Magnetically Controlled Growing Rods (MCGR) Versus Single Posterior Spinal Fusion (PSF) Versus Vertebral Body Tether (VBT) in Older Early Onset Scoliosis (EOS) Patients
| Autor: | Yungtai Lo, Michael P. Glotzbecker, Michael G. Vitale, Stefan Parent, Catherine Mackey, Jaime A. Gomez, Regina Hanstein, Majella Vaughan, Scott J. Luhmann, Amer F. Samdani, Tricia St. Hilaire |
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| Rok vydání: | 2021 |
| Předmět: |
Male
medicine.medical_specialty Vertebral Body medicine.medical_treatment Kyphosis Scoliosis Quality of life medicine Humans Orthopedics and Sports Medicine Prospective Studies Child Aged Retrospective Studies business.industry Hazard ratio medicine.disease Surgery Vertebral body Spinal Fusion Treatment Outcome Spinal fusion Cohort Quality of Life Female Neurology (clinical) Early onset scoliosis business |
| Zdroj: | Spine. |
| ISSN: | 0362-2436 |
| Popis: | STUDY DESIGN Retrospective review of prospective data from multicenter registry. OBJECTIVE Compare outcomes of posterior spinal fusion (PSF) versus magnetically controlled growing rods (MCGR) versus vertebral body tethers (VBT) in 8- to 11-year-old idiopathic early onset scoliosis (EOS) patients. SUMMARY OF BACKGROUND DATA In EOS, it is unclear at what age the benefit of growth-sparing strategies outweighs increased risks of surgical complications, compared with PSF. METHODS One hundred thirty idiopathic EOS patients, 81% female, aged 8-11 at index surgery (mean 10.5 yrs), underwent PSF, MCGR, or VBT. Scoliosis curve, kyphosis, thoracic and spinal height, complications, and Quality of Life (QoL) were assessed preoperatively and at most recent follow-up (prior to final fusion for VBT/MCGR). RESULTS Of 130 patients, 28.5% received VBT, 39.2% MCGR, and 32.3% PSF. The VBT cohort included more females (P |
| Databáze: | OpenAIRE |
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