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用于治疗早发性脊柱侧弯的磁控生长棒置入术后的脊柱过早融合：病例报告

Premature spinal fusion after insertion of magnetically controlled growing rods for treatment of early-onset scoliosis: illustrative case.

作者信息

Green Anna H, Brzezinski Andrzej, Ishmael Terrence, Adolfsen Stephen, Bowe J Andrew

机构信息

Department of Orthopedic Surgery, Robert Wood Johnson University Hospital, New Brunswick, New Jersey.

出版信息

J Neurosurg Case Lessons. 2021 Oct 25;2(17):CASE21446. doi: 10.3171/CASE21446.

DOI:10.3171/CASE21446
PMID:36060899
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9435560/
Abstract

BACKGROUND

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.

OBSERVATIONS

The authors describe a case of premature spinal autofusion before growing rod removal and termination of rod distraction.

LESSONS

This case highlights the limitations of MCGR systems, including length of use, body habitus restrictions, and risk of autofusion.

摘要

背景

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。

观察结果

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。

经验教训

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a777/9435560/a6bad72d5933/CASE21446f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a777/9435560/82a16d944663/CASE21446f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a777/9435560/cbd7c8f7c8f0/CASE21446f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a777/9435560/3293bfe7794f/CASE21446f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a777/9435560/a6bad72d5933/CASE21446f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a777/9435560/82a16d944663/CASE21446f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a777/9435560/cbd7c8f7c8f0/CASE21446f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a777/9435560/3293bfe7794f/CASE21446f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a777/9435560/a6bad72d5933/CASE21446f4.jpg

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本文引用的文献

1
"Law of Temporary Diminishing Distraction Gains": The Phenomenon of Temporary Diminished Distraction Lengths With Magnetically Controlled Growing Rods That Is Reverted With Rod Exchange.“临时牵引增益递减定律”：磁控生长棒导致临时牵引长度递减的现象，换棒后该现象可逆转 。
Global Spine J. 2022 Mar;12(2):221-228. doi: 10.1177/2192568220948475. Epub 2020 Aug 17.
2
Device-Related Complications Associated with Magec Rod Usage for Distraction-Based Correction of Scoliosis.与用于基于撑开的脊柱侧弯矫正的Magec棒使用相关的器械相关并发症。
Spine Surg Relat Res. 2019 Oct 20;4(2):148-151. doi: 10.22603/ssrr.2019-0041. eCollection 2020.
3
Autofusion in growing rod surgery for early onset scoliosis; what do we know so far?
生长棒手术治疗早发性脊柱侧弯中的自体融合；我们目前了解多少？
SICOT J. 2024;10:15. doi: 10.1051/sicotj/2024011. Epub 2024 Apr 30.
4
Breaking the "law of diminishing returns" with novel, staged, unilateral magnetically controlled growing rods to guided growth surgery for severe, progressive infantile scoliosis.采用新型、分期、单侧磁力可控生长棒进行引导性生长手术治疗严重进行性婴儿脊柱侧凸，突破“收益递减规律”。
Spine Deform. 2024 Sep;12(5):1467-1475. doi: 10.1007/s43390-024-00870-7. Epub 2024 Apr 16.
5
Autofusion With Magnetically Controlled Growing Rods: A Case Report.磁控生长棒自体融合：一例报告
Cureus. 2023 Mar 24;15(3):e36638. doi: 10.7759/cureus.36638. eCollection 2023 Mar.
6
Less-Invasive Approach to Early-Onset Scoliosis-Surgical Technique for Magnetically Controlled Growing Rod (MCGR) Based on Treatment of 2-Year-Old Child with Severe Scoliosis.早发性脊柱侧弯的微创治疗方法——基于对一名2岁重度脊柱侧弯患儿的治疗的磁控生长棒（MCGR）手术技术
Children (Basel). 2023 Mar 15;10(3):555. doi: 10.3390/children10030555.
Magnetic Controlled Growth Rods in the Treatment of Scoliosis: Safety, Efficacy and Patient Selection.
磁控生长棒治疗脊柱侧弯：安全性、有效性及患者选择
Med Devices (Auckl). 2020 Mar 17;13:75-85. doi: 10.2147/MDER.S198176. eCollection 2020.
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Spine Deform. 2017 Nov;5(6):453. doi: 10.1016/j.jspd.2017.09.030.
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Force Testing of Explanted Magnetically Controlled Growing Rods.取出的磁控生长棒的力测试。
Spine (Phila Pa 1976). 2019 Feb 15;44(4):233-239. doi: 10.1097/BRS.0000000000002806.
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Systematic review of the complications associated with magnetically controlled growing rods for the treatment of early onset scoliosis.早期发病脊柱侧凸磁控生长棒治疗相关并发症的系统评价。
Eur Spine J. 2018 Sep;27(9):2062-2071. doi: 10.1007/s00586-018-5590-4. Epub 2018 Apr 19.
7
Observed Length Increases of Magnetically Controlled Growing Rods are Lower Than Programmed.观察到的磁控生长棒长度增加低于设定值。
J Pediatr Orthop. 2018 Mar;38(3):e133-e137. doi: 10.1097/BPO.0000000000001119.
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Health-Related Quality of Life in Early-Onset Scoliosis Patients Treated Surgically: EOSQ Scores in Traditional Growing Rod Versus Magnetically Controlled Growing Rods.早发性脊柱侧凸患者手术治疗的健康相关生活质量：传统生长棒与磁控生长棒的 EOSQ 评分。
Spine (Phila Pa 1976). 2018 Jan 15;43(2):148-153. doi: 10.1097/BRS.0000000000002274.
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Analysis of Explanted Magnetically Controlled Growing Rods From Seven UK Spinal Centers.从英国 7 个脊柱中心取出的磁控生长棒分析
Spine (Phila Pa 1976). 2018 Jan 1;43(1):E16-E22. doi: 10.1097/BRS.0000000000002221.
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Metallosis following implantation of magnetically controlled growing rods in the treatment of scoliosis: a case series.磁控生长棒植入治疗脊柱侧弯后的金属沉着症：病例系列
Bone Joint J. 2016 Dec;98-B(12):1662-1667. doi: 10.1302/0301-620X.98B12.38061.