This video is a case example using the authors’ preferred technique for Shilla Growth Guidance procedure. The second generation of growth guidance implants built upon the concept of a “Luque trolley.” Whereas the Luque trolley attempted to guide growth using sublaminar wires, which ultimately led to interlaminar ankylosis and auto-fusion, the developers of the second generation of growth guidance constructs utilized pedicle screws placed in an extraperiosteal fashion to guide growth. Also known as the “Shilla growth guidance system,” the construct was designed to guide spinal growth along a pair of parallel rods without any intentional manual distraction.
Read the article in JPOSNA