Trends in the Utilization of Implants in Index Procedures for Early Onset Scoliosis From the Pediatric Spine Study Group

Murphy, Robert F.; Neel, Garret B.; Barfield, William R.; Anari, Jason B.; Hilaire, Tricia St.; Thompson, George H.; Emans, John B.; Akbarnia, Behrooz A.; Smith, John T.; Mooney, James F.

doi:10.1097/bpo.0000000000002221

Cited by 11 publications

(5 citation statements)

References 26 publications

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“…With patients few and far between, compiling data sets conducive to high statistical power at any single institution can be challenging. To confront this challenge, patient registries were established to pool data across multiple institutions [23]. This development has provided larger and more diverse patient populations, which in turn has resulted in studies with higher levels of evidence [24,25].…”

Section: Discussionmentioning

confidence: 99%

Increase in Early Onset Scoliosis Publications in Major Orthopaedic and Spine Journals: 2005-2020

Murphy

2024

JPAR

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Study Design: Retrospective review Purpose: To quantify trends in published research in 8 major orthopaedic and spine journals related to Early Onset Scoliosis (EOS) from 2005-2020. We also investigated publication trends in specific subtopics within EOS research. Methods: The electronic archives of 8 journals (Spine, European Spine Journal, Journal of Children’s Orthopaedics, Spine Deformity, Journal of Pediatric Orthopaedics, Journal of Pediatric Orthopaedics B, The Journal of Bone and Joint Surgery-American Volume and The Bone and Joint Journal) were queried for articles published from 2005-2020 containing search terms particular to the following subtopics of EOS research: congenital scoliosis, infantile scoliosis, thoracic insufficiency syndrome, scoliosis casting, Traditional Growing Rod, Vertical Expandable Prosthetic Titanium Rib, Magnetically Controlled Growing Rod and EOS in general. Results were screened to exclude editorials, conference papers and corrections. Included EOS articles were aggregated and analyzed with respect to journal, year of publication and subtopic. Results: From 2005-2020, a total of 32,000 publications were identified, of which 1,818 (5.7%) were qualified as EOS articles by the presence of at least one search term. The annual number of EOS articles increased from 60 in 2005 to 157 in 2020 and the annual ratio of EOS articles to total publications increased from 4.1% to 7.9%. Congenital spine-related terms matched to the greatest number of articles, while implant-related terms collectively experienced the greatest percentage increase in matching articles per year. Conclusion: The number of EOS articles published in 8 major orthopaedic and spine journals increased in both absolute and relative terms from 2005-2020. Implant-related subtopics saw the greatest increase.

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Section: Discussionmentioning

confidence: 99%

Increase in Early Onset Scoliosis Publications in Major Orthopaedic and Spine Journals: 2005-2020

Murphy

2024

JPAR

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“…Another limitation is the small numbers of male and female patients, which precluded gender specific comparisons with curve types, although our normal cohort had roughly equal and large number of male and female subjects. The greatest limitation is the fact that in EOS the most common implant used today is the MCGR, which would preclude a child from getting the QdMRI during treatment, and thus would only allow for post-fusion imaging [42, 43]. Additional limitations include that all data set stems from a single center.…”

Section: Discussionmentioning

confidence: 99%

Do Rib-Based Anchors Impair Chest Wall Motion in Early Onset Scoliosis (EOS)?

Tong,

Udupa,

McDonough

et al. 2024

Preprint

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Purpose There is a concern in pediatric surgery practice that rib-based fixation may limit chest wall motion in early onset scoliosis (EOS). The purpose of this study is to address the above concern by assessing the contribution of chest wall excursion to respiration before and after surgery. Methods Quantitative dynamic magnetic resonance imaging (QdMRI) is performed on EOS patients (before and after surgery) and normal children in this retrospective study. QdMRI is purely an image-based approach and allows free breathing image acquisition. Tidal volume parameters for chest walls (CWtv) and hemi-diaphragms (Dtv) were analyzed on concave and convex sides of the spinal curve. EOS patients (1-14 years) and normal children (5-18 years) were enrolled, with an average interval of two years for dMRI acquisition before and after surgery. Results CWtv significantly increased after surgery in the global comparison including all EOS patients (p < 0.05). For main thoracic curve (MTC) EOS patients, CWtv significantly improved by 50.24% (concave side) and 35.17% (convex side) after age correction (p < 0.05) after surgery. The average ratio of Dtv to CWtv on the convex side in MTC EOS patients was not significantly different from that in normal children (p=0.78), although the concave side showed the difference to be significant. Conclusion Chest wall component tidal volumes in EOS patients measured via QdMRI did not decrease after rib-based surgery, suggesting that rib-based fixation does not impair chest wall motion in pediatric patients with EOS.

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“… 32 However, with the introduction of motorized magnetically controlled growing rods (MCGRs), the heterogeneity in the choice of growth-friendly implants for the index surgery has decreased massively with a marked predominance of MCGR. 33 Recently, efforts have also been made to systematically characterize an older, heterogeneous EOS patient population, the so-called “tweeners,” who qualify for either growth-friendly treatment options or definitive fusion due to their age and skeletal maturity. 34 …”

Section: Diagnosismentioning

confidence: 99%

Diagnostic and therapeutic strategies in early onset scoliosis: A current concept review

Studer,

Hasler

2024

Journal of Children's Orthopaedics

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Substantial advances in the treatment of early onset scoliosis (EOS) over the past two to three decades have resulted in significant improvements in health-related quality of life of affected children. In addition to classifications that address the marked heterogeneity of this patient population, increasing understanding of the natural history of the disease, and new implants and treatment techniques have resulted in innovations unlike any other area of pediatric orthopedics. The growing understanding of the interaction between spinal and thoracic growth, as well as dependent lung maturation, has had a lasting impact on the treatment strategy of this potentially life-threatening disease. The previous treatment approach with early corrective fusion gave way to a growth-friendly concept. Despite the steady development of new growth-friendly surgical treatment options, whose efficacy still needs to be validated, as well as a revival of conservative growth control with serial casts and/or braces, the psychosocial burden of the long lasting and complication-prone treatments remains high. As a consequence, EOS still represents one of the greatest pediatric orthopedic challenges.

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Trends in the Utilization of Implants in Index Procedures for Early Onset Scoliosis From the Pediatric Spine Study Group

Cited by 11 publications

References 26 publications

Increase in Early Onset Scoliosis Publications in Major Orthopaedic and Spine Journals: 2005-2020

Increase in Early Onset Scoliosis Publications in Major Orthopaedic and Spine Journals: 2005-2020

Do Rib-Based Anchors Impair Chest Wall Motion in Early Onset Scoliosis (EOS)?

Diagnostic and therapeutic strategies in early onset scoliosis: A current concept review

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