Magnetically controlled growing rods in the treatment of early-onset scoliosis
| Autor: | Ross Crawford, N. Birch, M. J. Hutton, M. J. Gibson, I. Siddique, Paul R. P. Rushton |
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| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Technology Assessment Biomedical Scoliosis Prosthesis Design 03 medical and health sciences Patient safety 0302 clinical medicine medicine Humans Metallosis Orthopedic Procedures Orthopedics and Sports Medicine Intensive care medicine 030222 orthopedics business.industry Patient registration medicine.disease Internal Fixators Prosthesis Failure Surgery Magnets Implant Early onset scoliosis business 030217 neurology & neurosurgery Paediatric population |
| Zdroj: | The Bone & Joint Journal. :708-713 |
| ISSN: | 2049-4408 2049-4394 |
| DOI: | 10.1302/0301-620x.99b6.bjj-2016-1102.r2 |
| Popis: | The MAGnetic Expansion Control (MAGEC) system is used increasingly in the management of early-onset scoliosis. Good results have been published, but there have been recent reports identifying implant failures that may be associated with significant metallosis surrounding the implants. This article aims to present the current knowledge regarding the performance of this implant, and the potential implications and strategies that may be employed to identify and limit any problems. We urge surgeons to apply caution to patient and construct selection; engage in prospective patient registration using a spine registry; ensure close clinical monitoring until growth has ceased; and send all explanted MAGEC rods for independent analysis. The MAGEC system may be a good instrumentation system for the treatment of early-onset scoliosis. However, it is innovative and like all new technology, especially when deployed in a paediatric population, robust systems to assess long-term outcome are required to ensure that patient safety is maintained. Cite this article: Bone Joint J 2017;99-B:708–13. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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