Complications and Health-Related Quality of Life in Children with Various Etiologies of Early-Onset Scoliosis Treated with Magnetically Controlled Growing Rods—A Multicenter Study-Reference-Cited by-同舟云学术

Complications and Health-Related Quality of Life in Children with Various Etiologies of Early-Onset Scoliosis Treated with Magnetically Controlled Growing Rods—A Multicenter Study

Published:2024-07-11 Issue:14 Volume:13 Page:4068
ISSN:2077-0383
Container-title:Journal of Clinical Medicine
language:en
Short-container-title:JCM

Author:

Glowka Pawel¹,Grabala Pawel²³^ORCID,Gupta Munish C.⁴^ORCID,Pereira Daniel E.⁴^ORCID,Latalski Michal⁵^ORCID,Danielewicz Anna⁵^ORCID,Grabala Michal⁶,Tomaszewski Marek¹,Kotwicki Tomasz¹

Affiliation:

1. Department of Spine Disorders and Pediatric Orthopaedics, Poznań University of Medical Sciences, 28 Czerwca 1956 r. Street, no. 135/147, 61-545 Poznań, Poland

2. Department of Pediatric Orthopedic Surgery and Traumatology, University Children’s Hospital, Waszyngtona 17, 15-274 Bialystok, Poland

3. Paley European Institute, Al. Rzeczypospolitej 1, 02-972 Warsaw, Poland

4. Department of Orthopaedic Surgery, Washington University in St. Louis, 660 S Euclid Ave., St. Louis, MO 63110, USA

5. Paediatric Orthopaedic Department, Medical University of Lublin, Gebali 6, 20-093 Lublin, Poland

6. 2nd Clinical Department of General and Gastroenterogical Surgery, The Medical University of Bialystok Clinical Hospital, Medical University of Bialystok, M. Skłodowskiej-Curie 24a, 15-276 Bialystok, Poland

Abstract

Background: Early-onset scoliosis (EOS) refers to spinal deformities that develop and are diagnosed before the age of 10. The most important goals of the surgical treatment of EOS are to stop the progression of curvature, achieve the best possible correction, preserve motion, and facilitate spinal growth. The objectives of this multicenter study were to analyze the risk of complications among patients with EOS treated using magnetically controlled growing rods (MCGRs) and assess the patients’ and their parents’ quality of life after diagnosis and treatment with a minimum two-year follow-up. Methods: Patients given an ineffective nonoperative treatment qualified for surgery with MCGRs. This study involved 161 patients (90 females and 71 males) who were classified according to the etiology of curvature. The intraoperative and postoperative complications and those that occurred during the continuation of treatment with MCGRs were recorded and analyzed. The 24-item Early-Onset Scoliosis Questionnaire (EOSQ-24) was used to evaluate the patients’ quality of life and satisfaction with the treatment. Results: Implant-related complications requiring instrumentation revision were recorded in 26% of the patients. Medical complications occurred in 45% of the population. The EOSQ-24 revealed a significant improvement in the average scores during the follow-up. Conclusions: The treatment of early-onset scoliosis with MCGRs carries 66% risks of incurring medical and mechanical complications, the latter 26% of patients requiring revision procedures. Children with neuromuscular scoliosis, females, and with curvature greater than 90 degrees are at a higher risk of developing complications. Limiting the number of elective surgeries necessitated to prolong the instrumentation and treatment process for patients with MCGRs can greatly enhance their quality of life and satisfaction throughout the follow-up period.

Publisher

MDPI AG

Link

https://www.mdpi.com/2077-0383/13/14/4068/pdf

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