ArticleJournal of clinical medicine2022
The Spring Distraction System for Growth-Friendly Surgical Treatment of Early Onset Scoliosis: A Preliminary Report on Clinical Results and Safety after Design Iterations in a Prospective Clinical Trial.
Article in Journal of clinical medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- Casting, bracing and surgery: A comparative review of treatment approaches for early onset scoliosis.Journal of clinical orthopaedics and trauma · 2026Review
- Efficacy of the spring distraction system for different etiologies of early onset scoliosis: evaluating an evolving treatment concept.Spine deformity · 2026Article
- Continuous distraction with the one-way self-expanding rod promotes vertebral remodelling and stimulates spinal growth in early onset scoliosis: a prospective clinical trial.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026Article
- One Year Results of the Randomized BiPOWR Trial Comparing the Spring Distraction System (SDS) and the One Way Self-Expanding Rod (OWSER) for the Correction of Neuromuscular and Syndromic Early Onset Scoliosis.Journal of the Pediatric Orthopaedic Society of North America · 2025Article
- What's new in the pediatric spine?Journal of children's orthopaedics · 2025Article
- Current Concepts in the Treatment of Early Onset Scoliosis.Journal of clinical medicine · 2024Review
- Reply to Tabeling et al. Comment on "Grabala et al. Radiological Outcomes of Magnetically Controlled Growing Rods for the Treatment of Children with Various Etiologies of Early-Onset Scoliosis-A Multicenter Study.Journal of clinical medicine · 2024Article
- Diagnostic and therapeutic strategies in early onset scoliosis: A current concept review.Journal of children's orthopaedics · 2024Review
- Health-related quality of life in early onset scoliosis patients treated with the spring distraction system: what to expect in the first 2 years after surgery.Spine deformity · 2024Article
- Growing rods in Early Onset Scoliosis: The current scenario.Journal of orthopaedics · 2023Article
- Comment on Burgos et al. Fusionless All-Pedicle Screws for Posterior Deformity Correction in AIS Immature Patients Permit the Restoration of Normal Vertebral Morphology and Removal of the Instrumentation Once Bone Maturity Is Reached.Journal of clinical medicine · 2023Article
- The Risk and Benefits of Various Innovations in Fusion and Fusionless Surgery for AIS.Journal of clinical medicine · 2023Article
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: The Spring Distraction System (SDS) is a dynamic growth-friendly implant to treat early onset scoliosis (EOS). Previous SDS studies showed promising results in terms of curve correction and complication profile. Nevertheless, complications did occur, which led to modifications in the implant design. The main iterations were a larger rod diameter and a more sagittal stable sliding mechanism. The purpose of this study was to investigate the performance of these iterations. Methods: All patients treated with the modified SDS and >1 year follow-up were included. Radiographic outcomes, severe adverse events (SAEs), unplanned returns to the operating room (UPRORs) and health-related quality of life (HRQoL) were investigated. Results: Seventeen EOS patients (three congenital, four idiopathic, nine neuromuscular, one syndromic) were included. Mean age at surgery was 9.5 ± 2.5 years. Similar to the first generation SDS, about 50% initial correction was achieved and maintained, and spinal growth was near physiological. Most importantly, SAEs and UPRORs were diminished and favorable with 0.10/patient/year. In addition, HRQoL increased during the first year postoperatively, indicating the implant was well accepted. Conclusion: These preliminary results indicate that the iterations of the SDS are effective in terms of reducing SAEs and UPRORs and increasing HRQoL in patients with EOS.
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