New developments in the treatment of early-onset spinal deformity: role of the Shilla growth guidance system

Sean M Morell,1 Richard E McCarthy2 1Department of Orthopaedics, University of Arkansas for Medical Sciences, 2Department of Orthopaedics, Arkansas Children’s Hospital, Little Rock, AR, USA Abstract: Early-onset scoliosis is a complex condition with multiple facets. The goal of treating a...

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Autores principales:	Morell SM, McCarthy RE
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2016
Materias:	Scoliosis Shilla Growing Early-onset Medical technology R855-855.5
Acceso en línea:	https://doaj.org/article/9b1f5633b57346d3ae0e02ce9c24ce87
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spelling	oai:doaj.org-article:9b1f5633b57346d3ae0e02ce9c24ce872021-12-02T02:40:50ZNew developments in the treatment of early-onset spinal deformity: role of the Shilla growth guidance system1179-1470https://doaj.org/article/9b1f5633b57346d3ae0e02ce9c24ce872016-07-01T00:00:00Zhttps://www.dovepress.com/new-developments-in-the-treatment-of-early-onset-spinal-deformity-role-peer-reviewed-article-MDERhttps://doaj.org/toc/1179-1470Sean M Morell,1 Richard E McCarthy2 1Department of Orthopaedics, University of Arkansas for Medical Sciences, 2Department of Orthopaedics, Arkansas Children’s Hospital, Little Rock, AR, USA Abstract: Early-onset scoliosis is a complex condition with multiple facets. The goal of treating any spinal deformity is to improve the condition of the patient with the least intervention necessary. A system that allows for continuation of natural spinal growth while correcting the deformity should be the goal of treating this complex condition. The SHILLA growth guidance system allows for continued growth of the pediatric spine while correcting and guiding the apex and guiding the future growth of the curvature. The system involves selective fusion across the apex of the curvature, and minimally invasive instrumentation is then used above and below the apex to allow for continued growth of the spine. A review of recent literature on the SHILLA growth guidance system shows promising results. Early animal models showed continued growth across unfused levels with minimal facet articular damage. Comparative studies to traditional growing rods showed significantly less total surgeries along with comparable correction and longitudinal growth. The SHILLA growth guidance system is a good option for this complex patient group. Results are comparable with other growing constructs with significantly less operative interventions. The SHILLA system allows for natural growth of the pediatric spine while correcting the scoliotic deformity in a minimally invasive method. The goal of this article is to present a comprehensive review of the SHILLA system surgical technique and the associated literature concerning this topic. Keywords: scoliosis, SHILLA, growing, early-onset, growth friendlyMorell SMMcCarthy REDove Medical PressarticleScoliosisShillaGrowingEarly-onsetMedical technologyR855-855.5ENMedical Devices: Evidence and Research, Vol 2016, Iss Issue 1, Pp 241-246 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	Scoliosis Shilla Growing Early-onset Medical technology R855-855.5
spellingShingle	Scoliosis Shilla Growing Early-onset Medical technology R855-855.5 Morell SM McCarthy RE New developments in the treatment of early-onset spinal deformity: role of the Shilla growth guidance system
description	Sean M Morell,1 Richard E McCarthy2 1Department of Orthopaedics, University of Arkansas for Medical Sciences, 2Department of Orthopaedics, Arkansas Children’s Hospital, Little Rock, AR, USA Abstract: Early-onset scoliosis is a complex condition with multiple facets. The goal of treating any spinal deformity is to improve the condition of the patient with the least intervention necessary. A system that allows for continuation of natural spinal growth while correcting the deformity should be the goal of treating this complex condition. The SHILLA growth guidance system allows for continued growth of the pediatric spine while correcting and guiding the apex and guiding the future growth of the curvature. The system involves selective fusion across the apex of the curvature, and minimally invasive instrumentation is then used above and below the apex to allow for continued growth of the spine. A review of recent literature on the SHILLA growth guidance system shows promising results. Early animal models showed continued growth across unfused levels with minimal facet articular damage. Comparative studies to traditional growing rods showed significantly less total surgeries along with comparable correction and longitudinal growth. The SHILLA growth guidance system is a good option for this complex patient group. Results are comparable with other growing constructs with significantly less operative interventions. The SHILLA system allows for natural growth of the pediatric spine while correcting the scoliotic deformity in a minimally invasive method. The goal of this article is to present a comprehensive review of the SHILLA system surgical technique and the associated literature concerning this topic. Keywords: scoliosis, SHILLA, growing, early-onset, growth friendly
format	article
author	Morell SM McCarthy RE
author_facet	Morell SM McCarthy RE
author_sort	Morell SM
title	New developments in the treatment of early-onset spinal deformity: role of the Shilla growth guidance system
title_short	New developments in the treatment of early-onset spinal deformity: role of the Shilla growth guidance system
title_full	New developments in the treatment of early-onset spinal deformity: role of the Shilla growth guidance system
title_fullStr	New developments in the treatment of early-onset spinal deformity: role of the Shilla growth guidance system
title_full_unstemmed	New developments in the treatment of early-onset spinal deformity: role of the Shilla growth guidance system
title_sort	new developments in the treatment of early-onset spinal deformity: role of the shilla growth guidance system
publisher	Dove Medical Press
publishDate	2016
url	https://doaj.org/article/9b1f5633b57346d3ae0e02ce9c24ce87
work_keys_str_mv	AT morellsm newdevelopmentsinthetreatmentofearlyonsetspinaldeformityroleoftheshillagrowthguidancesystem AT mccarthyre newdevelopmentsinthetreatmentofearlyonsetspinaldeformityroleoftheshillagrowthguidancesystem
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New developments in the treatment of early-onset spinal deformity: role of the Shilla growth guidance system

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