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The impact of revision of one or more rods on refracture rate and implant survival following rod fracture in instrumentation without fusion constructs in the management of early-onset scoliosis

David, Michael; Gardner, Adrian; Jennison, Toby; Spilsbury, Johnathan; Marks, David

Journal of Pediatric Orthopaedics B: May 2014 - Volume 23 - Issue 3 - p 288–290
doi: 10.1097/BPB.0000000000000035
Spine

Growing rods are used in the treatment of early-onset scoliosis. It is uncertain how many rods should be replaced following rod fracture. This is a 13-year retrospective study of 33 single-rod fractures. After treatment, there were 15 refractures (45%), 80% in the same rod. In 11 with single-rod revision, seven refractured with a mean time of 16 months. When both rods were revised (n=18), six refractured (P=0.14) after a mean of 18 months (P=0.43). Our unit policy is revision of the broken rod alone following initial single-rod fracture and revision of all rods for subsequent fractures.

Department of Spinal Surgery, Royal Orthopaedic Hospital, Birmingham, UK

Correspondence to Michael David, BSc Hons, MBChB, MRCS, ‘Ashiana’, 35 Wrekin Road, Sutton Coldfield, West Midlands B73 5SU, UK Tel/fax: +44 121 355 6147; e-mail: michaeldavid@nhs.net

© 2014 by Lippincott Williams & Wilkins, Inc.