Magnetic controlled growth rods versus conventional growing rod systems in the treatment of early onset scoliosis: a cost comparison

Eur Spine J. 2015 Jul;24(7):1457-61. doi: 10.1007/s00586-014-3699-7. Epub 2014 Nov 30.

Abstract

Purpose: To evaluate the cost differences between a conventional growth rod system (CGRS) and magnetic controlled growth rods (MCGR) in treating early onset scoliosis (EOS) over a projected 5 year period. We hypothesise that the high initial outlay for MCGR would be recouped from fewer admissions and surgical procedures over the lifetime of the implant.

Methods: The costs of all aspects of treatment for 14 patients undergoing conversion from CGRS to MGRS were collected over a 3 year period. The costs of all aspects of each treatment including clinic visits, hospital stay, theatre and complications were calculated and projected over the lifetime of each device.

Results: The initial outlay for insertion for MCGR was £12,913 more than the CGRS. There were significant cost savings for each lengthening which projected over the 5 year lifetime amounted to a cost saving of over £8,000 per patient.

Conclusions: Magnetic controlled growth rods reduce the need for multiple invasive procedures in the management of EOS. The implant has a significant projected cost saving in comparison to CGRS.

Publication types

  • Comparative Study

MeSH terms

  • Ambulatory Care / economics*
  • Child
  • Cohort Studies
  • Costs and Cost Analysis
  • Female
  • Health Care Costs*
  • Hospitalization / economics*
  • Humans
  • Magnetics / economics*
  • Male
  • Orthopedic Procedures / economics*
  • Orthopedic Procedures / methods
  • Prostheses and Implants / economics*
  • Retrospective Studies
  • Scoliosis / surgery*