View Full Version : Comparing Harrington rods with modern instrumentation

16-12-2012, 01:21 PM
Hi Dr. Scoliosis,

I'm interested in how Harrington Rods compare with modern pedicle screw instrumentation, in particular the drawbacks of Harrington Rods. Do you have any personal experience with Harrington Rods? And when did the use of them cease?

Dr Scoliosis
24-12-2012, 01:00 PM
Thank you for your enquiry.

You should look at rod removal (http://www.scoliosis-australia.org./scoliosis/rod_removal.html) on our website which answers some of your questions.

The Dr Scoliosis on duty happened to be praticising when Harrington rods were introduced in the early 60s. The Dr Scoliosis on duty was active in practice when Harrington instrumentation was supplanted by Cotrel Dubousset instrumentation in the mid 1980s. Since then there are many variations on the principle set down by the French surgeons. Now the forms of instrumentation that are available, and there are many of these, provide the rigid fixation which is optimal for the healing of the spinal fusion. It is the spinal fusion which is important, not the rods, but the greater rigidity of the systems available today favours early healing and permits rapid mobilisation. Now external support, that is, a cast after the surgery, is hardly ever required. This is because the instrumentation is so effective.

I have viewed your post-operative radiograph and you seem to have obtained an excellent correction.

Dr Scoliosis

26-12-2012, 05:35 PM
Thank you for your interesting reply. You've certainly seen some great strides forward in scoliosis surgery, in your time!