Management of progressive late onset scoliosis with magnetic growth rod insertion leading to improvement of neural anomalies—a case report
Amit Zaveri,Valerio Pace,Dimpu Bhagawati,Vijay Rajamani,Thillainayagam Muthukumar,Hilali Noordeen +5 more
Reads0
Chats0
TLDR
This is a unique case of progressive late onset idiopathic scoliosis with associated Chiari malformation and syringomyelia, showing an improvement in these neural anomalies after gradual and protracted distractive lengthening of the spine with MGR.Abstract:
Background: To present the first known reported case of late onset idiopathic scoliosis with concomitant neural anomalies, treated with sequential distraction using magnetic growth rod, had significant improvement in both cranio-cervical and intraspinal anomaly.
Methods: A caucasian, growing female child (at the age of ten) presented with moderately progressive late onset right thoracic scoliosis. She was found to have Chiari type I malformation and a cervicothoracic syrinx on routine pre-operative MRI scanning. We treated this child by inserting magnetic growing rod (MGR) system. After 48 months of follow up with serial distractions, the metalwork (MGR) was removed due to aseptic wound breakdown and granuloma formation. Subsequently due to the progression of deformity, a definitive posterior instrumented spinal fusion was done. A repeat MRI Scan of the Spine was done prior to this definitive procedure to assess for any residual neural anomalies.
Results: The Chiari type I malformation appeared to have completely resolved, with no cerebellar tonsillar herniation seen, and a significant improvement in the size of the cervicothoracic syringomyelia effectively downgrading it to a prominent central canal. Conclusions: This is a unique case of progressive late onset idiopathic scoliosis with associated Chiari malformation and syringomyelia, showing an improvement in these neural anomalies after gradual and protracted distractive lengthening of the spine with MGR.read more
Citations
More filters
Journal ArticleDOI
Wound Infiltration with Levobupivacaine, Ketorolac, and Adrenaline for Postoperative Pain Control after Spinal Fusion Surgery.
TL;DR: The data suggest that the studied wound infiltration is a safe and feasible option that could provide good postoperative pain control without significant side effects.
References
More filters
Journal ArticleDOI
Magnetically controlled growing rods for severe spinal curvature in young children: a prospective case series
Kenneth M.C. Cheung,Jason Pui Yin Cheung,Dino Samartzis,Kin-Cheung Mak,Yat-Wa Wong,WY Cheung,Behrooz A. Akbarnia,Keith Dip-Kei Luk +7 more
TL;DR: The MCGR procedure can be safely and effectively used in outpatient settings, and minimises surgical scarring and psychological distress, improves quality of life, and is more cost-effective than is the traditional growing rod procedure.
Journal ArticleDOI
Chiari I malformation associated with syringomyelia and scoliosis: a twenty-year review of surgical and nonsurgical treatment in a pediatric population.
TL;DR: Early decompression of Chiari I malformation with syringomyelia and scoliosis resulted in improvement or stabilization of the spinal deformity in 5 cases, and further follow-up and investigation is warranted.
Journal ArticleDOI
Syringomyelia and scoliosis : a review of twenty-five pediatric patients
TL;DR: A retrospective review of 25 patients with scoliosis secondary to syringomyelia found that subtle neurologic findings in patients withScoliosis should not be underestimated and liberal use of magnetic resonance imaging (MRI) should be supported.
Journal ArticleDOI
The MAGEC System for Spinal Lengthening in Children with Scoliosis: A NICE Medical Technology Guidance
Michelle Jenks,Joyce Craig,Joanne Higgins,Iain Willits,Teresa Barata,Hannah Wood,Christine Kimpton,Andrew Sims +7 more
TL;DR: The MAGEC system comprises a magnetically distractible spinal rod implant and an external remote controller, which lengthens the rod, preventing worsening of scoliosis and delaying the need for spinal fusion.
Journal ArticleDOI
Outcomes of Chiari I-associated scoliosis after intervention: a meta-analysis of the pediatric literature.
Steven W. Hwang,Steven W. Hwang,Amer F. Samdani,Andrew Jea,Ami Raval,John P. Gaughan,Randal R. Betz,Patrick J. Cahill +7 more
TL;DR: It is suggested that curve magnitude will improve after surgical treatment of the Chiari malformation in one third of patients, and curve progression will stabilize or improve in one half, according to a meta-analysis of currently published data.