دورية أكاديمية
أعرض في EDS

An in vivo analysis of implanted programmable device interference during magnetically controlled growing rod lengthenings: a story of 129 lengthenings.

التفاصيل البيبلوغرافية
العنوان: An in vivo analysis of implanted programmable device interference during magnetically controlled growing rod lengthenings: a story of 129 lengthenings.
المؤلفون: Tillman LC; Department of Orthopaedics, Gillette Children's, 200 University Avenue East, Internal Zip 205510, St. Paul, MN, 55101, USA. LauraCTillman@gillettechildrens.com., Truong WH; Department of Orthopaedics, Gillette Children's, 200 University Avenue East, Internal Zip 205510, St. Paul, MN, 55101, USA.; Department of Orthopaedics, University of Minnesota, Minneapolis, MN, USA., Morgan SJ; Research Department, Gillette Children's, St. Paul, MN, USA.; Department of Rehabilitation Medicine, University of Minnesota, Minneapolis, MN, USA.; Department of Rehabilitation Medicine, University of Washington, Seattle, WA, USA., Guillaume TJ; Department of Orthopaedics, Gillette Children's, 200 University Avenue East, Internal Zip 205510, St. Paul, MN, 55101, USA.
المصدر: Spine deformity [Spine Deform] 2023 Sep; Vol. 11 (5), pp. 1283-1289. Date of Electronic Publication: 2023 Jun 05.
نوع المنشور: Journal Article; Research Support, Non-U.S. Gov't
اللغة: English
بيانات الدورية: Publisher: Springer Nature Country of Publication: England NLM ID: 101603979 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2212-1358 (Electronic) Linking ISSN: 2212134X NLM ISO Abbreviation: Spine Deform Subsets: MEDLINE
أسماء مطبوعة: Publication: 2020- : London : Springer Nature
Original Publication: New York, N.Y. : Elsevier
مواضيع طبية MeSH: Surgeons* , Scoliosis*/surgery, Humans ; Prostheses and Implants
مستخلص: Purpose: Early-onset scoliosis (EOS) is often treated with magnetically controlled growing rods (MCGR) which can be lengthened with a magnetic external remote control (ERC). Many individuals with EOS have concomitant medical conditions which are managed with other implanted programmable devices (IPD). Some providers are concerned that the magnetic field generated during MCGR lengthening may interfere with other IPD, such as ventriculoperitoneal shunts (VPS), intrathecal baclofen pumps (ITBP), vagal nerve stimulators (VNS), and cochlear implants (CI). The aim of this study was to evaluate the safety of MCGR lengthenings in patients with EOS and other IPD.
Methods: This single-center, single-surgeon case series followed 12 patients with 13 IPD as they underwent treatment with MCGR. Post MCGR lengthening, monitoring of patient symptoms, and interrogation of IPD were conducted to evaluate for magnetic interference.
Results: After 129 MCGR lengthenings, post-lengthening VPS interrogation found 2 instances of potential interference in settings (both in Medtronic Strata shunts); however, no pre-lengthening interrogation was completed to confirm if these changes occurred prior to or during the lengthening procedure. ITBP interrogation found no changes, and there were no patient-reported adverse effects related to VNS or CI function.
Conclusion: It is safe and effective to utilize MCGR in patients with IPD. However, the possibility of magnetic interference must be considered, particularly in individuals with VPS. We recommend approaching with the ERC from a caudal direction to minimize potential interference and all patients be monitored during treatment. If possible, IPD settings should be assessed pre-lengthening, confirmed afterwards and readjusted if necessary.
Level of Evidence: Level IV.
(© 2023. The Author(s), under exclusive licence to Scoliosis Research Society.)
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فهرسة مساهمة: Keywords: Magnetic interference; Magnetically controlled growing rods; Scoliosis; Ventriculoperitoneal shunt
تواريخ الأحداث: Date Created: 20230605 Date Completed: 20230815 Latest Revision: 20230901
رمز التحديث: 20230901
DOI: 10.1007/s43390-023-00709-7
PMID: 37277560
قاعدة البيانات: MEDLINE
الوصف
تدمد:2212-1358
DOI:10.1007/s43390-023-00709-7