Evidence map›Paper›PMID 39035383›Full record

ArticleJournal of orthopaedic case reports2024

Minimally Invasive Placement of Pedicle Screws Using Robotic-Assisted Navigation and Magnetically Controlled Growing Rods in a Patient with Early-Onset Scoliosis: Technical Note and Case Report.

Olivia C Tracey, Jenna L Wisch, Akshitha Adhiyaman, Colson P Zucker, Roger F Widmann, Jessica H Heyer

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In one paragraph

Article in Journal of orthopaedic case reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Olivia C TraceyDepartment of Pediatric Orthopaedics, Hospital for Special Surgery, New York, United States of America.
Jenna L WischDepartment of Pediatric Orthopaedics, Hospital for Special Surgery, New York, United States of America.
Akshitha AdhiyamanDepartment of Pediatric Orthopaedics, Hospital for Special Surgery, New York, United States of America.
Colson P ZuckerDepartment of Pediatric Orthopaedics, Hospital for Special Surgery, New York, United States of America.
Roger F WidmannDepartment of Pediatric Orthopaedics, Hospital for Special Surgery, New York, United States of America.
Jessica H HeyerDepartment of Pediatric Orthopaedics, Hospital for Special Surgery, New York, United States of America.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Early-onset scoliosis (EOS) refers to spinal curvature exceeding ten degrees in the coronal plane in patients under 10 years old. When non-operative management fails to control the curvature, surgical intervention may be indicated. In younger patients, growth-friendly instrumentation may be necessary to allow for continued spinal growth while controlling the curve, which includes magnetically control growing rods (MCGR). This paper is the first description of robotic-assisted navigation in a patient with EOS undergoing MCGR insertion with the minimally invasive placement of pedicle screws. The benefits of a trans-muscular robotic-assisted technique include minimizing the risk of autofusion of the non-instrumented area. Case Report: The 7-year-old female patient with vertebral, anal, cardiac, tracheoesophageal, renal, esophageal, and limb anomalies and a complex medical history, presented with progressive, early-onset syndromic scoliosis. She underwent various surgeries in infancy for imperforate anus, colonic atresia, and malrotation, among other issues. Over time her curve worsened, reaching 71° by age seven. Insertion of MCGR was recommended and successfully performed using robotic-assisted navigation for placement of pedicle screws. Immediately post-operatively, the patients' major curve improved to 15°. She was discharged home without complications on post-operative day 4. Conclusion: This case study exemplifies the success and safety of growth-friendly instrumentation using robotic-assisted navigation for the placement of pedicle screws.

Indexed as

early-onset scoliosisMagnetically controlled growing rodsrobotic-assisted navigation

Identifiers

PMID39035383
PMCPMC11258716

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