Display options
Cite
Myung KS, Skaggs DL, Thompson GH, et al. Nutritional improvement following growing rod surgery in children with early onset scoliosis. J Child Orthop. 2014;8(3):251-6doi: 10.1007/s11832-014-0586-z.
Myung, K. S., Skaggs, D. L., Thompson, G. H., Emans, J. B., Akbarnia, B. A. (2014). Nutritional improvement following growing rod surgery in children with early onset scoliosis. Journal of children's orthopaedics, 8(3), 251-6. https://doi.org/10.1007/s11832-014-0586-z
Myung, Karen S, et al. "Nutritional improvement following growing rod surgery in children with early onset scoliosis." Journal of children's orthopaedics vol. 8,3 (2014): 251-6. doi: https://doi.org/10.1007/s11832-014-0586-z
Myung KS, Skaggs DL, Thompson GH, Emans JB, Akbarnia BA. Nutritional improvement following growing rod surgery in children with early onset scoliosis. J Child Orthop. 2014 May;8(3):251-6. doi: 10.1007/s11832-014-0586-z. Epub 2014 Apr 24. PMID: 24760379; PMCID: PMC4142888.
Copy Download .nbib Format: NLM
Share it on

J Child Orthop. 2014 May;8(3):251-6. doi: 10.1007/s11832-014-0586-z. Epub 2014 Apr 24.

Nutritional improvement following growing rod surgery in children with early onset scoliosis.

Journal of children's orthopaedics

Karen S Myung, David L Skaggs, George H Thompson, John B Emans, Behrooz A Akbarnia,

Affiliations

  1. Children's Hospital Los Angeles, 4650 Sunset Blvd., MS #69, Los Angeles, CA, 90027, USA.

PMID: 24760379 PMCID: PMC4142888 DOI: 10.1007/s11832-014-0586-z

Abstract

PURPOSE: We aimed to evaluate the nutritional status of children with early onset scoliosis (EOS) and to determine if treatment with growing rod instrumentation improves weight percentile.

METHODS: Data was retrospectively collected on 88 EOS patients treated with growing rods at six institutions. Mean age at surgery was 5.8 years, and mean Cobb angle was 75°. All patients were followed for at least 2 years (mean 4 years). Weights were converted to normative percentiles based on the patients' age and gender.

RESULTS: Preoperatively, 47 % (41/88) of patients were <5 percentile for weight, thus failing to thrive. There was a significant increase in mean postoperative weight percentiles at latest follow-up (p = 0.004). 49 % of patients gained weight, with a mean of 18 percentile. A significant relationship exists between age at initial surgery and percentile weight gain (p < 0.005), with children <4 years old not demonstrating postoperative improvement. This relationship was not confounded by preoperative weight, preoperative Cobb angle, or years of follow-up (p > 0.05). Children with neuromuscular and syndromic diagnoses do not appear to improve their mean nutritional status after surgery when compared to patients with idiopathic or congenital/structural scoliosis (p = 0.006).

CONCLUSION: Following growing rod treatment, there was significant improvement in nutritional status in approximately 50 % of patients, similar to that reported with VEPTR. Neuromuscular and syndromic patients did not experience nutritional improvement post-operatively. These findings support the theory that growing rods improve the clinical status of EOS patients, as nutritional improvement is one outcome of improved clinical status. The relationship between age at initial surgery and nutritional improvement is intriguing.

References

  1. J Pediatr Orthop. 2012 Oct-Nov;32(7):664-71 - PubMed
  2. J Nutr. 2001 Mar;131(3):933S-934S - PubMed
  3. J Pediatr Orthop. 2009 Sep;29(6):581-7 - PubMed
  4. J Pediatr Orthop. 1987 Mar-Apr;7(2):187-90 - PubMed
  5. J Bone Joint Surg Am. 2003 Mar;85(3):399-408 - PubMed
  6. J Nutr. 2001 Mar;131(3):938S-941S - PubMed
  7. Spine (Phila Pa 1976). 2005 Sep 1;30(17 Suppl):S46-57 - PubMed
  8. Spine (Phila Pa 1976). 2011 May 1;36(10):806-9 - PubMed
  9. Arch Dis Child. 2008 Jun;93(6):495-501 - PubMed
  10. Am J Clin Nutr. 2007 Apr;85(4):1083-9 - PubMed
  11. Spine (Phila Pa 1976). 2008 Apr 20;33(9):984-90 - PubMed
  12. J Bone Joint Surg Am. 2010 Nov 3;92(15):2533-43 - PubMed
  13. Ann Thorac Surg. 2011 May;91(5):1460-6 - PubMed
  14. J Pediatr Orthop. 2013 Jan;33(1):63-7 - PubMed
  15. Pediatr Rev. 1992 Dec;13(12):453-60 - PubMed
  16. Spine (Phila Pa 1976). 2009 Nov 1;34(23):2530-3 - PubMed
  17. J Bone Joint Surg Am. 1993 Jun;75(6):880-4 - PubMed
  18. J Pediatr Orthop. 2007 Apr-May;27(3):354-61 - PubMed
  19. Curr Opin Cardiol. 2013 Mar;28(2):122-9 - PubMed

Publication Types