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- W1966207614 abstract "Progressive Early-Onset Scoliosis (EOS) is one of the most challenging problems in pediatric orthopaedics. Extensive research efforts are underway to understand different aspects of natural history, diagnostic measures and treatment options. Update on spine-based surgical techniques for treatment of progressive EOS. Review of the literature and experts’ opinions. Our first report of dual growing rod technique in 2005 showed good scoliosis correction at final follow-up and annual T1-S1 growth of 12.1 mm after the initial correction. Since then, dual growing rod technique has been used in EOS in many different etiologies and has shown the efficacy to correct scoliosis and allow for spinal growth. Complication rate has always been a concern, as the patient has to undergo repeated surgeries for lengthening. Using submuscular, dual GR rods vs subcutaneous single GR rod technique will decrease the complication rate. Younger age at initial surgery and abnormal sagittal alignment (especially thoracic hyper- or hypokyphosis) have also shown to be associated with higher complication rate. A new technology, Magnetically Controlled Growing Rod (MGCR), has been shown safe and effective in both pilot animal and human studies. Growth-guided techniques also aim to alleviate the need for surgical lengthening while it directs the spinal growth. Treatment of Early-Onset Scoliosis (EOS) is a long commitment for the patient and the treating surgeon. Different techniques are available, each with unique capabilities and potential drawbacks but all with the goal of correcting the deformity and allowing for growth of spine and lungs and eventually improve the quality of life of these children." @default.
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- W1966207614 date "2012-06-01" @default.
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- W1966207614 title "Update on spine based surgical treatment of early onset scoliosis: what do we know in 2012?" @default.
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- W1966207614 doi "https://doi.org/10.1007/s12240-012-0041-2" @default.
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