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Active Apex Correction: An overview of the modified SHILLA technique and its clinical efficacy
Alaaeldin Azmi Ahmad1,2, Akash Agarwal2
1Department of Pediatric Orthopedic, Annajah Medical School, PO. Box 3985, Ramallah, West Bank, Palestine.
Objective:
Provide current overview of Active Apex correction as a new technique for surgical management for Early Onset Scoliosis by dynamically remodulating the apex of the deformity and mitigate loss of correction and presents a comparative correction data against the long-established systems.
Method:
Summary of the surgical technique and review of the existing retrospective data on APC surgical technique and its comparison against other existing techniques.
Results:
Retrospective clinical results showed the efficiency of the APC technique in active remodulation of the apex of the curve with lower incidence of implant related complications in comparison to SHILLA and Magnetically Controlled Growing Rods (MCGR). APC also showed similar results with traditional growing rods without the need for repeated distraction surgeries for 4 years.
Conclusion:
Active Apex Control is safe and viable option in surgical management for Early Onset Scoliosis patients even in areas with limited resources.
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