Rib-Based Anchors for Growing Rods in the Treatment of Early-Onset Scoliosis

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• 作者：Daniel J. Miller ; MD ; Michael G. Vitale ; MD ; MPH ; ^{mgv1@cumc.columbia.edu}
• 关键词：early-onset scoliosis ; growing rods ; rib anchors ; growth sparing spinal instrumentation ; scoliosis
• 刊名：Operative Techniques in Orthopaedics
• 出版年：2016
• 出版时间：December 2016
• 年：2016
• 卷：26
• 期：4
• 页码：241-246
• 全文大小：1650 K
• 卷排序：26

文摘

The treatment of early-onset scoliosis (EOS) has evolved substantially over the years. Traditional growing-rod constructs rely on spine-based fixation for proximal and distal anchor sites. Hybrid growing-rod constructs pair rib-based proximal anchors with spinal or pelvic anchors distally. Both traditional and hybrid growing-rod constructs can control spinal deformity in young patients with early-onset scoliosis while preserving spinal and thoracic growth. Proximal rib fixation has many theoretical and practical advantages over spine-based proximal anchors. This article discusses the indications, technique, and outcomes of proximal rib fixation in hybrid growing-rod constructs for early-onset scoliosis.