Clinical and Medical Case Reports

Biography

Biography: Mohammed Alfawareh

Abstract

Background:
Early onset scoliosis (EOS) has higher risk of large curve because have because they have longer growth potential, casting and braces can be used to delay surgery.
When progressing surgery may be needed, growth-friendly procedures, three categories were identified: distraction-based like growing rods, tension-based like staples and guided-growth like Shilla.
Growing rod has advantage of correcting spine deformity while preserving the growth but frequent surgeries may increase the complication rates.
Recently magnet expandable rods (MER) have been introduced as solution to overcome the need for frequent elongation surgeries; it has magnate gear that can be elongated remotely by external remote controller.
Methods
Case report of early onset scoliosis that was managed by MER, developed unique complication; catastrophic failure of both MER, after initial distraction, initial height was lost subsequently, never regained with subsequent distractions.
Results
MER failed and revised, both rods failed through the magnet gear, it was elongated and shortened in telescoping movement by simple hands power and couldn’t maintain distraction. To our knowledge this complication never been reported before, Akbarnia et al reported loss of the initial height after distraction in three patient but non failure.
Conclusion:
MER promising technology, allow spine growth while correcting the deformity, no need for subsequent surgeries and few reported complications, catastrophic failure never been reported.