One-hundred-fifteen consecutive bladder exstrophies successfully closed in a single nationally commissioned centre.

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Abstract

[Indexed for MEDLINE] Conflict of interest statement: Conflict of interest None. 12. Spine Deform. 2022 Nov;10(6):1289-1297. doi: 10.1007/s43390-022-00543-3. Epub 2022 Jul 3. Contraindications to magnetically controlled growing rods: consensus among experts in treating early onset scoliosis. Matsumoto H(1)(2), Sinha R(3), Roye BD(3)(4), Ball JR(3), Skaggs KF(3), Brooks JT(5), Welborn MC(6), Emans JB(7), Anari JB(8), Johnston CE(5), Akbarnia BA(9)(10), Vitale MG(3)(4), Murphy RF(11); Pediatric Spine Study Group. Author information: (1)Department of Orthopedic Surgery, Columbia University Irving Medical Center, New York, NY, 10032, USA. hm2174@cumc.columbia.edu. (2)Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, 10032, USA. hm2174@cumc.columbia.edu. (3)Department of Orthopedic Surgery, Columbia University Irving Medical Center, New York, NY, 10032, USA. (4)Division of Pediatric Orthopaedic Surgery, New York-Presbyterian Morgan Stanley Children's Hospital, Columbia University Irving Medical Center, New York, NY, 10032, USA. (5)Scottish Rite for Children/UT-Southwestern, Dallas, TX, 75219, USA. (6)Department of Orthopaedic Surgery, Shriner's Hospital for Children Portland, Portland, OR, 97229, USA. (7)Department of Orthopedic Surgery, Boston Children's Hospital, Boston, MA, 02115, USA. (8)Division of Orthopaedics, Children's Hospital of Philadelphia, Philadelphia, PA, 19104, USA. (9)San Diego Spine Foundation, San Diego, CA, 92121, USA. (10)Department of Orthopaedic Surgery, University of California San Diego School of Medicine, La Jolla, CA, 92093, USA. (11)Department of Orthopaedics, Medical University of South Carolina, Charleston, SC, 29492, USA. PURPOSE: The purpose of this study was to describe contraindications to the magnetically controlled growing rod (MCGR) in patients with early onset scoliosis (EOS) by establishing consensus amongst expert surgeons who treat these patients frequently. METHODS: Nine pediatric spine surgeons from an international EOS study group participated in semi-structured interviews via email to identify factors that influence decision making in the use of MCGR. A 39-question survey was then developed to specify these factors as contraindications for MCGR-these included patient age and size, etiology, medical comorbidities, coronal and sagittal curve profiles, and skin and soft tissue characteristics. Pediatric spine surgeons from the EOS international study group were invited to complete the survey. A second 29-item survey was created to determine details and clarify results from the first survey. Responses were analyzed for consensus (> 70%), near consensus (60-69%), and no consensus/variability (