Severe Kyphoscoliosis with Inguinal Swelling excision underUSG guided TAP Block
The Use of MAGEC Growing Rods as a temporary distraction rod in Severe Kyphoscoliosis: A Case...
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Transcript of The Use of MAGEC Growing Rods as a temporary distraction rod in Severe Kyphoscoliosis: A Case...
![Page 1: The Use of MAGEC Growing Rods as a temporary distraction rod in Severe Kyphoscoliosis: A Case Report. John T. Smith, MD Mary Scowcroft Perry Presidential.](https://reader037.fdocuments.net/reader037/viewer/2022110220/5a4d1ad97f8b9ab05997415d/html5/thumbnails/1.jpg)
The Use of MAGEC Growing Rods as a temporary distraction rod in Severe Kyphoscoliosis: A Case Report.
John T. Smith, MDMary Scowcroft Perry Presidential Endowed Chair of OrthopaedicsProfessorUniversity of Utah Department of OrthopaedicsChief, Scoliosis ServicePrimary Children’s HospitalSalt Lake City, UT
Jessica MorganUniversity of Utah Department of OrthopaedicsPrimary Children’s Hospital
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Disclosures
JT Smith: Consultant: Depuy-Synthes, SpineGuard; Globus; Biomet,; EllipseBOD: CSF
J Morgan: none
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Initial Visit
11 +/- 2 year old female Severe kyphoscoliosis measuring >135° MRI showing no abnormalities of the
spinal cord Adopted from an Ethopian Refugee
Camp
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Initial Visit: clinical appearance
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First radiographs; Kyphoscoliosis >150°
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Management plan Through clinical evaluation for co-
morbidities Placement of halo Progressive halo-gravity traction Pulmonary rehab in halo Planned placement of Magnetically
Coontrolled Growing Rod (MCGR) for continued outpatient expansion for 6 months
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Radiograph after 4 weeks of progressive Halo-Traction
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Initial Placement of MCGR and halo removal
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4 distractions over 6 months
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Post-op definitive fusion after removal of MCGR
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Discussion Gradual correction of severe scoliosis can
be accomplished safely over time using halo-traction
The MCGR can be used as a form of a temporary internal distraction rod in severe deformities
Gradual distraction made defnitive instrumentation and fusion easier and safer than a VCR
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References Sponseller P.D., Takenaga, R.K., Netown, P., et al. (2008).
The use of traction in the treatment of severe spinal deformity. Spine 2008; 33: 2305-9.
Buchowski, J.M., Bhatnagar, R., Skaggs, D.L., Sponseller, P.D., Temporary internal distraction as an aid to correction of severe scoliosis. J Bone Joint Surg Am 2006;88:2035-41.
Cheung, J.P., Samartzis, D., & Cheung, K.M. (January 20, 2014). A novel approach to gradual correction of severe spinal deformity in a pediatric patient using the magnetically-controlled growing rod. The Spine Journal 14 (2014) e7-e13.