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Use of Halo-Gravity Traction and a Magnetically Controlled Growing Rod for Untreated Severe Kyphoscoliosis in an Adolescent

A Case Report

Fedorak, Graham T., MD, FRCSC1,a; Smith, John T., MD1,b; Heflin, John A., MD1,c

doi: 10.2106/JBJS.CC.17.00284
Case Reports
Disclosures

Case: We utilized a novel staged approach for an adolescent with severe kyphoscoliosis; it involved 8 weeks of initial halo-gravity traction as well as implantation and expansion (every 2 weeks) of a magnetically controlled growing rod over 6 months, followed by spinal fusion. The patient was a 13-year-old girl with an untreated idiopathic deformity (thoracic scoliosis with a curve of 145° and kyphosis with a curve of 120°). No osteotomies other than inferior facetectomies were required at the final fusion, and the final scoliosis curve was 57°, a correction of 60.7%.

Conclusion: The staged approach resulted in a straightforward, safe, gradual correction of severe kyphoscoliosis. We consider this an option for patients with scoliosis with a curve of ≥130° on initial presentation.

1University of Utah, Salt Lake City, Utah

aE-mail address for G.T. Fedorak: Graham.Fedorak@hsc.utah.edu

bE-mail address for J.T. Smith: John.Smith@hsc.utah.edu

cE-mail address for J.A. Heflin: John.Heflin@hsc.utah.edu

Copyright © 2018 by The Journal of Bone and Joint Surgery, Incorporated
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