Der Orthopäde

, Volume 47, Issue 10, pp 867–870 | Cite as

Magnetically controlled growing rods for rigid scoliosis

An alternative to halo-gravity traction in preparing for definitive correction?
  • R. Aldeeri
  • H. Almansour
  • Y. Kentar
  • S. Hemmer
  • W. Pepke
  • M. AkbarEmail author


The treatment concept for severe rigid idiopathic scoliosis is a short-term application of halo-gravity traction to enable maximum correction and subsequent dorsal fusion. The method has already been mentioned in the literature as an effective procedure. This case report demonstrates the use of a new treatment concept using magnetically controlled distraction rods as a possible alternative to the halo-gravity traction device. To our knowledge the use of this technique in severe rigid idiopathic scoliosis has not yet been published.


Idiopathic scoliosis Adolescent Spinal fusion Radiography Kyphoscoliosis 





Cranial nerve


Early onset scoliosis

L Lordo

Lumbar lordosis


Sagittal vertical axis

T Kypho

Thoracic kyphosis

Einsatz eines magnetisch-kontrollierten Wachstumsstabs bei rigider Skoliose

Eine Alternative zur Halotraktion als Vorbereitung auf die definitive Korrekturspondylodese?


Das Versorgungskonzept bei einer ausgeprägten rigiden idiopathischen Skoliose besteht in einer kurzfristigen Applikation der Halotraktions, um eine maximale Korrektur sowie anschließend eine dorsale Fusion zu ermöglichen. Es ist bereits als effektives Verfahren in der Literatur beschrieben. In dieser Kasuistik berichten wir über ein neues Versorgungskonzept mit einem magnetisch kontrollierten Wachstumsstabsystem als mögliche Alternative zur Halotraktion. Nach unserem Wissen ist die Anwendung dieser Technik bei schweren rigiden idiopathischen Skoliosen noch nicht in der Literatur dokumentiert.


Idiopathische Skoliose Jugendliche Spondylodese Röntgendiagnostik Kyphoskoliose 


Compliance with ethical guidelines

Conflict of interest

R. Aldeeri, H. Almansour, Y. Kentar, S. Hemmer, W. Pepke and M. Akbar declare that they have no competing interests.

This article does not contain any studies with human participants or animals performed by any of the authors. For images or other information within the manuscript which could identify the patient, consent was obtained from them and/or their legal guardians.


  1. 1.
    Buchowski JM, Bhatnagar R, Skaggs DL et al (2006) Temporary internal distraction as an aid to correction of severe scoliosis. J Bone Joint Surg Am 88:2035–2041PubMedGoogle Scholar
  2. 2.
    Dannawi Z, Altaf F, Harshavardhana N et al (2013) Early results of a remotely-operated magnetic growth rod in early-onset scoliosis. Bone Joint J 95:75–80CrossRefGoogle Scholar
  3. 3.
    Grass PJ, Soto AV, Araya HP (1997) Intermittent distracting rod for correction of high neurologic risk congenital scoliosis. Spine 22:1922–1927CrossRefGoogle Scholar
  4. 4.
    Koller H, Zenner J, Gajic V et al (2012) The impact of halo-gravity traction on curve rigidity and pulmonary function in the treatment of severe and rigid scoliosis and kyphoscoliosis: a clinical study and narrative review of the literature. Eur Spine J 21:514–529CrossRefGoogle Scholar
  5. 5.
    Mehlman CT, Al-Sayyad MJ, Crawford AH (2004) Effectiveness of spinal release and halo-femoral traction in the management of severe spinal deformity. J Pediatr Orthop 24:667–673CrossRefGoogle Scholar
  6. 6.
    Pinches E, Thompson D, Noordeen H et al (2004) Fourth and sixth cranial nerve injury after halo traction in children: a report of two cases. J Am Assoc Pediatr Ophthalmol Strabismus 8:580–585CrossRefGoogle Scholar
  7. 7.
    Qian B‑P, Qiu Y, Wang B (2006) Brachial plexus palsy associated with halo traction before posterior correction in severe scoliosis. Stud Health Technol Inform 123:538–542PubMedGoogle Scholar
  8. 8.
    Ren C, Liu L, Song Y et al (2014) Comparison of anterior and posterior vertebral column resection versus anterior release with posterior internal distraction for severe and rigid scoliosis. Eur Spine J 23:1237–1243CrossRefGoogle Scholar
  9. 9.
    Rinella A, Lenke L, Whitaker C et al (2005) Perioperative halo-gravity traction in the treatment of severe scoliosis and kyphosis. Spine 30:475–482CrossRefGoogle Scholar
  10. 10.
    Sink EL, Karol LA, Sanders J et al (2001) Efficacy of perioperative halo-gravity traction in the treatment of severe scoliosis in children. J Pediatr Orthop 21:519–524PubMedGoogle Scholar
  11. 11.
    Suk S‑I, Chung E‑R, Kim J‑H et al (2005) Posterior vertebral column resection for severe rigid scoliosis. Spine 30:1682–1687CrossRefGoogle Scholar
  12. 12.
    Thakar C, Kieser DC, Mardare M et al (2018) Systematic review of the complications associated with magnetically controlled growing rods for the treatment of early onset scoliosis. Eur Spine J:1–10. CrossRefPubMedGoogle Scholar
  13. 13.
    Toledo LC, Toledo CH, Macewen GD (1982) Halo traction with the Circolectric bed in the treatment of severe spinal deformities: a preliminary report. J Pediatr Orthop 2:554–559CrossRefGoogle Scholar
  14. 14.
    Watanabe K, Lenke LG, Bridwell KH et al (2010) Efficacy of perioperative halo-gravity traction for treatment of severe scoliosis (≥ 100°). J Orthop Sci 15:720–730CrossRefGoogle Scholar

Copyright information

© Springer Medizin Verlag GmbH, ein Teil von Springer Nature 2018
korrigierte Publikation 2018

Authors and Affiliations

  • R. Aldeeri
    • 1
  • H. Almansour
    • 1
  • Y. Kentar
    • 1
  • S. Hemmer
    • 1
  • W. Pepke
    • 1
  • M. Akbar
    • 1
    Email author
  1. 1.Spine Center, Department of Orthopaedic Surgery, Trauma Surgery and Spinal Cord Injury, Heidelberg University HospitalUniversity of HeidelbergHeidelbergGermany

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