Abstract
Introduction
Scoliosis in children is the most common spinal deformity seen by general practitioners, paediatricians and spinal surgeons. Progressive scoliosis can result in the development of a worsening deformity and cosmesis. Patients usually present with aesthetic concerns. Progressive scoliosis that fails conservative management may require or be offered surgical intervention. Intramedullary tumours may be associated with scoliosis. Management of patients with these dual pathologies can be challenging. Classical scoliosis instrumentation utilising titanium implants impairs post-operative MRI evaluation with metal artefacts. Carbon fibre instrumentations has the potential to reduce the imaging metal artefacts but has not been described in scoliosis correction.
Methods
Surgical technical note describing correction of scoliosis in two adolescents’ with intradural tumours utilising carbon fibre implants.
Results
We developed a hybrid approach where we initially used titanium implants to manipulate the deformity then replaced the construct with carbon fibre implants in the same setting to maintain the deformity correction with good follow up outlook.
Conclusion
Our technique is robust, safe and replicable. It enabled appropriate post-operative MRI evaluation of the neural structures with a reduced risk of metal artefacts.
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The use of carbon fibre instruments in scoliosis surgery was approved by our institution.
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This article is part of the Topical Collection on Pediatric Spine
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Shtaya, A., Wahab, S., Waters, R. et al. Carbon fibre instrumentation for scoliosis surgery in children with spinal cord intramedullary tumours: a novel technical note. Acta Neurochir 165, 83–88 (2023). https://doi.org/10.1007/s00701-022-05314-7
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DOI: https://doi.org/10.1007/s00701-022-05314-7