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Staged Placement of Growing Rods for Metabolic Bone Disease and Insufficient Bone Quality

A Report of Two Cases

Buckwalter, Joseph A. V, MD, PhD1; Weinstein, Stuart, MD2

doi: 10.2106/JBJS.CC.N.00019
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Case: 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.

Conclusion: 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: joseph-v-buckwalter@uiowa.edu

2Department of Orthopaedics and Rehabilitation, University of Iowa Hospitals and Clinics, 200 Hawkins Drive, 01026 JPP, Iowa City, Iowa 52242

Copyright © 2014 by The Journal of Bone and Joint Surgery, Incorporated
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