Green Anna H, Brzezinski Andrzej, Ishmael Terrence, Adolfsen Stephen, Bowe J Andrew
Department of Orthopedic Surgery, Robert Wood Johnson University Hospital, New Brunswick, New Jersey.
J Neurosurg Case Lessons. 2021 Oct 25;2(17):CASE21446. doi: 10.3171/CASE21446.
Magnetically controlled growing rod (MCGR) systems have gained attention for their use in the treatment of early-onset scoliosis. Although traditional growing rods require frequent operations to lengthen the construct, MCGR allows for fewer open procedures and more frequent distractions by externally controlling rod elongation. Despite its appealing advantages, MCGR is not without limitations.
The authors describe a case of premature spinal autofusion before growing rod removal and termination of rod distraction.
This case highlights the limitations of MCGR systems, including length of use, body habitus restrictions, and risk of autofusion.
磁控生长棒(MCGR)系统因其在早发性脊柱侧弯治疗中的应用而受到关注。尽管传统生长棒需要频繁手术来延长固定装置,但MCGR通过外部控制棒的延长,减少了开放手术次数,并能更频繁地进行撑开。尽管具有吸引人的优势,但MCGR并非没有局限性。
作者描述了一例在去除生长棒和终止棒撑开之前出现脊柱过早自体融合的病例。
该病例凸显了MCGR系统的局限性,包括使用时间、身体体型限制和自体融合风险。