Metkar Umesh, Kurra Swamy, Quinzi David, Albanese Stephen, Lavelle William F
a Orthopedic Spine Surgeon , Spine Center at BIDMC , Boston , MA , USA.
b Department of Orthopedic Surgery , SUNY Upstate Medical University , Syracuse , NY , USA.
Expert Rev Med Devices. 2017 Feb;14(2):117-126. doi: 10.1080/17434440.2016.1274230. Epub 2017 Jan 3.
Early onset scoliosis can be both a disfiguring as well as a life threatening condition. When more conservative treatments fail, pediatric spinal surgeons are forced to consider operative interventions. Traditionally, these interventions have involved the insertion of a variety of implants into the patient with a limited number of anchor points controlling the spine. In the past, these pediatric patients have had multiple surgeries for elective lengthening of these devices to facilitate their growth while attempting to control the scoliosis. These patients often experience a physical and emotional toll from their multiple repeated surgeries. Growing spine techniques have also had a noted high complication rate due to implant dislodgement and infections. Recently, the development of non-invasively, self-lengthening growing rods has occurred. These devices have the potential to allow for the devices to be lengthened magnetically in a conscious patient in the surgeon's office. Areas covered: This review summarized previously published articles in the English literature using a key word search in PubMed for: 'magnetically controlled growing rods', 'Magec rods', 'magnetic growing rods' and 'growing rods'. Expert commentary: Magnetically controlled growing rods have an advantage over growing rods in lengthening the growing spine in the absence of repetitive surgeries.
早发性脊柱侧弯既是一种会导致身体畸形的病症，也是一种危及生命的疾病。当更为保守的治疗方法失败时，小儿脊柱外科医生就不得不考虑采取手术干预措施。传统上，这些干预措施包括在患者体内植入各种植入物，通过有限数量的固定点来控制脊柱。过去，这些小儿患者需要多次接受手术，以便选择性地延长这些装置，从而在试图控制脊柱侧弯的同时促进其生长。这些患者常常因多次重复手术而承受身体和精神上的痛苦。由于植入物移位和感染，生长棒技术的并发症发生率也一直很高。最近，出现了非侵入性、可自我延长的生长棒。这些装置有可能在外科医生的办公室里，在清醒的患者身上通过磁力延长。涵盖领域：本综述通过在PubMed中使用关键词搜索“磁力控制生长棒”“Magec棒”“磁性生长棒”和“生长棒”，总结了英文文献中先前发表的文章。专家评论：在无需重复手术的情况下，磁力控制生长棒在延长生长中的脊柱方面比生长棒具有优势。
