{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,14]],"date-time":"2026-03-14T05:13:15Z","timestamp":1773465195631,"version":"3.50.1"},"reference-count":44,"publisher":"MDPI AG","issue":"6","license":[{"start":{"date-parts":[[2024,5,21]],"date-time":"2024-05-21T00:00:00Z","timestamp":1716249600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JPM"],"abstract":"<jats:p>Background: Spinal deformities in children and adolescents can be easily divided into those occurring and diagnosed before the age of 10\u2014early-onset scoliosis\u2014and those occurring and diagnosed after the age of 10\u2014late-onset scoliosis. When the curvature continues to progress and exceeds a Cobb angle of more than 60\u201365 degrees, surgical treatment should be considered. The most common treatment procedure for EOS is the surgical correction of the deformity using standard growing rods (SGRs), and in the case of congenital defects with additional hemivertebrae, it is the resection of the hemivertebra and short fusion. Minimally invasive controlled growing rods (MICGRs) need to be distracted every 6\u20139 months through a minimally invasive approach that involves sedation and neuromonitoring to obtain the best possible correction while minimizing complications. The aim of our study is to present a less-invasive surgical technique for MICGR implantation based on a two-case presentation\u2014early-onset idiopathic scoliosis and congenital kyphosis. The surgical technique is the less-invasive percutaneous and subfascial implantation of MICGRs without long incisions in the back. Conclusions: The use of MICGRs is an alternative and safe surgical technique for patients undergoing surgical treatment for EOS. Without the risk of metallosis, like in other implant systems, and the need for replacement after 2 years of use, like in using magnetically controlled growing rods (MCGRs), the MICGR system can be used as a less-invasive procedure, allowing for the avoidance of many periodic invasive procedures in children with a wider opening of the spine (like in using standard growing rods), minimizing the number of planned hospitalizations, reducing the length of hospital stays, and reducing the physical and mental burdens on young patients, parents, and families.<\/jats:p>","DOI":"10.3390\/jpm14060548","type":"journal-article","created":{"date-parts":[[2024,5,21]],"date-time":"2024-05-21T06:50:52Z","timestamp":1716274252000},"page":"548","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Minimally Invasive Controlled Growing Rods for the Surgical Treatment of Early-Onset Scoliosis\u2014A Surgical Technique Video"],"prefix":"10.3390","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7059-2935","authenticated-orcid":false,"given":"Pawel","family":"Grabala","sequence":"first","affiliation":[{"name":"Department of Pediatric Orthopedic Surgery and Traumatology, Medical University of Bialystok, Medical University of Bialystok Children\u2019s Clinical Hospital, ul. Waszyngtona 17, 15-274 Bialystok, Poland"},{"name":"Paley European Institute, Al. Rzeczypospolitej 1, 02-972 Warsaw, Poland"},{"name":"Department of Neurosurgery with Department of Interventional Neurology, Medical University of Bialystok, Medical University of Bialystok Clinical Hospital, ul. M. Sklodowskiej-Curie 24A, 15-276 Balystok, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2024,5,21]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"e20150709","DOI":"10.1542\/peds.2015-0709","article-title":"Early-onset scoliosis: A review of history, current treatment, and future directions","volume":"137","author":"Yang","year":"2016","journal-title":"Pediatrics"},{"key":"ref_2","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. 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