treated with single TGR insertion, encompassing 162 lengthening episodes and 42 unplanned surgeries. Their findings revealed that a substantial 77.1% of patients encountered at least one complication during the course of treatment.…”

Section: Traditional Growing Rodsmentioning

confidence: 99%

Advances in Early Onset Scoliosis Management: A Narrative Review of Treatment Modalities

Nematian,

Clarke,

Vahdati

et al. 2024

Adult and Pediatric Spinal Deformities - Recent Advances and Evolution of Technologies

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View full text Add to dashboard Cite

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“…Wang et al [23] described a more aggressive technique including apex vertebrectomy/hemivertebrectomy with similar results. It has been reported that the use of single TGR as the only therapeutic modality is associated with important complications and should be avoided whenever an alternative is feasible [24]. However, Hai et al [25] reported similar outcomes using a single rod technique with distal foundation augmentation compared to classic dual rod technique.…”

Section: Treatmentmentioning

confidence: 99%

Early-onset scoliosis

Moreno Mateo,

Bovonratwet,

Peiró García

2023

Current Opinion in Pediatrics

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Purpose of review The aim of this review is to provide the reader with the most updated available information so that it can be helpful in the approach of patients with early-onset scoliosis (EOS). Recent findings While confirming the efficacy and safety of classic techniques for the treatment of EOS such as traditional growing rods or Mehta casting, recent research suggests that there is room for improvement with less invasive techniques. Summary The most important goal when treating patients with EOS should be to promote rib cage expansion and lung development. Different techniques have been described and may be used depending on the specific patient's characteristics.

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Spontaneous fracture of a titanium mesh cranioplasty implant in a child: A case report

Zhang¹,

Gao²,

Zhu³

et al. 2023

World J Clin Cases

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Complications of single growing rod constructs in the treatment of severe early-onset scoliosis: a lesson relearned

Cited by 4 publications

References 29 publications

Advances in Early Onset Scoliosis Management: A Narrative Review of Treatment Modalities

Advances in Early Onset Scoliosis Management: A Narrative Review of Treatment Modalities

Early-onset scoliosis

Spontaneous fracture of a titanium mesh cranioplasty implant in a child: A case report

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