The effectiveness of growth-friendly systems in the treatment of early onset scoliosis: a systematic review

Objective. To perform a systematic analysis of the literature evaluating effectiveness growth-friendly systems in treatment early onset scoliosis. Material and Methods. A subject search was conducted Google Scholar database for terms “growing rods”, “early scoliosis”, “treatment”, “surgery” “growth-friendly” using AND or OR logical operators with depth 10 years. At first stage, 824 abstracts publications were selected. The second stage carried out accordance PICOS criteria, 38 original studies, case series reviews surgical techniques spinal deformity correction preservation growth potential evaluation criteria divided into four groups: general data, frontal sagittal components deformity, complications unplanned scenarios. Results. In analyzed gender equality distribution observed, average age at time primary operation 6.6 years patients traditional growing rods (TGR) Schilla/Luque trolley 4.9 Vertical Expandable Prosthetic Titanium Rib (VEPTR). From point view magnitude correction, VEPTR demonstrated minimum result (18 % correction), TGR Schilla results comparable (42.1 53.1 %, respectively), as well indicators dynamics body lengthening. Conclusion. use is associated high risk somewhat lower efficiency however, indispensable thoracic insufficiency syndrome, severe deformities axial skeleton young children non-vertebral fixation points. Growth modulation (Schilla Luque trolley) showed similar to those TGR.