Àá½Ã¸¸ ±â´Ù·Á ÁÖ¼¼¿ä. ·ÎµùÁßÀÔ´Ï´Ù.
KMID : 1145220230200031061
Neurospine
2023 Volume.20 No. 3 p.1061 ~ p.1072
Traditional Dual Growing Rods With 2 Different Apical Control Techniques in the Treatment of Early-Onset Scoliosis
Shengru Wang

Yiwei Zhao
Guanfeng Lin
You Du
Yang Yang
Jianguo Zhang
Abstract
Objective : Based on traditional dual growing rods (TDGR), apical control techniques (ACTs) were introduced as adjuvant procedures to improve deformity correction at the apex segment in the treatment of early-onset scoliosis (EOS). We aimed to explore whether TDGR+ ACTs have different indications, attain more deformity correction, have negative effects on spinal growth, and have different complications.

Methods : Between 2004 and 2019, a retrospective study of EOS patients treated with TDGR with or without ACTs was conducted and divided into 3 groups: TDGR group; hybrid technique (HT) group: Vertebrectomy/hemivertebrectomy with short fusion and TDGR; ACPS group: apical convex control pedicle screws (ACPS) and TDGR. Demographic, radiographic parameters, clinical outcomes, complications, and revisions were analyzed and compared.

Results : Seventy-eight EOS patients were enrolled. The preoperative main curve was the largest in the HT group. ACPS group had the smallest residual curve (19¡Æ ¡¾ 8.9¡Æ) and apical vertebral translation (12.0 ¡¾ 9.0 mm) at the latest follow-up, followed by the HT group (30¡Æ ¡¾ 17.4¡Æ, 22.1 ¡¾ 13.4 mm) and TDGR group (30¡Æ ¡¾ 13.2¡Æ, 32.8 ¡¾ 17.1 mm). ACPS group had the largest T1?12 height and T1?S1 height after index surgery. Complications and revisions in the ACTs groups was lower than the TDGR group. Scoliosis Research Society-22 self-image questionnaire was superior in the ACPS group.

Conclusion : According to our intermediate results, TDGR+ACTs could improve correction ability of apex deformity. ACTs had little deleterious effects on spinal height during the lengthening procedures, with a lower complication rate than TDGR. TDGR+ACTs might be a supplemental option for suitable EOS patients.
KEYWORD
Apical convex control pedicle screws, Apical control technique, Complications, Hybrid technique, Spine growth, Traditional dual growing rods
FullTexts / Linksout information
Listed journal information