title: Magnetically controlled growing rods for scoliosis surgery.
abstract: Early onset scoliosis can be both a disfiguring as well as a life threatening condition. When more conservative treatments fail, pediatric spinal surgeons are forced to consider operative interventions. Traditionally, these interventions have involved the insertion of a variety of implants into the patient with a limited number of anchor points controlling the spine. In the past, these pediatric patients have had multiple surgeries for elective lengthening of these devices to facilitate their growth while attempting to control the scoliosis. These patients often experience a physical and emotional toll from their multiple repeated surgeries. Growing spine techniques have also had a noted high complication rate due to implant dislodgement and infections. Recently, the development of non-invasively, self-lengthening growing rods has occurred. These devices have the potential to allow for the devices to be lengthened magnetically in a conscious patient in the surgeon's office. Areas covered: This review summarized previously published articles in the English literature using a key word search in PubMed for: 'magnetically controlled growing rods', 'Magec rods', 'magnetic growing rods' and 'growing rods'. Expert commentary: Magnetically controlled growing rods have an advantage over growing rods in lengthening the growing spine in the absence of repetitive surgeries.
authors.affiliation: a Orthopedic Spine Surgeon , Spine Center at BIDMC , Boston , MA , USA.
authors.forename: Umesh
authors.initials: U
authors.lastname: Metkar
authors.affiliation: b Department of Orthopedic Surgery , SUNY Upstate Medical University , Syracuse , NY , USA.
authors.forename: Swamy
authors.initials: S
authors.lastname: Kurra
authors.affiliation: c SUNY Upstate Medical University , Syracuse , NY , USA.
authors.forename: David
authors.initials: D
authors.lastname: Quinzi
authors.affiliation: d Pediatric Spine Surgeon, Department of Orthopedic Surgery , SUNY Upstate Medical University , Syracuse , NY , USA.
authors.forename: Stephen
authors.initials: S
authors.lastname: Albanese
authors.affiliation: e Adult & Pediatric Spine Surgeon, Department of Orthopedic Surgery , SUNY Upstate Medical University , Syracuse , NY , USA.
authors.forename: William F
authors.initials: WF
authors.lastname: Lavelle
mesh_terms: D003365:Costs and Cost Analysis; D006801:Humans; D016268:Internal Fixators / Q000191:economics; D060328:Magnetic Phenomena; D008279:Magnetic Resonance Imaging; D000069079:Radiation Exposure; D012600:Scoliosis / Q000191:economics / Q000601:surgery*
keywords: Juvenile scoliosis; early onset scoliosis (EOS); growing rods; magnetic growing rods (Magec); magnetically controlled growing rods