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Magnetic Controlled Growth Rods in the Treatment of Scoliosis: Safety, Efficacy and Patient Selection

Authors Tsirikos AI, Roberts SB

Received 28 December 2019

Accepted for publication 18 February 2020

Published 17 March 2020 Volume 2020:13 Pages 75—85


Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 3

Editor who approved publication: Dr Scott Fraser

Athanasios I Tsirikos, Simon B Roberts

Scottish National Spine Deformity Center, Royal Hospital for Sick Children, University of Edinburgh, Edinburgh, UK

Correspondence: Athanasios I Tsirikos
Scottish National Spine Deformity Center, Royal Hospital for Sick Children, Sciennes Road, Edinburgh EH9 1LF, UK

Abstract: Early-onset scoliosis is defined as a spinal curvature greater than 10° in children prior to 10 years of age. Untreated EOS may lead to progressively severe spinal deformity, impaired pulmonary development, restrictive lung disease, and both increased morbidity and mortality. Limitations of established conservative treatments include inability to correct severe deformity, as well as challenges with compliance when casting and bracing is applied. In addition, surgical treatment in the form of traditional growing rods requires regular surgical lengthenings and is associated with complications inherent with repeated invasive procedures and exposure to general anesthesia. MAGEC is an evolving magnetically controlled growing rod system for the treatment of EOS. After initial implantation, lengthening is achieved non-invasively by using magnetic external remote control. MAGEC offers the potential to control moderate and severe EOS, while avoiding repeated surgical procedures and associated complications. In this review, we examine the results from clinical, radiological and explant studies following the use of MAGEC, in the context of other established and emerging treatments for EOS.

Keywords: MAGEC, growth rods, early-onset, scoliosis, treatment

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