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 (SCI-Expanded) identifier identifier identifier


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.