early-onset scoliosis

All‑pedicle screw posterior spinal fusion after magnetically controlled growing rods in walking early‑onset scoliosis patients: radiographic and surgical outcomes

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In a retrospective cohort study De Salvatore et al. from the Bambino Gesù Children’s Hospital, Rome; Università Campus Bio‑Medico di Roma, Rome published in the *Spine Deformity Journal* to assess radiographic correction and complications after final posterior spinal fusion in Early-Onset Scoliosis (EOS) patients initially treated with magnetically controlled growing rods (MCGR). Definitive fusion yields significant improvements in coronal curve (mean reduction from 45.5° to 33.5°) and thoracic kyphosis (from 19.8° to 13.5°), sustained at ≥2‑year follow‑up. Major complication rate was low (18.5%, one major) 1).

Critical review

– Strengths:

  1. Focus on a clinically relevant patient group (walking EOS post-MCGR).
  2. Objective measurement of both coronal and sagittal parameters with adequate follow-up.

– Limitations:

  1. Small sample (n=27) limits statistical power and heterogeneity evaluation.

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