Document Detail


In vivo distraction force and length measurements of growing rods: which factors influence the ability to lengthen?
MedLine Citation:
PMID:  21494191     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
STUDY DESIGN: Prospective, intraoperative force measurement in consecutive lengthening procedures in a series of growing-rod patients undergoing lengthening.
OBJECTIVE: The purpose of this study was to measure the forces and amount of distraction over time in early onset scoliosis patients treated with growing rods.
SUMMARY OF BACKGROUND DATA: Growing rods are one of the current techniques used in the treatment of early onset scoliosis, and the goal of the growing-rod technique is to achieve deformity correction, maintaining spinal growth at the same time. Gradual stiffening or spontaneous fusion of the spine can interfere with the ability to lengthen. In addition, diminished acquired length with serial distraction are common observations and need to be evaluated and quantified.
METHODS: Distraction forces were measured prospectively during 60 consecutive lengthening procedures in 26 patients. All patients had single submuscular rod constructs with side-to-side connectors. For each measurement, output from a transducer on a dedicated pair of distraction calipers was recorded at zero load status and the force was then recorded at every 1 mm lengthening; length was obtained at each event and was recorded in millimeters.
RESULTS: The force required to distract the spine doubled at the 5th lengthening procedure (mean 368 N ± 54 N), and the distraction force was significantly higher at the fifth lengthening compared with the previous lengthening (P <0.01). Mean length achieved at each distraction decreased over time such that by the fifth lengthening, consistently 8 mm or less was achieved.
CONCLUSION: Distraction forces increase significantly after repeated lengthening of growing-rod constructs, and the length obtained at each procedure exhibits a decreasing trend.
Authors:
Hilali M Noordeen; Suken A Shah; Hazem B Elsebaie; Enrique Garrido; Najma Farooq; Mohannad Al-Mukhtar; Mohannad Al Mukhtar
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Spine     Volume:  36     ISSN:  1528-1159     ISO Abbreviation:  Spine     Publication Date:  2011 Dec 
Date Detail:
Created Date:  2011-12-14     Completed Date:  2012-05-11     Revised Date:  2012-06-08    
Medline Journal Info:
Nlm Unique ID:  7610646     Medline TA:  Spine (Phila Pa 1976)     Country:  United States    
Other Details:
Languages:  eng     Pagination:  2299-303     Citation Subset:  IM    
Affiliation:
Great Ormond Street Hospital, London, United Kingdom. hnoordeen@aol.com
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MeSH Terms
Descriptor/Qualifier:
Child
Child, Preschool
Humans
Osteogenesis, Distraction / instrumentation,  methods*
Prospective Studies
Scoliosis / surgery*
Spine / growth & development,  surgery*
Time Factors
Treatment Outcome
Comments/Corrections
Erratum In:
Spine (Phila Pa 1976). 2012 Mar 1;37(5):432
Note: Al Mukhtar, Mohannad [corrected to Al-Mukhtar, Mohannad]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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