Traditional growing rod for early-onset scoliosis in high-al
Children with early-onset scoliosis living in high-altitude areas have severe deformities and poor nutritional status. Researchers analyzed the outcomes of traditional growing rods (TGR) treatment in such patients and the effect of altitude on therapy.

59 consecutive patients with EOS underwent systematic surgical correction using traditional growing rods. They were divided into the high-altitude and low-altitude groups, and differences in surgical efficacy and complications between the groups were analyzed pre- and postoperatively. Radiographic measurements were assessed preoperatively, postoperatively, and at the last follow-up.

Results:
--The mean patient age at the initial surgery and mean follow-up duration were 8.9 ± 2.4 years and 51.91 ± 25.23 months, respectively.

--Altogether, 234 operations were conducted for all patients with an average interval between operations of 11.4 ± 3.0 months.

--The average Cobb angle was similar in both groups preoperatively and at the last follow-up, it was significantly different postoperatively.

--TK was significantly different in all three periods. T1–S1 and T1–T12 heights were significantly different only during the preoperative period.

--The overall rates of complications and implant-related complications did not differ significantly between the groups.

Finally, deformity was more severe in patients with EOS who lived in high-altitude areas, and TGR treatment provided a satisfactory therapeutic result.

Source: https://josr-online.biomedcentral.com/articles/10.1186/s13018-021-02639-4
Like
Comment
Share