Presentation is loading. Please wait.

Presentation is loading. Please wait.

A minimum of 2 year follow up of 22 EOS patients who were treated with 2 nd generation MCGR Karsten Ridderbusch, Christian Hagemann, Ralf Stücker Childrens.

Published byJeremy Mills Modified over 8 years ago

Similar presentations

Presentation on theme: "A minimum of 2 year follow up of 22 EOS patients who were treated with 2 nd generation MCGR Karsten Ridderbusch, Christian Hagemann, Ralf Stücker Childrens."— Presentation transcript:

1 A minimum of 2 year follow up of 22 EOS patients who were treated with 2 nd generation MCGR Karsten Ridderbusch, Christian Hagemann, Ralf Stücker Childrens Hospital Hamburg-Altona University Clinic Hamburg

2 Disclosures Consultant – Synthes GmbH – Ellipse Childrens Hospital Hamburg-Altona

3 Patients 22 EOS patients had primery surgery with 2nd generation MCGR (MAGEC ★ ) All surgeries were done in double rod technique Single center Inclusion criteria for study – EOS of any etiology – > 40° scoliosis and > 5° progression / year – Minimum follow-up of 24 months and at least 6 lengthening procedures (lengthening is performed every 4 months) Childrens Hospital Hamburg-Altona ★ Cleared by FDA 2‘ 2014

4 Patients 15 female, 7 males Age: 8.8 (4.6-14.3 years) 7 neuromuscular, 6 syndromic, 4 neurofibromatosis, 2 idiopathic, 2 thoracogenic, 1 congenital scoliosis 20 thoracic, 1 thoracolumbar, 1 lumbar curves Average F/U – 31 months, (24-46 months) Childrens Hospital Hamburg-Altona

5 Surgical technique 2 separate incisions 4 screws as distal monosegmental foundation 4 screws + 2 clamps proximally Dual 5.5 mm rods Contouring Testing of distraction Subfascial positioning Cross linking Childrens Hospital Hamburg-Altona

6 Distractions Outpatient procedure Use of Dimeglio data X-rays pre and post lengthenings Ultrasound documentation of lengthening 4 months intervalls – Logistic reasons – Reduce radiation exposure Childrens Hospital Hamburg-Altona

7 Radiographic analysis Cobb angle T1-T12 length T1-S1 length Kyphosis (T1-T12) Lordosis (L1-L5) Childrens Hospital Hamburg-Altona

8 Results Pre-opPost-opChange (%)FUChange (%) Cobb (°)61 ± 1428 ± 105427 ± 1356 Kyphosis (°)44 ± 2428 ± 123635 ± 1420 Lordosis (°)41 ± 1531 ± 122441 ± 915 T1-T12 (cm)18.3 ± 2.520.4 ± 2.61122.5 ± 2.723 T1-S1 (cm)29.6 ± 4.333.3 ± 4.31335.5 ± 3.920 = statistically significant (p < 0,05) Childrens Hospital Hamburg-Altona

9 Complications 7 patients had at least 1 complication which leads to revision surgery 4 junctional kyphosis 2 screw pull out 1 lumbar adding on 1 deep wound infection 1 actuator pin broke Childrens Hospital Hamburg-Altona PJK

10 Curve correction and T1-S1 growth AuthorCobb before surgery (only primary procedures) Cobb after surgery Correction in % Cobb at follow-up Correction in % T1-S1 growth/month Cheung n=2 67°25° (67%)29° (57%)1 mm Dannawi n=34 69°47° (32%)41° (41%)0,9 mm Akbarnia N=14 60°34° (43%)31° (48%)1,6 mm Hickey n=4 74°42° (43%) 0,4 mm (2 patients) Hamburg N=22 61°28° (54%)27° (56%) Ø 31 months FU 0,7 mm Ø 31 months FU Childrens Hospital Hamburg-Altona

11 MCGR - results Results in terms of correction and maintaining correction comparable to traditional growing rods Safe and effective non fusion technology Distraction mechanism reliable Complications rate acceptable compared to conventional GR Childrens Hospital Hamburg-Altona

12 Questions to be answered What is the complication rate after longer follow-up ? Is distraction mechanism reliable after longer follow-up ? Can autofusion be avoided ? What is the best distraction protocoll ? Childrens Hospital Hamburg-Altona

Download ppt "A minimum of 2 year follow up of 22 EOS patients who were treated with 2 nd generation MCGR Karsten Ridderbusch, Christian Hagemann, Ralf Stücker Childrens."

Similar presentations

F Schwab 1,2, JP Farcy 1,2, K Bridwell 2, S Berven 2, S Glassman 2,

F Schwab 1,2, JP Farcy 1,2, K Bridwell 2, S Berven 2, S Glassman 2,
Surgical treatment analysis of 809 thoracolumbar and lumbar major adult deformity cases by a new adult scoliosis classification system Zorab Symposium.

Surgical treatment analysis of 809 thoracolumbar and lumbar major adult deformity cases by a new adult scoliosis classification system Zorab Symposium.
Surgical correction and fusion using posterior-only pedicle screw in patients with cerebral palsy Seung Woo Suh, Jae Young Hong Scoliosis Research Institute,

Surgical correction and fusion using posterior-only pedicle screw in patients with cerebral palsy Seung Woo Suh, Jae Young Hong Scoliosis Research Institute,
Scoliosis Surgery Mark Wilms, CST ST Program Director Anthem College Aurora, Colorado.

Scoliosis Surgery Mark Wilms, CST ST Program Director Anthem College Aurora, Colorado.
Fusionless Correction for Early Onset Scoliosis (EOS) Emma Orton BME 281.

Fusionless Correction for Early Onset Scoliosis (EOS) Emma Orton BME 281.
Cincinnati Children’s Hospital Medical Center

Cincinnati Children’s Hospital Medical Center
Sagittal balance in thoracolumbar or lumbar congenital kyphoscoliosis and kyphosis at a minimum of 10 years after surgery : A case series Sagittal balance.

Sagittal balance in thoracolumbar or lumbar congenital kyphoscoliosis and kyphosis at a minimum of 10 years after surgery : A case series Sagittal balance.
Growth Preserving Spinal Surgery for Scoliosis in Children with Osteogenesis Imperfecta Lawrence Karlin, MD, Amer Samdani, MD, Anna McClung, BSN, RN, Michael.

Growth Preserving Spinal Surgery for Scoliosis in Children with Osteogenesis Imperfecta Lawrence Karlin, MD, Amer Samdani, MD, Anna McClung, BSN, RN, Michael.
In the first 5 years of Treatment, the Charges for Guided Growth Constructs are 30% less than Growing Rods Lindsay M. Andras MD 1, Liam Harris BS 1, Scott.

In the first 5 years of Treatment, the Charges for Guided Growth Constructs are 30% less than Growing Rods Lindsay M. Andras MD 1, Liam Harris BS 1, Scott.
NS Harshavardhana, TJ Guillaume, MHH Noordeen, JH Perra What is Magical about Magnet driven Growth Rods (MdGR) Used for Early- onset Scoliosis (EOS)?

NS Harshavardhana, TJ Guillaume, MHH Noordeen, JH Perra What is Magical about Magnet driven Growth Rods (MdGR) Used for Early- onset Scoliosis (EOS)?
Intra-wound Vancomycin Powder Significantly Reduces the Risk of Infection in Growth-friendly Surgery John T. Smith, MD Justin Haller, MD Angela Presson,

Intra-wound Vancomycin Powder Significantly Reduces the Risk of Infection in Growth-friendly Surgery John T. Smith, MD Justin Haller, MD Angela Presson,
John T. Wilkinson m. d. , Chad E. Songy m. d. , Frances l

John T. Wilkinson m. d. , Chad E. Songy m. d. , Frances l
The Use of MAGEC Growing Rods as a temporary distraction rod in Severe Kyphoscoliosis: A Case Report. John T. Smith, MD Mary Scowcroft Perry Presidential.

The Use of MAGEC Growing Rods as a temporary distraction rod in Severe Kyphoscoliosis: A Case Report. John T. Smith, MD Mary Scowcroft Perry Presidential.
K O B E U N I V E R S I T Y O R T H O P E D I C S A K O B E U N I V E R S I T Y O R T H O P E D I C S A Nippon Steel Hirohata Hospital Nippon Steel Hirohata.

K O B E U N I V E R S I T Y O R T H O P E D I C S A K O B E U N I V E R S I T Y O R T H O P E D I C S A Nippon Steel Hirohata Hospital Nippon Steel Hirohata.
Authors: Pooria Hosseini MD, Jeff Pawelek BS, Gregory Mundis MD, Burt Yazsay MD, John Ferguson MD, Ilkka Helenius MD, Kenneth Cheung MD, Gokhan Demirkiran.

Authors: Pooria Hosseini MD, Jeff Pawelek BS, Gregory Mundis MD, Burt Yazsay MD, John Ferguson MD, Ilkka Helenius MD, Kenneth Cheung MD, Gokhan Demirkiran.
Incidence of Proximal junctional kyphosis with Magnetic Expansion Control Rods in early onset scoliosis P Inaparthy, JC Queruz, C Thakar, D Rolton, C Nnadi.

Incidence of Proximal junctional kyphosis with Magnetic Expansion Control Rods in early onset scoliosis P Inaparthy, JC Queruz, C Thakar, D Rolton, C Nnadi.
The Rib Construct (RC) has provided secure proximal fixation for management of patients with EOS and severe thoracic hyperkyphosis Alaa Azmi Ahmad – MD.

The Rib Construct (RC) has provided secure proximal fixation for management of patients with EOS and severe thoracic hyperkyphosis Alaa Azmi Ahmad – MD.
Final Fusion in Patients Treated with Rib Based Distraction: A Review of Peri- operative Results THE UNIVERSITY OF UTAH Department of Orthopaedic Surgery.

Final Fusion in Patients Treated with Rib Based Distraction: A Review of Peri- operative Results THE UNIVERSITY OF UTAH Department of Orthopaedic Surgery.
The Clunking Phenomenon in Magnetically-controlled growing rods: Possible risk factors James Tan, Dino Samartzis, Cora Bow, Jason Pui Yin Cheung, Kenneth.

The Clunking Phenomenon in Magnetically-controlled growing rods: Possible risk factors James Tan, Dino Samartzis, Cora Bow, Jason Pui Yin Cheung, Kenneth.
Authors: Pooria Hosseini MD MSc, Jeff Pawelek BS, Stacie Nguyen MPH, George H. Thompson MD, Suken A. Shah MD, John M. Flynn MD, John P. Dormans MD, Behrooz.

Authors: Pooria Hosseini MD MSc, Jeff Pawelek BS, Stacie Nguyen MPH, George H. Thompson MD, Suken A. Shah MD, John M. Flynn MD, John P. Dormans MD, Behrooz.

Similar presentations

Ads by Google