Journal of Korean Neurosurgical Society

  • 제62권5호
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  • Pages.577-585
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  • 2019
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  • 2005-3711(pISSN)
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  • 1598-7876(eISSN)
대한신경외과학회 (The Korean Neurosurgical Society)
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Comparison of the Effects of Magnetically Controlled Growing Rod and Tradiotinal Growing Rod Techniques on the Sagittal Plane in the Treatment of Early-Onset Scoliosis

  • Erdogan, Sinan (Department of Orthopedics and Traumatology, Baltalimani Bone and Joint Diseases Training and Research Hospital) ;
  • Polat, Baris (Department of Orthopedics and Traumatology, University of Kyrenia) ;
  • Atici, Yunus (Department of Orthopedics and Traumatology, Medical Park Gebze Hospital) ;
  • Ozyalvac, Osman Nuri (Department of Orthopedics and Traumatology, Baltalimani Bone and Joint Diseases Training and Research Hospital) ;
  • Ozturk, Cagatay (Department of Orthopedics and Traumatology, Istinye University Medical Faculty)
  • 투고 : 2019.04.11
  • 심사 : 2019.05.23
  • 발행 : 2019.09.01
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초록

Objective : Comparing the effects of magnetically controlled growing rod (MCGR) and traditional growing rod (TGR) techniques on the sagittal plane in the treatment of early-onset scoliosis (EOS). Methods : Twelve patients were operated using dual MCGR technique in one center, while 15 patients were operated using dual TGR technique for EOS in another center. Patients' demographic characteristics, complications and radiological measurements such as cobb angle, thoracic kyphosis, lumbar lordosis, T1-S1 range (mm), proximal junctional angle, distal junctional angle, sagittal balance, coronal balance, pelvic incidence, sacral slope and pelvic tilt were assessed and compared in preoperative, postoperative and last follow-up period. Results : Age and sex distributions were similar in both groups. The mean number of lengthening in the MCGR group was 12 (8-15) and 4.8 (3-7) in the TGR group. Two techniques were shown to be effective in controlling the curvature and in the increase of T1-S1 distance. In TGR group, four patients had rod fractures, six patients had screw pull-out and four patients had an infection, whereas three patients had screw pull-out and one patient had infection complications in the MCGR group. Conclusion : There was no significant difference between the two groups in terms of cobb angle, coronal and sagittal balance and sagittal pelvic parameters. MCGR can cause hypokyphosis and proximal junctional kyphosis in a minimum 2-year follow-up period. The implant-related complications were less in the MCGR group. However, larger case groups and longer follow-up periods are required for the better understanding of the superiority of one method on other in terms of complications.

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참고문헌

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  3. A biomechanical study on the effect of lengthening magnitude on spine off-loading in magnetically controlled growing rod surgery: Implications on lengthening frequency vol.29, pp.3, 2019, https://doi.org/10.1177/23094990211042237
  4. Prevalence of junctional kyphosis in early-onset scoliosis: can it be corrected at final fusion? vol.30, pp.12, 2021, https://doi.org/10.1007/s00586-021-06968-0