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
Hauptverfasser: Takaso, Masashi, Moriya, Hideshige, Kitahara, Hiroshi, Minami, Shohei, Takahashi, Kazuhisa, Isobe, Keijiro, Yamagata, Masatsune, Otsuka, Yoshinori, Nakata, Yoshinori, Inoue, Masatoshi
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container_end_page 340
container_issue 6
container_start_page 336
container_title Journal of orthopaedic science : official journal of the Japanese Orthopaedic Association
container_volume 3
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. 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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. 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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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identifier ISSN: 0949-2658
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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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