[Surgical "no-touch" distraction technique to correct pediatric scoliosis].
[Surgical "no-touch" distraction technique to correct pediatric scoliosis].
Reduction and retention of the scoliotic curve in children with progressive spinal deformities.Progressive neuromyopathic scoliosis which cannot be controlled conservatively (especially by walking disability), and/or development of a thorax insufficiency syndrome (TIS).Insufficient soft tissue coverage; body weight 25 or >50 kg; missing osseous anchoring structures (ribs); adult skeleton (usually age 11.4 kg. Our prospective group of children (n = 45), was treated with a combination of the classic vertical expandable prosthetic titanium rib (VEPTR®) anchored to the ribs and iliac crest combined with a magnetically controlled telescopic implant (MAGEC®). The primary correction of >50% was achieved, while progression was effectively prevented over years. In 495 outpatient lengthening procedures, the rate of implant-associated complications requiring surgery was 3.7%. Of the 45 children, 13 (29%) underwent surgical revision. With the proposed surgical "no-touch" technique for scoliosis correction of pediatric neuromyopathic deformities, an effective reduction of the scoliotic curve can be achieved and maintained. Advantages of the method are a partial retention of spinal flexibility and a reduction of spinal ossifications, which facilitates dorsal spondylodesis as the final treatment.
- Universitätsmedizin Göttingen Germany
Treatment Outcome, Scoliosis, Osteogenesis, Distraction, Humans, Ribs, Prospective Studies, Prostheses and Implants, Child
Treatment Outcome, Scoliosis, Osteogenesis, Distraction, Humans, Ribs, Prospective Studies, Prostheses and Implants, Child
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