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Bone Joint J. 2017 Jun;99-B(6):708-713. doi: 10.1302/0301-620X.99B6.BJJ-2016-1102.R2.

Magnetically controlled growing rods in the treatment of early-onset scoliosis: a note of caution.

Author information

1
Royal Victoria Infirmary, Newcastle Upon Tyne, UK.
2
Salford Royal NHS Foundation Trust, Salford, UK.
3
Norfolk and Norwich University Hospitals NHS Foundation Trust, Norwich, Norfolk, UK.
4
The Chris Moody Centre, Gate 4 Moulton College, Pitsford Road, Moulton, Northamptonshire, UK.
5
Royal Devon and Exeter NHS Foundation Trust, Exeter, Devon, UK.

Abstract

The MAGnetic Expansion Control (MAGEC) system is used increasingly in the management of early-onset scoliosis. Good results have been published, but there have been recent reports identifying implant failures that may be associated with significant metallosis surrounding the implants. This article aims to present the current knowledge regarding the performance of this implant, and the potential implications and strategies that may be employed to identify and limit any problems. We urge surgeons to apply caution to patient and construct selection; engage in prospective patient registration using a spine registry; ensure close clinical monitoring until growth has ceased; and send all explanted MAGEC rods for independent analysis. The MAGEC system may be a good instrumentation system for the treatment of early-onset scoliosis. However, it is innovative and like all new technology, especially when deployed in a paediatric population, robust systems to assess long-term outcome are required to ensure that patient safety is maintained. Cite this article: Bone Joint J 2017;99-B:708-13.

KEYWORDS:

Early-onset scoliosis; Growing rods; MAGnetic Expansion Control rods; Registry

[Indexed for MEDLINE]

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