Would instrumentation without a fusion be a better alternative than a fusion when growth potential is remaining?
The technique of a “growing Rod” is used in very young patients to maximize growth potential. In this procedure instrumentation is placed without a fusion. In multiple intervals, the Rod is lengthened until a time when growth potential can be maximized. There are clinical investigations that use partial fusing of growth centers in the spine (epiphosyodesis) in an attempt to minimally impair growth potential and induce correction of the curve. At some centers in very young patients, temporary staples can be placed across the spine to maximize growth potential.
