Prospective Study
Copyright ©The Author(s) 2018. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Orthop. Sep 18, 2018; 9(9): 138-148
Published online Sep 18, 2018. doi: 10.5312/wjo.v9.i9.138
Single rod instrumentation in patients with scoliosis and co-morbidities: Indications and outcomes
Athanasios I Tsirikos, Peter R Loughenbury
Athanasios I Tsirikos, Peter R Loughenbury, Scottish National Spine Deformity Centre, Royal Hospital for Sick Children, Edinburgh EH9 1LF, United Kingdom
Author contributions: Tsirikos AI treated the patients included in this series, and analyzed the data and wrote the paper; Loughenbury PR collected, analyzed the data, and wrote the initial draft of the paper; both authors reviewed the final manuscript including the present revision and agreed to proceed with the submission.
Institutional review board statement: The study was reviewed and approved by the Royal Hospital for Sick Children Institutional Review Board.
Informed consent statement: Patients were not required to give informed consent to the study because the analysis used anonymous data that were obtained after each patient agreed to treatment by written consent.
Conflict-of-interest statement: This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors. No conflict of interest is to be declared
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See:
Correspondence to: Athanasios I Tsirikos, FRCS (Hon), MD, PhD, Senior Lecturer, Senior Scientist, Surgeon, Scottish National Spine Deformity Centre, Royal Hospital for Sick Children, Sciennes Road, Edinburgh EH9 1LF, United Kingdom.
Telephone: +44-131-5360784 Fax: +44-131-6621265
Received: February 9, 2018
Peer-review started: February 10, 2018
First decision: March 9, 2018
Revised: May 20, 2018
Accepted: May 23, 2018
Article in press: May 23, 2018
Published online: September 18, 2018
Core Tip

Core tip: We reviewed 99 pediatric patients treated for scoliosis with a single-rod hybrid technique. They belonged in three groups: Group A included 62 patients with complex deformities and low body mass index (BMI) associated with medical co-morbidities increasing the risk of cardiac, respiratory, neurological complications and intra-operative blood loss; group B included 21 patients treated with growing rod lengthenings who underwent spinal fusion; group C included 16 patients with moderate adolescent idiopathic scoliosis, low BMI, and severe eczema at risk of wound or systemic infection. The single-rod technique has achieved and maintained at follow-up good deformity correction with low surgical time, blood loss, and surgical morbidity.