Magnetically Controlled Spinal Implants: Current Trends, Future Perspectives, and Challenges
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Keywords:
Magnetic Field, Spinal Deformity, Spine İmplant, Remote Control, Non-İnvasive LengtheningAbstract
Spinal disorders are health problems that are frequently seen especially in individuals in the
growing age and significantly affect the quality of life. Especially in parallel with the growth in childhood
and adolescence, the fixed implants placed in the vertebrae are incompatible with the body characteristics.
This causes the implant to remain small or fail and often requires additional surgical interventions. These
second surgeries to replace or lengthen the implant are both painful and challenging for the patient. In this
paper, magnetically controlled implants used in the treatment of slipped discs, spinal deformities, and
similar spinal disorders are examined in detail. These systems, which are controlled by magnetic waves,
have the potential to eliminate the incompatibilities that may occur by adapting to the growth and structural
changes in the body with non-invasive methods. The adaptation of this system to the physiological
development and growth of the patient reduces the need for surgical interventions and surgical
compartments, shortens the general recovery time of the patients and provides a significant reduction in
operation costs and provides economic contributions to the health system and the patient. The main aim of
this study is to evaluate the current status and advantages of existing magnetically controlled implant
technologies and to analyse their place in clinical use. In addition, to examine the challenges and problems
encountered in these technologies and to investigate where this technology will evolve in the future. This
paper aims to be a guiding resource both in current clinical practice and in future research and development
studies.
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References
M. E. AKYOL and M. Ö. TAŞKAPILIOĞLU, “Management of Pediatric Spine Injuries and SCIWORET,” Türk Nöroşir Derg, vol. 30, no. 3, pp. 501–510, 2020.
D. A. M. Tredan, R. J. Mobbs, M. Maharaj, and W. C. H. Parr, “Combining Virtual Surgical Planning and Patient-Specific 3D-Printing as a Solution to Complex Spinal Revision Surgery,” J. Pers. Med., vol. 13, no. 1, 2023, doi: 10.3390/jpm13010019.
B. Akesen, A. C. Ulusaloğlu, T. Atici, and E. Ipek, “Magnetically controlled growing rod in 13 patients with early-onset scoliosis and spinal improvement,” Acta Orthop. Traumatol. Turc., vol. 52, no. 6, pp. 438–441, 2018, doi: 10.1016/j.aott.2017.12.004.
“SAKARYA ÜNİVERSİTESİ TIP FAKÜLTESİ ORTOPEDİ VE TRAVMATOLOJİ ANA BİLİM DALI UZMANLIK TEZİ Doç . Dr . MUSTAFA ERKAN İNANMAZ,” pp. 1–85, 2020.
J. M. Wick and J. Konze, “A Magnetic Approach to Treating Progressive Early-Onset Scoliosis,” AORN J., vol. 96, no. 2, pp. 163–173, 2012, doi: 10.1016/j.aorn.2012.05.008.
H. M. Lorenz, M. M. Hecker, L. Braunschweig, B. Badwan, K. Tsaknakis, and A. K. Hell, “Continuous lengthening potential after four years of magnetically controlled spinal deformity correction in children with spinal muscular atrophy,” Sci. Rep., vol. 10, no. 1, pp. 1–8, 2020, doi: 10.1038/s41598-020-79821-x.
F. K. E. ELİBOL, “Skolyoz Tedavisi İçin Akıllı İmplant Çubuklar,” 2018.
M. Tognini et al., “Understanding the implant performance of magnetically controlled growing spine rods: a review article,” Eur. Spine J., vol. 30, no. 7, pp. 1799–1812, 2021, doi: 10.1007/s00586-021-06774-8.
O. Dede, G. Demirkiran, and M. Yazici, “2014 Update on the ‘growing spine surgery’ for young children with scoliosis,” Curr. Opin. Pediatr., vol. 26, no. 1, pp. 57–63, 2014, doi: 10.1097/MOP.0000000000000036.
P. K. Cronin, K. Poelstra, and T. S. Protopsaltis, “Role of robotics in adult spinal deformity,” Int. J. Spine Surg., vol. 15, no. S2, pp. S56–S64, 2021, doi: 10.14444/8140.
H. M. Lorenz et al., “Magnetically Controlled Devices Parallel to the Spine in Children with Spinal Muscular Atrophy,” JBJS Open Access, vol. 2, no. 4, p. E0036, 2017, doi: 10.2106/JBJS.OA.17.00036.
B. A. Akbarnia, D. S. Marks, O. Boachie-Adjei, A. G. Thompson, and M. A. Asher, “Dual growing rod technique for the treatment of progressive early-onset scoliosis: A multicenter study,” Spine (Phila. Pa. 1976)., vol. 30, no. 17 SUPPL., pp. 46–57, 2005, doi: 10.1097/01.brs.0000175190.08134.73.
K. M. C. Cheung et al., “Magnetically controlled growing rods for severe spinal curvature in young children: A prospective case series,” Lancet, vol. 379, no. 9830, pp. 1967–1974, 2012, doi: 10.1016/S0140-6736(12)60112-3.
A. K. Hell et al., “Health-related quality of life in early-onset-scoliosis patients treated with growth-friendly implants is influenced by etiology, complication rate and ambulatory ability,” BMC Musculoskelet. Disord., vol. 20, no. 1, pp. 20–25, 2019, doi: 10.1186/s12891-019-2969-2.
A. K. Hell et al., “Spinal deformities after childhood tumors,” Cancers (Basel)., vol. 12, no. 12, pp. 1–12, 2020, doi: 10.3390/cancers12123555.
K. Kwan, “Editorial: Advances in the treatment of earlyonset scoliosis?,” J. Orthop. Surg., vol. 23, no. 3, p. 277, 2015, doi: 10.1177/230949901502300301.
I. J. Helenius et al., “Outcomes of growing rod surgery for severe compared with moderate early-onset scoliosis: A matched comparative study,” Bone Jt. J., 2018, doi: 10.1302/0301-620X.100B6.BJJ-2017-1490.R1.
A. Senkoylu, R. B. Riise, E. Acaroglu, and I. Helenius, “Diverse approaches to scoliosis in young children,” EFORT Open Rev., vol. 5, no. 10, pp. 553–562, 2020, doi: 10.1302/2058-5241.5.190087.
D. Karczewski et al., “Postoperative Spinal Implant Infections (PSII)—A Systematic Review: What Do We Know So Far and What is Critical About It?,” Glob. Spine J., vol. 12, no. 6, pp. 1231–1246, 2022, doi: 10.1177/21925682211024198.
A. Yudistira, S. Asmiragani, A. W. Imran, and M. A. Sugiarto, “Surgical Site Infection Management following Spinal Instrumentation Surgery: Implant Removal vs. Implant Retention: an Updated Systematical Review,” Acta Inform. Medica, vol. 30, no. 2, pp. 115–120, 2022, doi: 10.5455/aim.2022.30.115-120.
H. Torlakcik et al., “Magnetically Guided Catheters, Micro- and Nanorobots for Spinal Cord Stimulation,” Front. Neurorobot., vol. 15, no. October, pp. 1–9, 2021, doi: 10.3389/fnbot.2021.749024.
P. Jain, M. Rana, J. K. Biswas, and M. R. Khan, “Biomechanics of spinal implants-a review,” Biomed. Phys. Eng. Express, 2020, doi: 10.1088/2057-1976/ab9dd2.
M. C. Aksoy and S. Bakırcıoğlu, “Yeni nesil programlanabilir manyetik uzayan çiviler,” TOTBİD Derg., vol. 22, no. 1, pp. 61–67, 2022, doi: 10.5578/totbid.dergisi.2022.11.
N. Kadlub, J. Dallard, N. Kogane, E. Galliani, and J. Boisson, “Mandibular magnetic distractor: preclinical validation,” Br. J. Oral Maxillofac. Surg., vol. 60, no. 6, pp. 767–772, 2022, doi: 10.1016/j.bjoms.2021.11.008.
J. T. Smith and R. M. Campbell, “Magnetically controlled growing rods for spinal deformity,” Lancet, vol. 379, no. 9830, pp. 1930–1931, 2012, doi: 10.1016/S0140-6736(12)60528-5.
