DOS 2018

DOS Kongressen 2018 · 273 High user satisfaction with magnetically controlled growing-rod treatment in early-onset scoliosis Simon Toftgaard Skov, Jan H.D. Rölfing, Haisheng Li, Kestutis Valancius, Kristian Høy, Ebbe Stender Hansen, Peter Helmig, Cody Bünger Dep. of Orthopaedic Surgery, Aarhus University Hospital Background: The use of magnetically controlled growing- rods (MCGR) is con- sidered by many to be a major evolution in the surgical management of early- onset scoliosis (EOS). Because MCGR treatment entails high initial costs (i.e. implant costs), financing it under the auspices of a public health care system may prove challenging. Purpose / Aim of Study: The aim of the study is to investigate whether EOS patients and their next of kin experience the MCGR lengthening procedures as psychologically and physically stressful as well as their satisfaction and pain in conjunction with the procedure. Materials and Methods: A cross-sectional study of 19 EOS patients, median age 11(range 7-17) years, with MCGR implantation between 2014 and 2017. All patients had undergone unsedated MCGR distraction at three months inter- vals. The parents answered a seven-item MCGR Satisfaction Questionnaire. The answers were scored on a 0-10 Likert scale. Findings / Results: The median (range) questionnaire response to the seven- item questionnaire was: 0(0-5) for physical strain on the patient, 0(0-7) for psychological strain on the patient, 1(0-2) regarding pain, and 0(0-5) regarding anxiety level of the parents. The median satisfaction with the MCGR treatment was 10(8-10) [0 very dissatisfied, 10 very satisfied], and the median likelihood of requesting MCGR if they were to repeat surgery was also 10(9-10) [0 no preference regarding method, 10 highest preference for MCGR]. Conclusions: Overall satisfaction with MCGR was uniformly high to very high. If given the choice, five out of five parents with previous experience with other growth instrumentation would choose MCGR in preference over other growth instrumentation. Both the physical and psychological strain and pain in conjunc- tion with the unsedated lengthening procedure were low. 214.