We present two cases of successful staged placement of standard growing-rod instrumentation for early-onset scoliosis in children with metabolic bone disease and poor bone quality.
Because use of growing-rod surgery is increasing throughout the world, we propose that a staged approach to placement of growing rods is a practical and safe option for surgeons who encounter patients with early-onset scoliosis and concomitant poor bone quality.
1Department of Orthopaedics and Rehabilitation, University of Iowa Hospitals and Clinics, 200 Hawkins Drive, 01085 JPP, Iowa City, Iowa 52242. E-mail address: firstname.lastname@example.org
2Department of Orthopaedics and Rehabilitation, University of Iowa Hospitals and Clinics, 200 Hawkins Drive, 01026 JPP, Iowa City, Iowa 52242