JBJS Case Connect

. 2024 Oct 24;14(4):e24.00256.

 doi: 10.2106/JBJS.CC.24.00256. eCollection 2024 Oct 1. https://pubmed.ncbi.nlm.nih.gov/39446981/

Posterior Column Release and Lengthening with a Magnetic Growing Rod Construct in Severe Congenital Thoracic Fusion: A Report of 2 Cases

Michael Trask ¹, Jonathan T Yamaguchi ¹, Gregory Redding ², Burt Yaszay ¹, Samuel Browd ³, Klane K White ⁴

Affiliations Expand

• PMID: 39446981
• PMCID: PMC11498835
• DOI: 10.2106/JBJS.CC.24.00256

Abstract

Case: We describe treatment of severe multilevel congenital thoracic fusion in a 3-year-old girl with Apert Syndrome by posterior element excision, posterior column osteotomies, and gradual distraction with magnetically controlled growing rods (MCGR) with 3-year follow-up. We also describe short-term follow-up with similar management in an 8-year-old patient with a congenitally fused thoracic spine from Jarcho-Levin syndrome.

Conclusion: Posterior element resection and targeted posterior column osteotomies combined with gradual distraction with MCGR offers a promising treatment course for children with severe thoracic insufficiency syndrome derived from congenital fusions.

Copyright © 2024 The Authors. Published by The Journal of Bone and Joint Surgery, Incorporated.