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Use of Halo-Gravity Traction and a Magnetically Controlled Growing Rod for Untreated Severe Kyphoscoliosis in an Adolescent: A Case Report.

A new interesting article has been published in JBJS Case Connect. 2018 Jul-Sep;8(3):e75. doi: 10.2106/JBJS.CC.17.00284. and titled:

Use of Halo-Gravity Traction and a Magnetically Controlled Growing Rod for Untreated Severe Kyphoscoliosis in an Adolescent: A Case Report.

Authors of this article are:
Fedorak GT Smith JT Heflin JA.

A summary of the article is shown below:
CASE: We utilized a novel staged approach for an adolescent with severe kyphoscoliosis; it involved 8 weeks of initial halo-gravity traction as well as implantation and expansion (every 2 weeks) of a magnetically controlled growing rod over 6 months, followed by spinal fusion. The patient was a 13-year-old girl with an untreated idiopathic deformity (thoracic scoliosis with a curve of 145° and kyphosis with a curve of 120°). No osteotomies other than inferior facetectomies were required at the final fusion, and the final scoliosis curve was 57°, a correction of 60.7%.CONCLUSION: The staged approach resulted in a straightforward, safe, gradual correction of severe kyphoscoliosis. We consider this an option for patients with scoliosis with a curve of ≥130° on initial presentation.

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