![AdobeStock_352149697.jpeg](https://static.wixstatic.com/media/8f2f36_6d5182ba415f4f0aae30dbd2c5d33b2e~mv2.jpeg/v1/crop/x_2639,y_1556,w_980,h_1107,q_85,blur_2,enc_auto/8f2f36_6d5182ba415f4f0aae30dbd2c5d33b2e~mv2.jpeg)
Combining Bilateral Magnetically Controlled Implants Inserted Parallel to the Spine With Rib to Pelvis Fixation: Surgical Technique and Early Results
Review
-
Structural and chiropractic
Clin Spine Surg.2018 Jul;31(6):239-246.
Authors:
A K Hell, K Groenefeld, K Tsaknakis, L Braunschweig, H M Lorenz
Abstract.
Spine-based fixation of magnetically controlled lengthening devices has been successfully performed for children with early-onset scoliosis. However, spinal manipulation may lead to ossifications, stiffness, and autofusion as previously described. To avoid these problems, a surgical technique combining bilateral externally controlled magnetic device implantation with a rib cradle and pelvic hook fixation was introduced by us in 2011. By using a bilateral single-rib or double-rib cradle fixation and a pelvic hook, the magnetic device is percutaneously inserted. The spine corrects indirectly without further manipulation. In small rib diameter or severe osteoporosis, double-rib cradles are used. Our introduced technique enables modification of the rib vertebral angle, which may be beneficial in children with spinal muscular atrophy and rib-cage deformity. This nonrandomized prospective study describes 18 children with neuromuscular scoliosis treated first by this method. All patients followed the same protocol, with expansion procedures being performed 5 months after surgery and every 3 months thereafter. Clinical, radiologic, and complication data were analyzed, showing a significant reduction in scoliosis and pelvic obliquity and an increase in spinal length, which could be maintained over a follow-up period of 1.2 years. The overall complication rate was lower than previously described, with 8%, 2 of them requiring surgery.
Publication Date:
2018 Jul
OEID:
5836
Hell, KA., Groenefeld, K., Tsaknakis, K., Braunschweig, L., Lorenz, MH. (2018) 'Combining Bilateral Magnetically Controlled Implants Inserted Parallel to the Spine With Rib to Pelvis Fixation: Surgical Technique and Early Results', Clin Spine Surg.2018 Jul;31(6):239-246.
Sponsored by
![logo-footer-k.png](https://static.wixstatic.com/media/b07ece_5a8c25311bad4d38b34282482381c912~mv2.png/v1/fill/w_93,h_67,al_c,q_85,usm_0.66_1.00_0.01,blur_3,enc_auto/logo-footer-k.png)
Search Explore About Join Web Policy Contact Us
​
Copyright © 2023 OsteoEvidence. All Rights Reserved.