The effectiveness of growth-friendly systems in the treatment of early onset scoliosis: a systematic review
Objective. To perform a systematic analysis of the literature evaluating the effectiveness of growth-friendly systems in the treatment of early onset scoliosis. Material and Methods. A subject search was conducted in the Google Scholar database for the terms “growing rods”, “early onset scoliosis”,...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Ministry of Health of Russian Federation, Federal State Budgetary Institution "Novosibirsk Research Institute of Traumatology and Orthopaedics n.a. Ya.L. Tsivyan"
2023-06-01
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| Series: | Хирургия позвоночника |
| Subjects: | |
| Online Access: | https://www.spinesurgery.ru/jour/article/view/2014/2005 |
| _version_ | 1797768995290480640 |
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| author | Yury V. Molotkov Sergey O. Ryabykh Egor Yu. Filatov Olga M. Sergeenko Ilkhom E. Khuzhanazarov Doston Ilkhomovich Eshkulov |
| author_facet | Yury V. Molotkov Sergey O. Ryabykh Egor Yu. Filatov Olga M. Sergeenko Ilkhom E. Khuzhanazarov Doston Ilkhomovich Eshkulov |
| author_sort | Yury V. Molotkov |
| collection | DOAJ |
| description | Objective. To perform a systematic analysis of the literature evaluating the effectiveness of growth-friendly systems in the treatment of early onset scoliosis.
Material and Methods. A subject search was conducted in the Google Scholar database for the terms “growing rods”, “early onset scoliosis”, “treatment”, “surgery” and “growth-friendly” using AND or OR logical operators with a search depth of 10 years. At the first stage,
824 abstracts of publications were selected. The second stage of search was carried out in accordance with the PICOS criteria, 38 abstracts of original studies, case series and reviews of surgical techniques for spinal deformity correction with preservation of growth potential were selected. The evaluation criteria were divided into four groups: general data, correction of the frontal and sagittal components of the deformity, complications and unplanned scenarios.
Results. In the analyzed studies, gender equality of distribution was observed, and the average age at the time of the primary operation was 6.6 years for patients with traditional growing rods (TGR) and Schilla/Luque trolley and 4.9 years for patients with Vertical Expandable Prosthetic Titanium Rib (VEPTR). From the point of view of the magnitude of spinal deformity correction, the VEPTR systems demonstrated the minimum result (18 % correction), and the TGR and Schilla results were comparable (42.1 and 53.1 %, respectively), as well as the indicators of the dynamics of body lengthening.
Conclusion. The use of VEPTR systems is associated with a high risk of complications and a somewhat lower efficiency of spinal deformity correction, however, VEPTR is indispensable in the treatment of thoracic insufficiency syndrome, as well as severe deformities of the axial skeleton in young children using non-vertebral fixation points. Growth modulation systems (Schilla and Luque trolley) showed deformity correction results similar to those of TGR. |
| first_indexed | 2024-03-12T21:02:25Z |
| format | Article |
| id | doaj.art-d89314ef956b4927b390d2fccf0d6bae |
| institution | Directory Open Access Journal |
| issn | 1810-8997 2313-1497 |
| language | English |
| last_indexed | 2024-03-12T21:02:25Z |
| publishDate | 2023-06-01 |
| publisher | Ministry of Health of Russian Federation, Federal State Budgetary Institution "Novosibirsk Research Institute of Traumatology and Orthopaedics n.a. Ya.L. Tsivyan" |
| record_format | Article |
| series | Хирургия позвоночника |
| spelling | doaj.art-d89314ef956b4927b390d2fccf0d6bae2023-07-31T06:11:38ZengMinistry of Health of Russian Federation, Federal State Budgetary Institution "Novosibirsk Research Institute of Traumatology and Orthopaedics n.a. Ya.L. Tsivyan"Хирургия позвоночника1810-89972313-14972023-06-0120262010.14531/ss2023.2.6-20The effectiveness of growth-friendly systems in the treatment of early onset scoliosis: a systematic reviewYury V. Molotkov0https://orcid.org/0000-0003-3615-2527Sergey O. Ryabykh1https://orcid.org/0000-0002-8293-0521Egor Yu. Filatov2https://orcid.org/0000-0002-3390-807XOlga M. Sergeenko3https://orcid.org/0000-0003-2905-0215Ilkhom E. Khuzhanazarov4https://orcid.org/0000-0002-8362-6716Doston Ilkhomovich Eshkulov5https://orcid.org/0000-0001-7334-1410Russian Ilizarov Scientific Center for Restorative Traumatology and Orthopaedics, Kurgan, RussiaVeltishchev Research and Clinical Institute or Pediatrics and Pediatric Surgery of the Pirogov Russian National Research Medical University, Moscow, Russia; St. Petersburg University’s Pirogov Clinic of High Medical Technologies, St. Petersburg, RussiaRussian Ilizarov Scientific Center for Restorative Traumatology and Orthopaedics, Kurgan, RussiaRussian Ilizarov Scientific Center for Restorative Traumatology and Orthopaedics, Kurgan, RussiaTashkent Medical Academy, Tashkent, Uzbekistan; Republican Specialized Scientific and Practical Medical Center for Traumatology and Orthopedics, Tashkent, UzbekistanRepublican Specialized Scientific and Practical Medical Center of Traumatology and Orthopedics, Tashkent, UzbekistanObjective. To perform a systematic analysis of the literature evaluating the effectiveness of growth-friendly systems in the treatment of early onset scoliosis. Material and Methods. A subject search was conducted in the Google Scholar database for the terms “growing rods”, “early onset scoliosis”, “treatment”, “surgery” and “growth-friendly” using AND or OR logical operators with a search depth of 10 years. At the first stage, 824 abstracts of publications were selected. The second stage of search was carried out in accordance with the PICOS criteria, 38 abstracts of original studies, case series and reviews of surgical techniques for spinal deformity correction with preservation of growth potential were selected. The evaluation criteria were divided into four groups: general data, correction of the frontal and sagittal components of the deformity, complications and unplanned scenarios. Results. In the analyzed studies, gender equality of distribution was observed, and the average age at the time of the primary operation was 6.6 years for patients with traditional growing rods (TGR) and Schilla/Luque trolley and 4.9 years for patients with Vertical Expandable Prosthetic Titanium Rib (VEPTR). From the point of view of the magnitude of spinal deformity correction, the VEPTR systems demonstrated the minimum result (18 % correction), and the TGR and Schilla results were comparable (42.1 and 53.1 %, respectively), as well as the indicators of the dynamics of body lengthening. Conclusion. The use of VEPTR systems is associated with a high risk of complications and a somewhat lower efficiency of spinal deformity correction, however, VEPTR is indispensable in the treatment of thoracic insufficiency syndrome, as well as severe deformities of the axial skeleton in young children using non-vertebral fixation points. Growth modulation systems (Schilla and Luque trolley) showed deformity correction results similar to those of TGR.https://www.spinesurgery.ru/jour/article/view/2014/2005early-onset scoliosisgrowth-friendly systemscomplicationsefficiency |
| spellingShingle | Yury V. Molotkov Sergey O. Ryabykh Egor Yu. Filatov Olga M. Sergeenko Ilkhom E. Khuzhanazarov Doston Ilkhomovich Eshkulov The effectiveness of growth-friendly systems in the treatment of early onset scoliosis: a systematic review Хирургия позвоночника early-onset scoliosis growth-friendly systems complications efficiency |
| title | The effectiveness of growth-friendly systems in the treatment of early onset scoliosis: a systematic review |
| title_full | The effectiveness of growth-friendly systems in the treatment of early onset scoliosis: a systematic review |
| title_fullStr | The effectiveness of growth-friendly systems in the treatment of early onset scoliosis: a systematic review |
| title_full_unstemmed | The effectiveness of growth-friendly systems in the treatment of early onset scoliosis: a systematic review |
| title_short | The effectiveness of growth-friendly systems in the treatment of early onset scoliosis: a systematic review |
| title_sort | effectiveness of growth friendly systems in the treatment of early onset scoliosis a systematic review |
| topic | early-onset scoliosis growth-friendly systems complications efficiency |
| url | https://www.spinesurgery.ru/jour/article/view/2014/2005 |
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