{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:50:25Z","timestamp":1787755825213,"version":"build-2784847793"},"reference-count":12,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","license":[{"start":{"date-parts":[[2024,10,1]],"date-time":"2024-10-01T00:00:00Z","timestamp":1727740800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>We describe treatment of severe multilevel congenital thoracic fusion in a 3-year-old girl with Apert Syndrome by posterior element excision, posterior column osteotomies, and gradual distraction with magnetically controlled growing rods (MCGR) with 3-year follow-up. We also describe short-term follow-up with similar management in an 8-year-old patient with a congenitally fused thoracic spine from Jarcho-Levin syndrome.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Posterior element resection and targeted posterior column osteotomies combined with gradual distraction with MCGR offers a promising treatment course for children with severe thoracic insufficiency syndrome derived from congenital fusions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.24.00256","type":"journal-article","created":{"date-parts":[[2024,10,24]],"date-time":"2024-10-24T14:01:35Z","timestamp":1729778495000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Posterior Column Release and Lengthening with a Magnetic Growing Rod Construct in Severe Congenital Thoracic Fusion"],"prefix":"10.2106","volume":"14","author":[{"given":"Michael","family":"Trask","sequence":"first","affiliation":[{"name":"Department of Orthopaedics and Sports Medicine, Seattle Children's Hospital, Seattle, Washington"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan T.","family":"Yamaguchi","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Sports Medicine, Seattle Children's Hospital, Seattle, Washington"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gregory","family":"Redding","sequence":"additional","affiliation":[{"name":"Department of Pulmonary and Sleep Medicine, Seattle Children's Hospital, Seattle, Washington"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Burt","family":"Yaszay","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Sports Medicine, Seattle Children's Hospital, Seattle, Washington"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samuel","family":"Browd","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, Seattle Children's Hospital, Seattle, Washington"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Klane K.","family":"White","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Children's Hospital Colorado, Aurora, Colorado"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2024,10]]},"reference":[{"issue":"3","key":"bib1-20241024","first-page":"72","article-title":"Thoracic insufficiency syndrome","volume":"46","author":"Mayer","year":"2016","journal-title":"Curr Probl Pediatr Adolesc Health Care."},{"key":"bib2-20241024","doi-asserted-by":"crossref","first-page":"392","DOI":"10.3389\/fped.2020.00392","article-title":"Clinical issues for pediatric pulmonologists managing children with thoracic insufficiency syndrome","volume":"8","author":"Redding","year":"2020","journal-title":"Front Pediatr."},{"issue":"3","key":"bib3-20241024","doi-asserted-by":"crossref","first-page":"399","DOI":"10.2106\/00004623-200303000-00001","article-title":"The characteristics of thoracic insufficiency syndrome associated with fused ribs and congenital scoliosis","volume":"85","author":"Campbell","year":"2003","journal-title":"J Bone Joint Surg Am."},{"issue":"suppl 1","key":"bib4-20241024","first-page":"108","article-title":"Thoracic insufficiency syndrome and exotic scoliosis","volume":"89","author":"Campbell","year":"2007","journal-title":"J Bone Joint Surg Am."},{"issue":"6","key":"bib5-20241024","doi-asserted-by":"crossref","first-page":"1272","DOI":"10.2106\/JBJS.G.00184","article-title":"Pulmonary function following early thoracic fusion in non-neuromuscular scoliosis","volume":"90","author":"Karol","year":"2008","journal-title":"J Bone Joint Surg Am."},{"issue":"3","key":"bib6-20241024","doi-asserted-by":"crossref","first-page":"2309499019886945","DOI":"10.1177\/2309499019886945","article-title":"Current status of the magnetically controlled growing rod in treatment of early-onset scoliosis: what we know after a decade of experience","volume":"27","author":"Cheung","year":"2019","journal-title":"J Orthop Surg (Hong Kong)."},{"issue":"suppl 3","key":"bib7-20241024","doi-asserted-by":"crossref","first-page":"287","DOI":"10.1007\/s00586-017-5164-x","article-title":"Ten year follow-up of Jarcho-Levin syndrome with thoracic insufficiency treated by VEPTR and MCGR VEPTR hybrid","volume":"27","author":"Kwan","year":"2018","journal-title":"Eur Spine J."},{"issue":"9","key":"bib8-20241024","doi-asserted-by":"crossref","first-page":"1091","DOI":"10.1097\/00007632-199209000-00014","article-title":"Long-term follow-up of patients with untreated scoliosis. A study of mortality, causes of death, and symptoms","volume":"17","author":"Pehrsson","year":"1992","journal-title":"Spine (Phila Pa 1976)."},{"issue":"3","key":"bib9-20241024","doi-asserted-by":"crossref","first-page":"131","DOI":"10.1097\/BPO.0000000000001983","article-title":"Mortality in early-onset scoliosis during the growth-friendly surgery era","volume":"42","author":"Guzek","year":"2022","journal-title":"J Pediatr Orthop."},{"issue":"6, suppl 1","key":"bib11-20241024","doi-asserted-by":"crossref","first-page":"S38","DOI":"10.1097\/BPO.0000000000001351","article-title":"The natural history of early-onset scoliosis","volume":"39","author":"Karol","year":"2019","journal-title":"J Pediatr Orthop."},{"issue":"11","key":"bib12-20241024","doi-asserted-by":"crossref","first-page":"1242","DOI":"10.1097\/BRS.0b013e3181714536","article-title":"A retrospective cohort study of pulmonary function, radiographic measures, and quality of life in children with congenital scoliosis: an evaluation of patient outcomes after early spinal fusion","volume":"33","author":"Vitale","year":"2008","journal-title":"Spine (Phila Pa 1976)."},{"issue":"3","key":"bib13-20241024","doi-asserted-by":"crossref","first-page":"409","DOI":"10.2106\/00004623-200303000-00002","article-title":"Growth of the thoracic spine in congenital scoliosis after expansion thoracoplasty","volume":"85","author":"Campbell","year":"2003","journal-title":"J Bone Joint Surg Am."}],"container-title":["JBJS Case Connector"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.24.00256","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:51:26Z","timestamp":1787752286000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.24.00256"}},"subtitle":["A Report of 2 Cases"],"short-title":[],"issued":{"date-parts":[[2024,10]]},"references-count":12,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2024]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.cc.24.00256","relation":{},"ISSN":["2160-3251"],"issn-type":[{"value":"2160-3251","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,10]]}}}