New remote-controlled growing-rod spinal instrumentation possibly applicable for scoliosis in young children
Progressive scoliosis in young children has been treated with "spinal instrumentation without fusion" to avoid interference with spinal growth. Patients have to undergo a series of operations to have instruments exchanged for maintaining the correction. We have developed a newly designed r...
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Veröffentlicht in: | Journal of orthopaedic science : official journal of the Japanese Orthopaedic Association 1998, Vol.3 (6), p.336-340 |
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creator | Takaso, Masashi Moriya, Hideshige Kitahara, Hiroshi Minami, Shohei Takahashi, Kazuhisa Isobe, Keijiro Yamagata, Masatsune Otsuka, Yoshinori Nakata, Yoshinori Inoue, Masatoshi |
description | Progressive scoliosis in young children has been treated with "spinal instrumentation without fusion" to avoid interference with spinal growth. Patients have to undergo a series of operations to have instruments exchanged for maintaining the correction. We have developed a newly designed remote-controlled growing-rod spinal instrumentation system proposed for the treatment of progressive scoliosis in young children. It can be used to stretch and correct the spinal deformities repeatedly and non-surgically, by means of a remote controller, after the first instrumentation operation. The purpose of this study is to describe the possible clinical application of this system for the treatment of progressive scoliosis in young children. To this end, we used the system in five beagle dogs with induced scoliotic deformities. The maximum distraction force of the instrument was 194N. Correction of 1cm was performed non-surgically in awake animals 3 weeks after the instrumentation operation, and then correction of 1cm was carried out again 6, 9, and 12 weeks after the operation. The average initial Cobb's angle of the induced scoliotic deformities was 25°; this was corrected to 20°, 15°, 8°, and 3°, after the distractions at 3, 6, 9, and 12 weeks, respectively, postoperatively. All corrections were performed non-surgically without apparent complications. By repetitive distractions with the use of our new system, we may be able to reduce the number of operations required in young scoliotic children. |
doi_str_mv | 10.1007/s007760050062 |
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Patients have to undergo a series of operations to have instruments exchanged for maintaining the correction. We have developed a newly designed remote-controlled growing-rod spinal instrumentation system proposed for the treatment of progressive scoliosis in young children. It can be used to stretch and correct the spinal deformities repeatedly and non-surgically, by means of a remote controller, after the first instrumentation operation. The purpose of this study is to describe the possible clinical application of this system for the treatment of progressive scoliosis in young children. To this end, we used the system in five beagle dogs with induced scoliotic deformities. The maximum distraction force of the instrument was 194N. Correction of 1cm was performed non-surgically in awake animals 3 weeks after the instrumentation operation, and then correction of 1cm was carried out again 6, 9, and 12 weeks after the operation. The average initial Cobb's angle of the induced scoliotic deformities was 25°; this was corrected to 20°, 15°, 8°, and 3°, after the distractions at 3, 6, 9, and 12 weeks, respectively, postoperatively. All corrections were performed non-surgically without apparent complications. By repetitive distractions with the use of our new system, we may be able to reduce the number of operations required in young scoliotic children.</description><identifier>ISSN: 0949-2658</identifier><identifier>EISSN: 1436-2023</identifier><identifier>DOI: 10.1007/s007760050062</identifier><identifier>PMID: 9811986</identifier><language>eng</language><publisher>Tokyo: Elsevier B.V</publisher><subject>Animals ; Biological and medical sciences ; Child ; Child, Preschool ; Children & youth ; Disease Models, Animal ; Dogs ; Equipment Design ; Equipment Safety ; growing-rod spinal instrumentation ; Humans ; Medical sciences ; Prostheses and Implants ; Scoliosis ; Scoliosis - physiopathology ; Scoliosis - surgery ; scoliosis in young children ; Spinal Fusion - instrumentation ; Spinal Fusion - methods ; spinal growth ; spinal instrumentation without fusion ; Spine ; Spine - growth & development ; Spine - physiology ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Technology. Biomaterials. Equipments ; Treatment Outcome</subject><ispartof>Journal of orthopaedic science : official journal of the Japanese Orthopaedic Association, 1998, Vol.3 (6), p.336-340</ispartof><rights>1998 The Japanese Orthopaedic Association</rights><rights>1999 INIST-CNRS</rights><rights>The Japanese Orthopaedic Association 1998</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c336t-8457543b2affca0bce0c90e4b10ddd16ab926b193df519fda0acb0760b47990d3</citedby><cites>FETCH-LOGICAL-c336t-8457543b2affca0bce0c90e4b10ddd16ab926b193df519fda0acb0760b47990d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,4022,27922,27923,27924</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1812912$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9811986$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Takaso, Masashi</creatorcontrib><creatorcontrib>Moriya, Hideshige</creatorcontrib><creatorcontrib>Kitahara, Hiroshi</creatorcontrib><creatorcontrib>Minami, Shohei</creatorcontrib><creatorcontrib>Takahashi, Kazuhisa</creatorcontrib><creatorcontrib>Isobe, Keijiro</creatorcontrib><creatorcontrib>Yamagata, Masatsune</creatorcontrib><creatorcontrib>Otsuka, Yoshinori</creatorcontrib><creatorcontrib>Nakata, Yoshinori</creatorcontrib><creatorcontrib>Inoue, Masatoshi</creatorcontrib><title>New remote-controlled growing-rod spinal instrumentation possibly applicable for scoliosis in young children</title><title>Journal of orthopaedic science : official journal of the Japanese Orthopaedic Association</title><addtitle>J Orthop Sci</addtitle><description>Progressive scoliosis in young children has been treated with "spinal instrumentation without fusion" to avoid interference with spinal growth. Patients have to undergo a series of operations to have instruments exchanged for maintaining the correction. We have developed a newly designed remote-controlled growing-rod spinal instrumentation system proposed for the treatment of progressive scoliosis in young children. It can be used to stretch and correct the spinal deformities repeatedly and non-surgically, by means of a remote controller, after the first instrumentation operation. The purpose of this study is to describe the possible clinical application of this system for the treatment of progressive scoliosis in young children. To this end, we used the system in five beagle dogs with induced scoliotic deformities. The maximum distraction force of the instrument was 194N. Correction of 1cm was performed non-surgically in awake animals 3 weeks after the instrumentation operation, and then correction of 1cm was carried out again 6, 9, and 12 weeks after the operation. The average initial Cobb's angle of the induced scoliotic deformities was 25°; this was corrected to 20°, 15°, 8°, and 3°, after the distractions at 3, 6, 9, and 12 weeks, respectively, postoperatively. All corrections were performed non-surgically without apparent complications. By repetitive distractions with the use of our new system, we may be able to reduce the number of operations required in young scoliotic children.</description><subject>Animals</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Children & youth</subject><subject>Disease Models, Animal</subject><subject>Dogs</subject><subject>Equipment Design</subject><subject>Equipment Safety</subject><subject>growing-rod spinal instrumentation</subject><subject>Humans</subject><subject>Medical sciences</subject><subject>Prostheses and Implants</subject><subject>Scoliosis</subject><subject>Scoliosis - physiopathology</subject><subject>Scoliosis - surgery</subject><subject>scoliosis in young children</subject><subject>Spinal Fusion - instrumentation</subject><subject>Spinal Fusion - methods</subject><subject>spinal growth</subject><subject>spinal instrumentation without fusion</subject><subject>Spine</subject><subject>Spine - growth & development</subject><subject>Spine - physiology</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Technology. Biomaterials. Equipments</subject><subject>Treatment Outcome</subject><issn>0949-2658</issn><issn>1436-2023</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1998</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kcuLFDEQh4Mo6-zq0aMQRPbWWul3jrL4gkUveg55VI9Z0kmb6t5l_nszzKAoeKkc6stH1a8YeyHgjQAY3lIpQw_QAfT1I7YTbdNXNdTNY7YD2cqq7rvxKbskugMQQye7C3YhRyHk2O9Y-IIPPOOcVqxsimtOIaDj-5wefNxXOTlOi486cB9pzduMcdWrT5EvicibcOB6WYK32gTkU8qcbAo-kafygx_SFvfc_vDBZYzP2JNJB8Ln5_eKff_w_tvNp-r268fPN-9uK9s0_VqNbTd0bWNqPU1Wg7EIVgK2RoBzTvTayLo3QjZu6oScnAZtDZQMTDtICa65Ytcn75LTzw1pVbMniyHoiGkjNQC0dSebAr76B7xLWy7bkhrHo6wexgJVJ8jmsnLGSS3ZzzoflAB1PIH66wSFf3mWbmZG95s-Z176r899TVaHKetoPf2RjqKW4qgZThiWpO49ZkXWY7TofEa7Kpf8fwb4BacLodw</recordid><startdate>1998</startdate><enddate>1998</enddate><creator>Takaso, Masashi</creator><creator>Moriya, Hideshige</creator><creator>Kitahara, Hiroshi</creator><creator>Minami, Shohei</creator><creator>Takahashi, Kazuhisa</creator><creator>Isobe, Keijiro</creator><creator>Yamagata, Masatsune</creator><creator>Otsuka, Yoshinori</creator><creator>Nakata, Yoshinori</creator><creator>Inoue, Masatoshi</creator><general>Elsevier B.V</general><general>Springer</general><general>Japanese Orthopaedic Association</general><general>Springer Nature B.V</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>1998</creationdate><title>New remote-controlled growing-rod spinal instrumentation possibly applicable for scoliosis in young children</title><author>Takaso, Masashi ; Moriya, Hideshige ; Kitahara, Hiroshi ; Minami, Shohei ; Takahashi, Kazuhisa ; Isobe, Keijiro ; Yamagata, Masatsune ; Otsuka, Yoshinori ; Nakata, Yoshinori ; Inoue, Masatoshi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c336t-8457543b2affca0bce0c90e4b10ddd16ab926b193df519fda0acb0760b47990d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1998</creationdate><topic>Animals</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Children & youth</topic><topic>Disease Models, Animal</topic><topic>Dogs</topic><topic>Equipment Design</topic><topic>Equipment Safety</topic><topic>growing-rod spinal instrumentation</topic><topic>Humans</topic><topic>Medical sciences</topic><topic>Prostheses and Implants</topic><topic>Scoliosis</topic><topic>Scoliosis - physiopathology</topic><topic>Scoliosis - surgery</topic><topic>scoliosis in young children</topic><topic>Spinal Fusion - instrumentation</topic><topic>Spinal Fusion - methods</topic><topic>spinal growth</topic><topic>spinal instrumentation without fusion</topic><topic>Spine</topic><topic>Spine - growth & development</topic><topic>Spine - physiology</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Technology. Biomaterials. 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Patients have to undergo a series of operations to have instruments exchanged for maintaining the correction. We have developed a newly designed remote-controlled growing-rod spinal instrumentation system proposed for the treatment of progressive scoliosis in young children. It can be used to stretch and correct the spinal deformities repeatedly and non-surgically, by means of a remote controller, after the first instrumentation operation. The purpose of this study is to describe the possible clinical application of this system for the treatment of progressive scoliosis in young children. To this end, we used the system in five beagle dogs with induced scoliotic deformities. The maximum distraction force of the instrument was 194N. Correction of 1cm was performed non-surgically in awake animals 3 weeks after the instrumentation operation, and then correction of 1cm was carried out again 6, 9, and 12 weeks after the operation. The average initial Cobb's angle of the induced scoliotic deformities was 25°; this was corrected to 20°, 15°, 8°, and 3°, after the distractions at 3, 6, 9, and 12 weeks, respectively, postoperatively. All corrections were performed non-surgically without apparent complications. By repetitive distractions with the use of our new system, we may be able to reduce the number of operations required in young scoliotic children.</abstract><cop>Tokyo</cop><pub>Elsevier B.V</pub><pmid>9811986</pmid><doi>10.1007/s007760050062</doi><tpages>5</tpages></addata></record> |
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subjects | Animals Biological and medical sciences Child Child, Preschool Children & youth Disease Models, Animal Dogs Equipment Design Equipment Safety growing-rod spinal instrumentation Humans Medical sciences Prostheses and Implants Scoliosis Scoliosis - physiopathology Scoliosis - surgery scoliosis in young children Spinal Fusion - instrumentation Spinal Fusion - methods spinal growth spinal instrumentation without fusion Spine Spine - growth & development Spine - physiology Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Technology. Biomaterials. Equipments Treatment Outcome |
title | New remote-controlled growing-rod spinal instrumentation possibly applicable for scoliosis in young children |
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