Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Does Implant-Related Complications Interfere with Correction in the Shilla Technique Performed to Treat Early Onset Scoliosis?

Mehmet Bülent Balioğlu
* ORCID logo ,
Kadir Abul
ORCID logo ,
Ahmet Onur Akpolat
,
Ali Volkan Özlük
,
Nurullah Saçık
,
Fatih Aksay
,
Mehmet Çetinkaya
Version 1 : Received: 24 April 2023 / Approved: 26 April 2023 / Online: 26 April 2023 (13:03:49 CEST)

A peer-reviewed article of this Preprint also exists.

Balioğlu, M.B.; Abul, K.; Akpolat, A.O.; Özlük, A.V.; Saçık, N.; Aksay, M.F.; Çetinkaya, M. Implant-Related Complications Do Not Interfere with Corrections with the Shilla Technique in Early Onset Scoliosis: Preliminary Results. Children 2023, 10, 947. Balioğlu, M.B.; Abul, K.; Akpolat, A.O.; Özlük, A.V.; Saçık, N.; Aksay, M.F.; Çetinkaya, M. Implant-Related Complications Do Not Interfere with Corrections with the Shilla Technique in Early Onset Scoliosis: Preliminary Results. Children 2023, 10, 947.

Abstract

Growth-preserving instrumentation techniques are utilized in early-onset scoliosis (EOS) cases requiring surgical intervention. Shilla technique corrects the deformity and may reduce the need for surgical treatment with its growth-directing effect. As with other techniques, various prob-lems can be encountered following the administration of the Shilla technique. The aim of this study was to examine the effect of complications encountered with Shilla treatment on correction and growth. Sixteen patients with a follow-up period of at least 1 year who received Shilla growth guidance for EOS were included in the study. No complications occurred in 50% cases and no unplanned surgery was required. Of the remaining 8 patients with postoperative im-plant-related complications (50%), 6 (37.5%) required unplanned surgery; this consequently caused implant failure in the proximal region in 5 cases (31.25%) and deep tissue infection around the implant in 1 case (6.25%). Deformity correction, spine length, and quality-of-life scores significantly improved in EOS through Shilla growth guidance. Although implant-related com-plications were observed and related unplanned surgeries were required with Shilla growth guidance in our patients, these complications did not have a significant negative effect on correc-tion and spine growth.

Keywords

Early onset scoliosis; Shilla technique; growth guidance; implant complications; quality of life scores

Subject

Medicine and Pharmacology, Other

Copyright: This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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