Graduation Protocol After Growing-Rod Treatment: Removal of Implants without New Instrumentation Is Not a Realistic Approach


Kocyigit I. A. , Olgun Z. D. , DEMİRKIRAN H. G. , AYVAZ M. , YAZICI M.

JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, vol.99, no.18, pp.1554-1564, 2017 (Journal Indexed in SCI) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 99 Issue: 18
  • Publication Date: 2017
  • Doi Number: 10.2106/jbjs.17.00031
  • Title of Journal : JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME
  • Page Numbers: pp.1554-1564

Abstract

Background: The growing rod remains an effective option in the treatment of early-onset scoliosis, and has previously been likened to an internal brace. While details of growing-rod treatment have been largely agreed on, the appropriate end point remains a matter of controversy. A decision was made in 2004, at the beginning of growing-rod treatment at our institution, to remove longitudinal instrumentation when the period of lengthening concluded and, similar to discontinuing a brace, leave the spine free.