Principles of growth modulation in the treatment of scoliotic deformities

Daniel J. Hoh, James B. Elder, Michael Y. Wang

Research output: Contribution to journalArticle

4 Scopus citations

Abstract

INTRAOPERATIVE MANIPULATION TO correct scoliotic deformities relies upon spinal instrumentation for stabilization and fusion. However, novel strategies and innovative implant biotechnologies have emerged, applying natural growth and elongation of the immature spine for the treatment of scoliosis in young patients. In this work, we review the principles of growth modulation and the Hueter-Volkmann law as it applies to experimental models of scoliosis formation and correction. Current implant technologies, including shape memory alloy vertebral staples, growing rods, and vertical expandable titanium prosthetic ribs, are explored, with regards to implant design, surgical techniques, and clinical investigations. An exciting area of spinal implant technology is now becoming available to expand the surgical armamentarium for treating severe scoliotic deformity in young patients.

Original languageEnglish (US)
Pages (from-to)A211-A221
JournalNeurosurgery
Volume63
Issue number3 SUPPL.
DOIs
StatePublished - Sep 1 2008

Keywords

  • Deformity
  • Growing rods
  • Growth modulation
  • Instrumentation
  • Motion preservation
  • Scoliosis
  • Spine surgery
  • Vertebral staples

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery

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