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학제간연구 과학기술학 뇌인지과학 기술정책 기타 복합학

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논문 기본 정보

자료유형
학술저널
저자정보
Erdogan, Sinan (Department of Orthopedics and Traumatology, Baltalimani Bone and Joint Diseases Training and Research Hospital) Polat, Baris (Department of Orthopedics and Traumatology, University of Kyrenia) Atici, Yunus (Department of Orthopedics and Traumatology, Medical Park Gebze Hospital) Ozyalvac, Osman Nuri (Department of Orthopedics and Traumatology, Baltalimani Bone and Joint Diseases Training and Research Hospital) Ozturk, Cagatay (Department of Orthopedics and Traumatology, Istinye University Medical Faculty)
저널정보
대한신경외과학회 대한신경외과학회지 대한신경외과학회지 제62권 제5호
발행연도
2019.1
수록면
577 - 585 (9page)

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Objective : Comparing the effects of magnetically controlled growing rod (MCGR) and traditional growing rod (TGR) techniques on the sagittal plane in the treatment of early-onset scoliosis (EOS). Methods : Twelve patients were operated using dual MCGR technique in one center, while 15 patients were operated using dual TGR technique for EOS in another center. Patients' demographic characteristics, complications and radiological measurements such as cobb angle, thoracic kyphosis, lumbar lordosis, T1-S1 range (mm), proximal junctional angle, distal junctional angle, sagittal balance, coronal balance, pelvic incidence, sacral slope and pelvic tilt were assessed and compared in preoperative, postoperative and last follow-up period. Results : Age and sex distributions were similar in both groups. The mean number of lengthening in the MCGR group was 12 (8-15) and 4.8 (3-7) in the TGR group. Two techniques were shown to be effective in controlling the curvature and in the increase of T1-S1 distance. In TGR group, four patients had rod fractures, six patients had screw pull-out and four patients had an infection, whereas three patients had screw pull-out and one patient had infection complications in the MCGR group. Conclusion : There was no significant difference between the two groups in terms of cobb angle, coronal and sagittal balance and sagittal pelvic parameters. MCGR can cause hypokyphosis and proximal junctional kyphosis in a minimum 2-year follow-up period. The implant-related complications were less in the MCGR group. However, larger case groups and longer follow-up periods are required for the better understanding of the superiority of one method on other in terms of complications.
#Early-onset scoliosis #Growing rod #Magnetic growing rods #Spinopelvic parameters #Proximal junctional angle

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참고문헌 (25)

참고문헌 신청
Agarwal A / 2014 / Smaller ınterval distractions may reduce chances of growth rod breakage without ımpeding desired spinal growth: a finite element study / Spine Deform 2:430~436 google schola Akbarnia BA / 2013 / Next generation of growth-sparing techniques: preliminary clinical results of a magnetically controlled growing rod in 14 patients with early-onset scoliosis / Spine (PhilaPa 1976) 38:665~670 google schola Akbarnia BA / 2010 / Complications of growth-sparing surgery in early onset scoliosis / Spine (PhilaPa 1976) 35:2193~2204 google schola Akbarnia BA / 2005 / Dual growing rod technique for the treatment of progressive early-onset scoliosis: a multicenter study / Spine (PhilaPa 1976) 30(17 Suppl):S46~S57 google schola Akbarnia BA / 2014 / Traditional Growing rods versus magnetically controlled growing rods for the surgical treatment of early-onset scoliosis: a casematched 2-year study / Spine Deform 2:493~497 google schola

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