Radiographic Outcomes of Shilla Growth Guidance System and Traditional Growing Rods Through Definitive Treatment
| Autor: | June C. Smith, George H. Thompson, Scott J. Luhmann, Ann McClung, Richard E. McCarthy, Frances L McCullough |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
Orthotic Devices Adolescent Databases Factual medicine.medical_treatment Radiography Aftercare Scoliosis Implant removal Spinal Curvatures Thoracic Vertebrae 03 medical and health sciences 0302 clinical medicine medicine Humans Orthopedics and Sports Medicine Orthopedic Procedures Child Retrospective Studies 030222 orthopedics business.industry Background data Mean age Prostheses and Implants medicine.disease Spine Surgery Spinal Fusion Treatment Outcome Spinal fusion Orthopedic surgery Growth and Development Growing rod business 030217 neurology & neurosurgery |
| Zdroj: | Spine deformity. 5(4) |
| ISSN: | 2212-1358 |
| Popis: | Retrospective review of a multicenter database.To compare the radiographic outcomes of patients who had undergone the Shilla Growth Guidance System (SGGS) and traditional growing rod (GR) treatment for management of early-onset scoliosis (EOS) through definitive treatment.The efficacy of surgical treatment of EOS can only be determined after definitive treatment has been completed. We wanted to review our experience with the SGGS and GR for management of EOS through definitive treatment.Patients who had surgical treatment with SGGS or GR and had undergone definitive treatment were included. The patients were matched by age, preoperative curve magnitude, and diagnosis. The study population consisted of 36 patients (18 in each group) whose mean age at initial surgery was as follows: SGGS, 7.9 years; and GR, 7.7 years (not significant [NS]). Length of follow-up after initial surgery was 6.1 years for SGGS and 7.4 years for GR (NS). Definitive treatment was posterior spinal fusion (15 SGGS, 17 GR), implant removal (3 SGGS), or completion of lengthenings (1 GR).The preoperative curve was 61 degrees for SGGS and 65 degrees for GR (NS). After index surgery, the major curve decreased to 24 degrees (-37 degrees) for SGGS and 38 (-27 degrees) for GR (p.05). At last follow-up, the major curve was 34 degrees (44%) for SGGS and 36 degrees (45%) for GR (NS). The initial T1-T12 length for SGGS was 188 mm and for GR, 181 mm; at last follow-up, SGGS was 234 mm (46 mm increase) and GR was 233 mm (52 mm increase) (NS).Our analysis shows the final radiographic outcomes (and changes) and complications (implant-related and infection) between the SGGS and GR groups were not statistically different. The main difference between the two groups was the threefold difference in overall surgeries. |
| Databáze: | OpenAIRE |
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