Qi Xinyu,Yao Ziming,Guo Dong,et al. Outcome of definitive fusion after growingrod treatment of earlyonset scoliosis.[J].Journal of Clinical Pediatric Surgery,,17():830-834.
Outcome of definitive fusion after growingrod treatment of earlyonset scoliosis.
Journal of Clinical Pediatric Surgery[ISSN:1671-6353/CN:43-1380/R]
volume:
第17卷
Number:
2018 11
Page:
830-834
Column:
论著
Date of publication:
2018-11-20
- Keywords:
- ; Early Onset Scoliosis; Surgical Procedures; Operative; Therapy; Complication
- Document code:
- A
- Abstract:
- ObjectiveTo explore the clinical efficacy and complications of definitive fusion after growing-rod treatment of early-onset scoliosis (EOS)．MethodsFrom July 2007 to June 2014，26 EOS children (15 boys and 11 girls) underwent growingrod and definitive fusion at our department were selected．The age at initial surgery was (5.2±2.6) years. Etiology, age at definitive fusion, number of distraction, instrumented segments and complications were recorded and reviewed. And radiographic data including Cobb angle of major curve, T1T12 height and T1S1 height were measured．The changes of these parameters were analyzed. ResultsAll of them underwent definitive fusion at an average age of (13.2±2.1) years. The diagnoses were congenital scoliosis (n=17), neurofibromatosis type I scoliosis (n=6) and idiopathic scoliosis (n=3). And the curves were thoracic (n=15), thoracolumbar (n=8) and lumbar (n=3). All of them were operated for 240 times and 188 had distractive options with a mean of 8.2 distractions for each. The mean distractive interval was 11.7±2.6 months. The Cobb angle improved from （69.3±30.8）° to （49.4±22.9）° after the last distractive surgery and 34.7°±14.6° after definitive fusion. The T1T12 height improved from （15.4±2.7） cm to （22.5±3.6） cm after the last distractive option and （22.9±3.5） cm after final fusion. Similarly, T1S1 height improved from （24.8±4.2） cm to （32.5±4.8） cm after the last distractive option and （33.6±5.2） cm after final fusion. In 12 children (46%), 14 complications occurred. And instrumentationrelated complication was the most frequent and there was no neurological complications.ConclusionWith an incidence of complication at 46%, growingrod technique is effective for EOS. It may control curve progression and preserve spinal and thoracic growth ability. Definitive fusion is appropriate for children aged over 10 years with unacceptable or progressive major curve deformity or complications with previous implants.
Last Update:
2018-11-23