EFFICACY AND SAFETY OF GROWING RODS IN THE TREATMENT OF SCOLIOSIS IN CHILDREN UNDER 10
Autor(a) principal: | |
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Data de Publicação: | 2019 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Coluna/Columna |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512019000100017 |
Resumo: | ABSTRACT Objective: To determine the efficacy and safety of growing rods in the treatment of scoliosis in children aged under 10 years. Methods: A retrospective review of medical records of patients under 10 with scoliosis, treated with growing rods from the period between 1997 and 2012. Results: We identified 35 patients treated with growing rods who met the selection criteria. The average age at the start of treatment was 5.9 ± 2.3 years. Most of the patients (51.4%) showed idiopathic etiology scoliosis. Pre-surgery and post-surgery radiographic change showed a 47.7% reduction in Cobb angle (p>0.001). We identified 8 patients with some complication, the most prevalent being instrumentation failure (22.9%). The only predicting factor for post-operative complications was the total number of lengthenings performed (OR=7.03; CI 95% [1.1-45.4]; p=0.040). Conclusions: Treatment of scoliosis with growing rods in patients aged under 10 achieved a significant reduction in the magnitude of the deformity before final bone fusion. However, the rate of complications is rather high, therefore we recommend reducing the frequency of lengthenings to the minimum needed to maintain correction and longitudinal growth of the spine. Level of Evidence IV; Case series. |
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EFFICACY AND SAFETY OF GROWING RODS IN THE TREATMENT OF SCOLIOSIS IN CHILDREN UNDER 10ScoliosisProstheses and implantsChildSpinal curvatureABSTRACT Objective: To determine the efficacy and safety of growing rods in the treatment of scoliosis in children aged under 10 years. Methods: A retrospective review of medical records of patients under 10 with scoliosis, treated with growing rods from the period between 1997 and 2012. Results: We identified 35 patients treated with growing rods who met the selection criteria. The average age at the start of treatment was 5.9 ± 2.3 years. Most of the patients (51.4%) showed idiopathic etiology scoliosis. Pre-surgery and post-surgery radiographic change showed a 47.7% reduction in Cobb angle (p>0.001). We identified 8 patients with some complication, the most prevalent being instrumentation failure (22.9%). The only predicting factor for post-operative complications was the total number of lengthenings performed (OR=7.03; CI 95% [1.1-45.4]; p=0.040). Conclusions: Treatment of scoliosis with growing rods in patients aged under 10 achieved a significant reduction in the magnitude of the deformity before final bone fusion. However, the rate of complications is rather high, therefore we recommend reducing the frequency of lengthenings to the minimum needed to maintain correction and longitudinal growth of the spine. Level of Evidence IV; Case series.Sociedade Brasileira de Coluna2019-03-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512019000100017Coluna/Columna v.18 n.1 2019reponame:Coluna/Columnainstname:Sociedade Brasileira de Coluna (SBCO)instacron:SBCO10.1590/s1808-185120191801201846info:eu-repo/semantics/openAccessMontero,Carlos SegundoMeneses,DavidAlvarado,FernandoGodoy,WilmerAlcalá,GabrielMartìnez,CarlosMéndez,Ricardo Joséeng2019-02-19T00:00:00Zoai:scielo:S1808-18512019000100017Revistahttps://www.revistacoluna.org/ONGhttps://old.scielo.br/oai/scielo-oai.phpcoluna.columna@uol.com.br||revistacoluna@uol.com.br2177-014X1808-1851opendoar:2019-02-19T00:00Coluna/Columna - Sociedade Brasileira de Coluna (SBCO)false |
dc.title.none.fl_str_mv |
EFFICACY AND SAFETY OF GROWING RODS IN THE TREATMENT OF SCOLIOSIS IN CHILDREN UNDER 10 |
title |
EFFICACY AND SAFETY OF GROWING RODS IN THE TREATMENT OF SCOLIOSIS IN CHILDREN UNDER 10 |
spellingShingle |
EFFICACY AND SAFETY OF GROWING RODS IN THE TREATMENT OF SCOLIOSIS IN CHILDREN UNDER 10 Montero,Carlos Segundo Scoliosis Prostheses and implants Child Spinal curvature |
title_short |
EFFICACY AND SAFETY OF GROWING RODS IN THE TREATMENT OF SCOLIOSIS IN CHILDREN UNDER 10 |
title_full |
EFFICACY AND SAFETY OF GROWING RODS IN THE TREATMENT OF SCOLIOSIS IN CHILDREN UNDER 10 |
title_fullStr |
EFFICACY AND SAFETY OF GROWING RODS IN THE TREATMENT OF SCOLIOSIS IN CHILDREN UNDER 10 |
title_full_unstemmed |
EFFICACY AND SAFETY OF GROWING RODS IN THE TREATMENT OF SCOLIOSIS IN CHILDREN UNDER 10 |
title_sort |
EFFICACY AND SAFETY OF GROWING RODS IN THE TREATMENT OF SCOLIOSIS IN CHILDREN UNDER 10 |
author |
Montero,Carlos Segundo |
author_facet |
Montero,Carlos Segundo Meneses,David Alvarado,Fernando Godoy,Wilmer Alcalá,Gabriel Martìnez,Carlos Méndez,Ricardo José |
author_role |
author |
author2 |
Meneses,David Alvarado,Fernando Godoy,Wilmer Alcalá,Gabriel Martìnez,Carlos Méndez,Ricardo José |
author2_role |
author author author author author author |
dc.contributor.author.fl_str_mv |
Montero,Carlos Segundo Meneses,David Alvarado,Fernando Godoy,Wilmer Alcalá,Gabriel Martìnez,Carlos Méndez,Ricardo José |
dc.subject.por.fl_str_mv |
Scoliosis Prostheses and implants Child Spinal curvature |
topic |
Scoliosis Prostheses and implants Child Spinal curvature |
description |
ABSTRACT Objective: To determine the efficacy and safety of growing rods in the treatment of scoliosis in children aged under 10 years. Methods: A retrospective review of medical records of patients under 10 with scoliosis, treated with growing rods from the period between 1997 and 2012. Results: We identified 35 patients treated with growing rods who met the selection criteria. The average age at the start of treatment was 5.9 ± 2.3 years. Most of the patients (51.4%) showed idiopathic etiology scoliosis. Pre-surgery and post-surgery radiographic change showed a 47.7% reduction in Cobb angle (p>0.001). We identified 8 patients with some complication, the most prevalent being instrumentation failure (22.9%). The only predicting factor for post-operative complications was the total number of lengthenings performed (OR=7.03; CI 95% [1.1-45.4]; p=0.040). Conclusions: Treatment of scoliosis with growing rods in patients aged under 10 achieved a significant reduction in the magnitude of the deformity before final bone fusion. However, the rate of complications is rather high, therefore we recommend reducing the frequency of lengthenings to the minimum needed to maintain correction and longitudinal growth of the spine. Level of Evidence IV; Case series. |
publishDate |
2019 |
dc.date.none.fl_str_mv |
2019-03-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512019000100017 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512019000100017 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/s1808-185120191801201846 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Coluna |
publisher.none.fl_str_mv |
Sociedade Brasileira de Coluna |
dc.source.none.fl_str_mv |
Coluna/Columna v.18 n.1 2019 reponame:Coluna/Columna instname:Sociedade Brasileira de Coluna (SBCO) instacron:SBCO |
instname_str |
Sociedade Brasileira de Coluna (SBCO) |
instacron_str |
SBCO |
institution |
SBCO |
reponame_str |
Coluna/Columna |
collection |
Coluna/Columna |
repository.name.fl_str_mv |
Coluna/Columna - Sociedade Brasileira de Coluna (SBCO) |
repository.mail.fl_str_mv |
coluna.columna@uol.com.br||revistacoluna@uol.com.br |
_version_ |
1752126615966449664 |