Dual Growing Rod Treatment for Progressive Pediatric Spinal Deformity (진행형 소아 척추 기형 환자에서 이중 성장형 금속봉을 이용한 치료)

최승진; Hak-Sun Kim (김학선); Quen He (전혁); 석경수; 홍승표; 이환모; 문성환; 양재호; Joong-Won Ha (하중원)

Dual Growing Rod Treatment for Progressive Pediatric Spinal Deformity

Journal of Korean Society of Spine Surgery
Abbr : J Kor Spine Sur
2017, 24(3), pp.183~189
Publisher : Korean Society Of Spine Surgery
Research Area : Medicine and Pharmacy > Orthopedic Surgery

최승진 ¹, Hak-Sun Kim ¹, Quen He ², 석경수 ², 홍승표 ², 이환모 ³, 문성환 ³, 양재호 ³, Joong-Won Ha ⁴

¹연세대학교
²연세대학교 의과대학 강남세브란스병원 정형외과학교실
³연세대학교 의과대학 신촌세브란스병원 정형외과학교실
⁴국민건강보험 일산병원 정형외과

Accredited

ABSTRACT

Study Design: Retrospective study. Objectives: To evaluate the outcomes of dual growing rod treatment over a follow-up period of at least 2 years in patients with progressive pediatric spinal deformity. Summary of Literature Review: The dual growing rod treatment is safe and effective in curve correction and maintenance in patients with progressive pediatric spinal deformity. Materials and Methods: Between 2009 to 2017, 14 patients who underwent dual growing rod treatment were followed up for more than 2 years. We analyzed their demographic and radiologic data, including age at surgery, sex, diagnosis, instrumented levels, number of total operations, number of lengthening procedures, interval of lengthening, Cobb angle, thoracic kyphosis angle, lumbar lordosis angle, T1-S1 length, and complications. Results: The mean age of the patients was 11.0±2.9 years old. There were 10 male and 4 female patients, including 8 cases of neuromuscular scoliosis, 3 cases of idiopathic scoliosis, 2 cases of spondyloepiphyseal dysplasia, and 1 case of congenital scoliosis. The mean follow-up period was 42.4±14.0 months. The total number of operations was 6.6±2.6. The average number of lengthening procedures was 4.3±2.3 at an interval of 6.9±2.1 months. The Cobb angle improved from 60.4°±27.9° to 33.5°±19.7° after the initial treatment and 29.1°±16.4° after the last follow-up or final fusion. The T1-S1 length increased from 328.2±57.5 mm to 388.0±64.9 mm after the initial treatment and 424.9±64.4 mm after the last follow-up or final spinal fusion. The average growth rate was 11.5 mm/year. Six patients experienced 11 complications, of which 4 were Implant-related, and 7 were Infections. Conclusions: The dual growing rod technique is an effective and relatively safe treatment in patients with progressive pediatric spinal deformity.

KEYWORDS

Spinal deformity, Scoliosis, Growing rods

Citation status

* References for papers published after 2023 are currently being built.

[journal] Goldberg CJ / 2003 / Respiratory function and cosmesis at maturity in infantile-onset scoliosis / Spine (Phila Pa 1976) 28 : 2397~2406

[journal] Fernandes P / 2007 / Natural history of early onset scoliosis / J Bone Joint Surg Am 89(Suppl) : 21~33

[journal] Emery JL / 1960 / The number of alveoli in the terminal respiratory unit of man during late intrauterine life and childhood / Arch Dis Child 35 : 544~547

[journal] Davies G / 1971 / Effect of scoliosis on growth of alveoli and pulmonary arteries and on right ventricle / Arch Dis Child 46 : 623~632

[journal] Moe JH / 1984 / Harrington instrumentation without fusion plus external orthotic support for the treatment of difficult curvature problems in young children / Clin Orthop Relat Res 185 : 35~45

[journal] 김형복 / 2013 / Results of Dual Growing Rods Treatment for Progressive Pediatric Spinal Deformity / 대한척추외과학회지 / 대한척추외과학회 20(1) : 8~15

[journal] Harrington PR / 1962 / Treatment of scoliosis. Correction and internal fixation by spine instrumentation / J Bone Joint Surg Am 44 : 591~610

[journal] Vitale MG / 2011 / Variability of expert opinion in treatment of early-onset scoliosis / Clin Orthop Relat Res 469 : 1317~1322

[journal] Akbarnia BA / 2005 / Dual growing rod technique for the treatment of progressive early-onset scoliosis: a multicenter study / Spine (Phila Pa 1976) 30(Suppl) : 46~57

[journal] Akbarnia BA / 2008 / Dual growing rod technique followed for three to eleven years until final fusion : the effect of frequency of lengthening / Spine (Phila Pa 1976) 33 : 984~990

[journal] Murphy RF / 2017 / Sagittal plane parameters in growing rod patients following final fusion / J Pediatr Orthop B

[journal] Shah SA / 2014 / The effect of serial growing rod lengthening on the sagittal profile and pelvic parameters in early-onset scoliosis / Spine (Phila Pa 1976) 39 : E1311~E1317

[journal] Li WJ / 2016 / The effect of growing Rod treatment on coronal balance during serial lengthening surgeries in early onset scoliosis / BMC Musculoskelet Disord 17 : 158~

[journal] Bess S / 2010 / Complications of growing-rod treatment for early-onset scoliosis : analysis of one hundred and forty patients / J Bone Joint Surg Am 92 : 2533~2543

[journal] Cahill PJ / 2010 / Autofusion in the immature spine treated with growing rods / Spine (Phila Pa 1976) 35 : E1199~E1203

[journal] Jain A / 2016 / Avoidance of"Final"Surgical Fusion After Growing-Rod Treatment for Early-Onset Scoliosis / J Bone Joint Surg Am 98 : 1073~1078

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Journal of Korean Society of Spine Surgery 2023 KCI Impact Factor : 0.03