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performed with traditional ‘growing’ rods (TGR) requiring repeated surgical distractions typically performed every six months, 4 , 6 , 7 with Shilla (Medtronic International, Memphis, USA) and other growth guidance systems, 14 with a vertical
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, including bracing and serial casting, and surgical methods, including distraction-based, guided-growth and compression-based techniques. 5 Distraction-based techniques which are traditional/magnetically controlled growing rods and vertical expandable
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2014, Skaggs et al. classified those growth-friendly surgical techniques as distraction-based, compression-based, and guided growth methods ( 48 ). Distraction-based implants include Traditional Growing Rods (TGR), Vertical Expandable Prosthetic
Faculty of Medicine, Saint Joseph University, Beirut, Lebanon
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Faculty of Medicine, Saint Joseph University, Beirut, Lebanon
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recommended in place of single-rod technique for being a more solid construct and superior at correction ( 70 ). Studies showed that growing rods can improve Cobb angle with a varying rate of 20–50% ( 71 , 72 ). In terms of growth potential, it is established
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SL et al. Metallosis following implantation of magnetically controlled growing rods in the treatment of scoliosis: a case series . Bone Joint J 2016 ; 98-B : 1662 – 1667 . 55. Bradberry SM Wilkinson JM Ferner