Upload
catherine-knight
View
216
Download
1
Embed Size (px)
DESCRIPTION
Disclosures JT Smith: Consultant: Depuy-Synthes, SpineGuard; Globus; Biomet,; Ellipse BOD: CSF J Morgan: none
Citation preview
The Use of MAGEC Growing Rods as a temporary distraction rod in Severe Kyphoscoliosis: A Case Report.
John T. Smith, MDMary Scowcroft Perry Presidential Endowed Chair of OrthopaedicsProfessorUniversity of Utah Department of OrthopaedicsChief, Scoliosis ServicePrimary Children’s HospitalSalt Lake City, UT
Jessica MorganUniversity of Utah Department of OrthopaedicsPrimary Children’s Hospital
Disclosures
JT Smith: Consultant: Depuy-Synthes, SpineGuard; Globus; Biomet,; EllipseBOD: CSF
J Morgan: none
Initial Visit
11 +/- 2 year old female Severe kyphoscoliosis measuring >135° MRI showing no abnormalities of the
spinal cord Adopted from an Ethopian Refugee
Camp
Initial Visit: clinical appearance
First radiographs; Kyphoscoliosis >150°
Management plan Through clinical evaluation for co-
morbidities Placement of halo Progressive halo-gravity traction Pulmonary rehab in halo Planned placement of Magnetically
Coontrolled Growing Rod (MCGR) for continued outpatient expansion for 6 months
Radiograph after 4 weeks of progressive Halo-Traction
Initial Placement of MCGR and halo removal
4 distractions over 6 months
Post-op definitive fusion after removal of MCGR
Discussion Gradual correction of severe scoliosis can
be accomplished safely over time using halo-traction
The MCGR can be used as a form of a temporary internal distraction rod in severe deformities
Gradual distraction made defnitive instrumentation and fusion easier and safer than a VCR
References Sponseller P.D., Takenaga, R.K., Netown, P., et al. (2008).
The use of traction in the treatment of severe spinal deformity. Spine 2008; 33: 2305-9.
Buchowski, J.M., Bhatnagar, R., Skaggs, D.L., Sponseller, P.D., Temporary internal distraction as an aid to correction of severe scoliosis. J Bone Joint Surg Am 2006;88:2035-41.
Cheung, J.P., Samartzis, D., & Cheung, K.M. (January 20, 2014). A novel approach to gradual correction of severe spinal deformity in a pediatric patient using the magnetically-controlled growing rod. The Spine Journal 14 (2014) e7-e13.