The effectiveness of growth-friendly systems in the treatment of early onset scoliosis: a systematic review-Reference-Cited by-同舟云学术

The effectiveness of growth-friendly systems in the treatment of early onset scoliosis: a systematic review

Published:2023-06-28 Issue:2 Volume:20 Page:6-20
ISSN:2313-1497
Container-title:Russian Journal of Spine Surgery (Khirurgiya Pozvonochnika)
language:
Short-container-title:Hir. pozvonoč.

Author:

Molotkov Yu. V.¹^ORCID,Ryabykh S. O.²^ORCID,Filatov E. Yu.³^ORCID,Sergeenko O. M.³^ORCID,Khuzhanazarov I. E.⁴^ORCID,Eshkulov D. I.⁵^ORCID

Affiliation:

1. Russian Ilizarov Scientific Center for Restorative Traumatology and Orthopaedics 6 M. Ulyanovoy str., Kurgan, 640014, Russia

2. Pirogov Russian National Research Medical University; St. Petersburg University’s Pirogov Clinic of High Medical Technologies 2 Taldomskaya str., Moscow, 125412, Russia; 154 Fontanka River Embankment, St. Petersburg, 190103, Russia

3. Russian Ilizarov Scientific Center for Restorative Traumatology and Orthopaedics 6 M. Ulyanovoy str., Kurgan, 640014, Russia

4. Tashkent Medical Academy; Republican Specialized Scientific and Practical Medical Center for Traumatology and Orthopedics 2 Farabi str., Tashkent, 100109, Uzbekistan; 78 Makhtumkuli str., Tashkent, 100047, Uzbekistan

5. Republican Specialized Scientific and Practical Medical Center of Traumatology and Orthopedics 78 Makhtumkuli str., Tashkent, 100047, Uzbekistan

Abstract

Objective. To perform a systematic analysis of the literature evaluating the effectiveness of growth-friendly systems in the treatment of early onset scoliosis.Material and Methods. A subject search was conducted in the Google Scholar database for the terms “growing rods”, “early onset scoliosis”, “treatment”, “surgery” and “growth-friendly” using AND or OR logical operators with a search depth of 10 years. At the first stage, 824 abstracts of publications were selected. The second stage of search was carried out in accordance with the PICOS criteria, 38 abstracts of original studies, case series and reviews of surgical techniques for spinal deformity correction with preservation of growth potential were selected. The evaluation criteria were divided into four groups: general data, correction of the frontal and sagittal components of the deformity, complications and unplanned scenarios.Results. In the analyzed studies, gender equality of distribution was observed, and the average age at the time of the primary operation was 6.6 years for patients with traditional growing rods (TGR) and Schilla/Luque trolley and 4.9 years for patients with Vertical Expandable Prosthetic Titanium Rib (VEPTR). From the point of view of the magnitude of spinal deformity correction, the VEPTR systems demonstrated the minimum result (18 % correction), and the TGR and Schilla results were comparable (42.1 and 53.1 %, respectively), as well as the indicators of the dynamics of body lengthening.Conclusion. The use of VEPTR systems is associated with a high risk of complications and a somewhat lower efficiency of spinal deformity correction, however, VEPTR is indispensable in the treatment of thoracic insufficiency syndrome, as well as severe deformities of the axial skeleton in young children using non-vertebral fixation points. Growth modulation systems (Schilla and Luque trolley) showed deformity correction results similar to those of TGR.

Publisher

Association of Spine Surgeons

Subject

Anesthesiology and Pain Medicine,Orthopedics and Sports Medicine,Surgery

Reference76 articles.

1. Williams BA, Matsumoto H, McCalla DJ, Akbarnia BA, Blakemore LC, Betz RR, Flynn JM, Johnston ChE, McCarthy RE, Roye Jr DP, Skaggs DL, Smith JT, Snyder BD, Sponseller PD, Sturm PF, Thompson GH, Yazici M, Vitale MG. Development and initial validation of the Classification of Early-Onset Scoliosis (C-EOS). J Bone Joint Surg Am. 2014;96:1359–1367. DOI: 10.2106/JBJS.M.00253.

2. The Growing Spine: Management of Spinal Disorders in Young Children. Ed. by Akbarnia BA, Yazici M, Thompson GE. 2nd ed. Springer, 2016.

3. Nikolaev V.F., Baranovskaya I.A., Andrievskaya A.O. Rezul'taty primeneniya funktsional'no-korrigiruyushchego korseta tipa Sheno v kompleksnoi reabilitatsii detei i podrostkov s idiopaticheskim skoliozom // Genii ortopedii. 2019. T. 25, № 3. S. 368–377. [Nikolaev VF, Baranovskaya IA, Andrievskaya AO. Results of using a functional corrective Cheneau type brace in complex rehabilitation of children and teenagers with idiopathic scoliosis. Genij Ortopedii. 2019;25(3):368–377]. DOI: 10.18019/1028-4427-2019-25-3-368-377.

4. Gaume M, Hajj R, Khouri N, Johnson MB, Miladi L. One-way self-expanding rod in neuromuscular scoliosis preliminary results of a prospective series of 21 patients. JB JS Open Access. 2021;6:e21.00089. DOI: 10.2106/JBJS.OA.21.00089.

5. Chen ZX, Kaliya-Perumal AK, Niu CC, Wang JL, Lai PL. In vitro biomechanical validation of a self- adaptive ratchet growing rod construct for fusionless scoliosis correction. Spine. 2019;44:E1231–E1240. DOI: 10.1097/BRS.0000000000003119.