1. 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 Endowed Chair of Orthopaedics
Professor
University of Utah Department of Orthopaedics
Chief, Scoliosis Service
Primary Children’s Hospital
Salt Lake City, UT
Jessica Morgan

2. Disclosures
JT Smith: Consultant: Depuy-Synthes, SpineGuard; Globus; Biomet,; Ellipse
BOD: CSF
J Morgan: none

3. Initial Visit 11 +/- 2 year old female
Severe kyphoscoliosis measuring >135°
MRI showing no abnormalities of the spinal cord
Adopted from an Ethopian Refugee Camp

4. Initial Visit: clinical appearance

5. First radiographs; Kyphoscoliosis >150°

6. Management plan Through clinical evaluation for co-morbidities
Placement of halo
Progressive halo-gravity traction
Pulmonary rehab in halo
Planned placement of Magnetically Coontrolled Growing Rod (MCGR) for continued outpatient expansion for 6 months

7. Radiograph after 4 weeks of progressive Halo-Traction

8. Initial Placement of MCGR and halo removal

9. 4 distractions over 6 months

10. Post-op definitive fusion after removal of MCGR

11. Discussion
Gradual correction of severe scoliosis can be accomplished safely over time using halo-traction
The MCGR can be used as a form of a temporary internal distraction rod in severe deformities
Gradual distraction made defnitive instrumentation and fusion easier and safer than a VCR

12. References
Sponseller P.D., Takenaga, R.K., Netown, P., et al. (2008). The use of traction in the treatment of severe spinal deformity. Spine 2008; 33:
Buchowski, J.M., Bhatnagar, R., Skaggs, D.L., Sponseller, P.D., Temporary internal distraction as an aid to correction of severe scoliosis. J Bone Joint Surg Am 2006;88:
Cheung, J.P., Samartzis, D., & Cheung, K.M. (January 20, 2014). A novel approach to gradual correction of severe spinal deformity in a pediatric patient using the magnetically-controlled growing rod. The Spine Journal 14 (2014) e7-e13.