Zhu Weiwei,Ye Wensong.Recent advances in the treatment of early-onset congenital scoliosis with growing rod technique[J].Journal of Clinical Pediatric Surgery,2021,20(07):681-686.[doi:10.12260/lcxewkzz.2021.07.017]
生长棒技术治疗早发性先天性脊柱侧凸的研究进展
- Title:
- Recent advances in the treatment of early-onset congenital scoliosis with growing rod technique
- Keywords:
- Scoliosis/SU; Scoliosis/TH; Growing Rod Technique; Treatment Outcome
- 分类号:
- R726.8;R682.3
- 摘要:
- 早发性先天性脊柱侧凸的治疗目标是控制脊柱畸形,同时最大限度地促进脊柱和胸廓的生长,促进正常肺发育并维持肺功能。为达到上述目的,一些非融合技术应运而生,其中生长棒技术在早发性先天性脊柱侧凸治疗中被广泛接受和应用,但并发症等手术相关问题亟待解决。现就生长棒技术治疗早发性先天性脊柱侧凸中的焦点问题作一综述,以期为广大脊柱外科医生提供帮助。
- Abstract:
- The therapeutic goal of early-onset congenital scoliosis is to control spinal deformities while maximizing the growth of spine and chest and promoting normal lung development and lung function.For achieving the above goal,some non-fusion techniques have emerged.Although the growing rod technique is widely applied for treating early onset congenital scoliosis,various complications and other problems should be properly resolved.The focus of growing rod technique in the treatment of early congenital scoliosis was reviewed for assisting pediatric spinal surgeons.
参考文献/References:
1 Cunin V.Early-onset scoliosis:current treatment[J].Orthop Traumatol Surg Res,2015,101(1 Suppl):S109-S118.DOI:10.1016/j.otsr.2014.06.032.
2 Eby SF,Hilaire TS,Glotzbecker M,et al.Thoracogenic spinal deformity:a rare cause of early-onset scoliosis[J].J Neurosurg Spine,2018,29(6):674-679.DOI:10.3171/2018.4.SPINE171389.
3 Yang S,Andras LM,Redding GJ,et al.Early-onset scoliosis:a review of history,current treatment,and future directions[J].Pediatrics,2016,137(1):e20150709.DOI:10.1542/peds.2015-0709.
4 Zhang YB,Zhang JG.Treatment of early-onset scoliosis:techniques,indications,and complications[J].Chin Med J (Engl),2020,133(3):351-357.DOI:10.1097/CM9.0000000000000614.
5 Wang W,Zhang JG,Qiu GX,et al.Analysis of clinical results and complications of growing rod technique for congenital scoliosis[J].Chin J Surg,2013,51(9):821-826.
6 Helenius IJ.Treatment strategies for early-onset scoliosis[J].EFORT Open Rev,2018,3(5):287-293.DOI:10.1302/2058-5241.3.170051.
7 Jayaswal A,Kandwal P,Goswami A,et al.Early onset scoliosis with intraspinal anomalies:management with growing rod[J].Eur Spine J,2016,25(10):3301-3307.DOI:10.1007/s00586-016-4566-5.
8 Sun X,Xu L,Chen ZH,et al.Comparison of hybrid and traditional growing rod techniques in the treatment of early-onset congenital scoliosis[J].Chin J Surg,2019,57(5):342-347.DOI:10.3760/cma.j.issn.0529-5815.2019.05.005.
9 Wang S,Zhang J,Qiu G,et al.One-stage posterior osteotomy with short segmental fusion and dual growing rod technique for severe rigid congenital scoliosis:the preliminary clinical outcomes of a hybrid technique[J].Spine (Phila Pa 1976),2014,39(4):E294-E299.DOI:10.1097/BRS.0000000000000119.
10 Akesen B,Ulusalo?lu AC,Atici T,et al.Magnetically controlled growing rod in 13 patients with early-onset scoliosis and spinal improvement[J].Acta Orthop Traumatol Turc,2018,52(6):438-441.DOI:10.1016/j.aott.2017.12.004.
11 Caniklioglu M,Gokce A,Ozturkmen Y,et al.Clinical and radiological outcome of the growing rod technique in the management of scoliosis in young children[J].Acta Orthop Traumatol Turc,2012,46(5):379-384.
12 Bekmez S,Afandiyev A,Dede O,et al.Is Magnetically Controlled Growing Rod the Game Changer in Early-onset Scoliosis? A Preliminary Report[J].J Pediatr Orthop,2019,39(3):e195-e200.DOI:10.1097/BPO.0000000000001268.
13 Bauer JM,Yorgova P,Neiss G,et al.Early onset scoliosis:is there an improvement in quality of life with conversion from traditional growing rods to magnetically controlled growing rods?[J].J Pediatr Orthop,2019,39(4):e284-e288.DOI:10.1097/BPO.0000000000001299.
14 Doany ME,Olgun ZD,Kinikli GI,et al.Health-related quality of life in early-onset scoliosis patients treated surgically:EOSQ scores in traditional growing rod versus magnetically controlled growing rods[J].Spine (Phila Pa 1976),2018,43(2):148-153.DOI:10.1097/BRS.0000000000002274.
15 Aslan C,Olgun ZD,Ayik G,et al.Does decreased surgical stress really improve the psychosocial health of early-onset scoliosis patients?:a comparison of traditional growing rods and magnetically-controlled growing rods patients reveals disappointing results[J].Spine (Phila Pa 1976),2019,44(11):E656-E663.DOI:10.1097/BRS.0000000000002938.
16 Harshavardhana NS,Noordeen MHH,Dormans JP.Cost Analysis of Magnet-driven Growing Rods for Early-onset Scoliosis at 5 Years[J].Spine (Phila Pa 1976),2019,44(1):60-67.DOI:10.1097/BRS.0000000000002738.
17 Andras LM,Joiner ER,McCarthy RE,et al.Growing Rods Versus Shilla Growth Guidance:Better Cobb Angle Correction and T1-S1 Length Increase But More Surgeries[J].Spine Deform,2015,3(3):246-252.DOI:10.1016/j.jspd.2014.11.005.
18 叶启彬,王以朋,张嘉,等.不需植骨融合治疗生长中儿童脊柱侧弯的新装置[J].临床骨科杂志,2004,7(1):1-5.DOI:10.3969/j.issn.1008-0287.2004.01.003. Ye QB,Wang YP,Zhang J,et al.A new instrumentation without fusion for the treatment of progressive idiopathic scoliosis in growing children[J].Journal of Clinical Orthopedics,2004,7(1):1-5.DOI:10.3969/j.issn.1008-0287.2004.01.003.
19 周劲松.一种新型生长型脊柱侧凸矫形系统的研制及动物实验研究[D].中国人民解放军军医进修学院,2007. Zhou JS.Development of a new orthopedic system for scoliosis with growth scoliosis[D].Chinese People’s Liberation Army Medical College,2007.
20 Chen ZX,Kaliya-Perumal AK,Niu CC,et al.In Vitro biomechanical validation of a self-adaptive ratchet growing rod construct for fusionless scoliosis correction[J].Spine (Phila Pa 1976),2019,44(21):E1231-E1240.DOI:10.1097/BRS.0000000000003119.
21 黄紫房.早发型脊柱侧凸生长棒治疗锚定点的生物力学研究:从临床到基础[D].南方医科大学,2014.DOI:10.7666/d.Y2618404. Huang ZF.Biomechanical evaluation of anchor sites in early onset scoliosis treated with growing rod technique:from clinics to basic study[D].Southern Medical University,2014.DOI:0.7666/d.Y2618404.
22 藏磊,李永刚,海涌,等.不同生长棒内固定方式治疗早发性脊柱侧凸的有限元分析[J].中国矫形外科杂志,2019,27(1):79-85.DOI:10.3977/j.issn.1005-8478.2019.01.15. Zang L,Li YG,Hai Y,et al.Finite element analysis on different constructs of growing rods for severe early onset scoliosis[J].Orthopedic Journal of China,2019,27(1):85-91.DOI:10.3977/j.issn.1005-8478.2019.01.15.
23 Hughes MS,Swarup I,Makarewich CA,et al.Expert Consensus for Early Onset Scoliosis Surgery[J].J Pediatr Orthop,2020,40(7):e621-e628.DOI:10.1097/BPO.0000000000001473.
24 Akgül T,Dikici F,S ar C,et al.Growing rod instrumentation in the treatment of early onset scoliosis[J].Acta Orthop Belg,2014,80(4):457-463.
25 Sun X,Xu L,Chen ZH,et al.Hybrid growing rod technique of osteotomy with short fusion and spinal distraction:an alternative solution for long-spanned congenital scoliosis[J].Spine (Phila Pa 1976),2019,44(10):707-714.DOI:10.1097/BRS.0000000000002933.
26 Yang JS,Sponseller PD,Thompson GH,et al.Growing rod fractures:risk factors and opportunities for prevention[J].Spine (Phila Pa 1976),2011,36(20):1639-1644.DOI:10.1097/BRS.0b013e31822a982f.
27 Tsirikos AI,Loughenbury PR.Single rod instrumentation in patients with scoliosis and co-morbidities:Indications and outcomes[J].World J Orthop,2018,9(9):138-148.DOI:10.5312/wjo.v9.i9.138.
28 Liang JQ,Li SG,Xu DR,et al.Risk factors for predicting complications associated with growing rod surgery for early-onset scoliosis[J].Clin Neurol Neurosurg,2015,136:15-19.DOI:10.1016/j.clineuro.2015.05.026.
29 Cheung JP,Cahill P,Yaszay B,et al.Special article:Update on the magnetically controlled growing rod:tips and pitfalls[J].J Orthop Surg (Hong Kong),2015,23(3):383-390.DOI:10.1177/230949901502300327.
30 Watanabe K,Uno K,Suzuki T,et al.Risk Factors for Proximal junctional kyphosis associated with dual-rod growing-rod surgery for early-onset scoliosis[J].Clin Spine Surg,2016,29(8):E428-E433.DOI:10.1097/BSD.0000000000000127.
31 La Rosa G,Oggiano L,Ruzzini L.Magnetically controlled growing rods for the management of early-onset scoliosis:a preliminary report[J].J Pediatr Orthop,2017,37(2):79-85.DOI:10.1097/BPO.0000000000000597.
32 Kocyigit IA,Olgun ZD,Demirkiran HG,et al.Graduation protocol after growing-rod treatment:removal of implants without new instrumentation is not a realistic approach[J].J Bone Joint Surg Am,2017,99(18):1554-1564.DOI:10.2106/JBJS.17.00031.
33 Flynn JM,Tomlinson LA,Pawelek J,et al.Growing-rod graduates:lessons learned from ninety-nine patients who completed lengthening[J].J Bone Joint Surg Am,2013,95(19):1745-1750.DOI:10.2106/JBJS.L.01386.
34 Shen TS,Schairer W,Widmann R.In patients with early-onset scoliosis,can growing rods be removed without further instrumentation? an evidenced-based review[J].HSS J,2019,15(2):201-204.DOI:10.1007/s11420-019-09671-5.
35 Burnei G,Gavriliu S,Vlad C,et al.Congenital scoliosis:an up-to-date[J].J Med Life,2015,8(3):388-397.
36 祁新禹,姚子明,郭东,等.生长棒撑开后最终融合手术治疗早发性脊柱侧凸的临床效果[J].临床小儿外科杂志,2018,17(11):830-834.DOI:10.3969/j.issn.1671-6353.2018.11.007. Qi XY,Yao ZM,Guo D,et al.Outcome of definitive fusion after growing rod treatment of early-onset scoliosis[J].J Clin Ped Sur,2018,17(11):830-834.DOI:10.3969/j.issn.1671-6353.2018.11.007.
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备注/Memo
收稿日期:2020-06-11。
基金项目:浙江省医药卫生科技计划项目(编号:2018260443)
通讯作者:叶文松,Email:6192005@zju.edu.cn