Scoliosis
Conditions
Keywords
scoliosis, immature spine
Brief summary
The objective of this study is to retrospectively and prospectively review patients who have undergone this technique looking at age of the patient, magnitude of the curve preoperatively, postoperatively and over time, diagnosis, pulmonary function, surgical procedures, complications, and spinal growth. The hypothesis is that Shilla growth permitting spinal instrumentation coupled with a surgical technique of aggressive correction of the apex of the scoliotic curve wil allow for natural growth of the spine in a guided fashion with a limited number of future surgeries required.
Detailed description
Traditional growing rod constructs of spinal instrumentation to treat severe scoliosis in young children require a return to the operating room every six to nine months until skeletal maturity. The Shilla system allows for more spinal growth with fewer surgical procedures necessary for lengthenings. This is a major advantage over existing growth permitting systems and allows surgery to be performed at younger ages with better deformity correction without concerns of repeated surgeries.
Interventions
None listed
Sponsors
Arkansas Children's Hospital Research Institute
Study design
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
1 Years to 10 Years
Healthy volunteers
No
Inclusion criteria
* between the ages of 1 yr and 10 yrs * have severe, progressive scoliosis unresponsive to bracing * have severe, progressive scoliosis who cannot tolerate bracing
Exclusion criteria
* none
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Patients treated with Shilla procedure will undergo fewer surgeries than patients treated with traditional growing rod constructs. | 5 yrs |
Secondary
| Measure | Time frame |
|---|---|
| Patients will have continued spinal growth | 5 yrs |
Countries
United States
Outcome results
None listed