@article {Peiro-Garcia8048, author = {Alejandro Peiro-Garcia and Jonathan Bourget-Murray and Isadora Suarez-Lorenzo and Fabio Ferri-De-Barros and David Parsons}, title = {Early Complications in Vertical Expandable Prosthetic Titanium Rib and Magnetically Controlled Growing Rods to Manage Early Onset Scoliosis}, elocation-id = {8048}, year = {2021}, doi = {10.14444/8048}, publisher = {International Journal of Spine Surgery}, abstract = {Objectives The aim of this study is to examine whether surgical treatment of early onset scoliosis (EOS) with magnetically controlled growing rods (MCGRs) or a vertical expandable prosthetic titanium rib (VEPTR) resulted in fewer short-term (24 months) complications and reoperations.Background EOS is a challenging problem for spine surgeons that has been managed with different growth-friendly instrumentation systems. Although rib-based devices encourage spinal growth via regular lengthening, the high rate of complications and reoperations leads us to use spine-based devices such as MCGRs to mitigate this concern.Methods A total of 35 EOS patients were included in the study. Twenty patients were included in the VEPTR group, and 15 patients were included in the MCGR group. Demographic data and 2 years of postoperative complications and reoperations were reviewed retrospectively. As secondary outcomes, radiographic outcomes were reported preoperatively and 1 year after surgery. Indications for this technique and complications were collected from the charts.Results Demographic data showed no significant differences between the 2 groups. Significant differences were found in the complications rate at 2 years, with 65\% complications in the VEPTR group and 13.3\% complications in the MCGR group (P \< .001). The reoperation rate at 2 years was also significantly higher in the VEPTR group, with 50\% versus 13.3\% in the MCGR group (P = .0009). As secondary outcomes, radiological parameters such as main curve Cobb angle correction (P = .001) and apical vertebral translation (P = .002) were significantly higher in the MCGR group. Significant differences were also found in sagittal profile parameters; T1-T12 and T1-S1 were significantly higher in the MCGR group (P \< .001).Conclusions According to our results, VEPTR has significantly higher complication and reoperation rates at 2 years postsurgery compared with MCGR.Level of Evidence 4.}, issn = {2211-4599}, URL = {http://www.ijssurgery.com/content/early/2021/03/30/8048}, eprint = {http://www.ijssurgery.com/content/early/2021/03/30/8048.full.pdf}, journal = {International Journal of Spine Surgery} }