2021
DOI: 10.14444/8048
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Early Complications in Vertical Expandable Prosthetic Titanium Rib and Magnetically Controlled Growing Rods to Manage Early Onset Scoliosis

Abstract: Objectives: The aim of this study is to examine whether surgical treatment of early onset scoliosis (EOS) with magnetically controlled growing rods (MCGRs) or a vertical expandable prosthetic titanium rib (VEPTR) resulted in fewer short-term (24 months) complications and reoperations.Background: EOS is a challenging problem for spine surgeons that has been managed with different growthfriendly instrumentation systems. Although rib-based devices encourage spinal growth via regular lengthening, the high rate of … Show more

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Cited by 11 publications
(6 citation statements)
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“…Obviously, as this is a preliminary study, the numbers were low, and a statistical analysis on an underpowered study was not worthwhile. However, the rate of SAEs and UPRORs decreased from about 0.3/patient/year, to <0.10/patient/year, which compared favorably to other growth-friendly systems [14,16,19,21,34,35]. Moreover, and maybe as a consequence, HRQoL improved, with even better scores one year after implantation compared to pre-implantation.…”
Section: Discussionmentioning
confidence: 84%
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“…Obviously, as this is a preliminary study, the numbers were low, and a statistical analysis on an underpowered study was not worthwhile. However, the rate of SAEs and UPRORs decreased from about 0.3/patient/year, to <0.10/patient/year, which compared favorably to other growth-friendly systems [14,16,19,21,34,35]. Moreover, and maybe as a consequence, HRQoL improved, with even better scores one year after implantation compared to pre-implantation.…”
Section: Discussionmentioning
confidence: 84%
“…In order to facilitate spinal growth, growth-friendly strategies were developed. The traditional growing rods and vertical expandable prosthetic titanium rib devices require regular surgical distraction, leading to a burden on the patient, the family and the healthcare system, as well as concerns about mental development due to repeated anesthesia [12][13][14]. To overcome this huge disadvantage, magnetically controlled growing rods (MCGRs) were introduced, which allow distraction with an external magnet [15].…”
Section: Introductionmentioning
confidence: 99%
“…In their retrospective study of 13 patients with EOS who underwent the TDGR technique, a significant correction of AVT was generated. Other surgeons 25 reported that the AVT corrected from 41 mm preoperatively to 21 mm postoperatively and was maintained at 18 mm at the 2-year follow-up in the magnetically controlled growing rods technique. Our result was consistent with the results of Sun X 24 and Peiro-Garcia A, 25 who showed that TDGRs could decrease AVT.…”
Section: Discussionmentioning
confidence: 97%
“…Additionally, at final follow-up, VEPTR was associated with an important complication rate [37 ▪ ]. VEPTR is associated with higher complication rate compared to TGR including infection, implant failure, and pneumothorax [38]. However, this technique has some peculiarities that make it a valid alternative in selected cases.…”
Section: Treatmentmentioning
confidence: 99%