Published online Apr 18, 2017. doi: 10.5312/wjo.v8.i4.295
Peer-review started: August 29, 2016
First decision: November 21, 2016
Revised: November 24, 2016
Accepted: December 27, 2016
Article in press: December 28, 2016
Published online: April 18, 2017
Treatment paradigms for Early Onset Scoliosis have changed from fusion to fusionless methods as the harmful effects of early fusion on the growing spine and thorax were realized. Magnetic rods are a recent addition to fusionless technology for controlling scoliosis in a growing spine. The clinical evidence base on magnet driven growth rods (MDGR) has accumulated over the last 4 years. It has implications for reduction in the number of repeat surgeries required with similar complications as the traditional growth rods (TGR) and at a higher initial cost. However in terms of patient psyche and avoidance of repeat surgeries which are necessary with the TGR, MDGR treatment works out less expensive in the long run with definitely better patient comfort. The authors look at the available literature coupled with their own experience to discuss the current status, limitations and future prospects for this type of technology.
Core tip: This editorial focuses on the current status of magnet driven growth rods in the management of Early Onset Scoliosis (EOS). The editorial gives a background of this technology vis a vis the traditional growth rods and looks at the advantages, limitations and complications associated with the magnetic growth rods. Also its effects on lung function and cost comparison with the traditional growth rods is made. The authors attempt to answer the question “Are magnetic growth rods the final answer for EOS?” in the light of the world literature and personal experience on the above subject.