Rodding in OI
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![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() Sometimes children with Osteogenesis Imperfecta undergo rodding surgery to
help provide strength to their long bones (arms and legs). Rodding surgery involves inserting a metal rod into the bone to
give it support, the rod acts as an internal splint. If a particular bone is bowed and/or has fractured repeatedly many parents
begin thinking about having the bone rodded. In the surgery the bone is cut in one or more places, this is called an osteotomy,
and allows the bone to be straightened. Then a rod is inserted into the bone. Often times once a bone is straightened and
has the added support of the rod it is able to tolerate more weight and movement than in the past. Many parents find that
once a bone is rodded it does not break as easily. The rod may not always prevent the bone from breaking, but it will act
as an internal splint that holds the bone in place, keeping it aligned, and greatly reducing the pain caused by a fracture. Most
often a cast is not needed. When to have rodding surgery depends on a number of things. If the bowing
in a particular bone is greater than 30 degrees most doctors agree that it is not a question of "if" the bone will break,
but rather "when". If the bowing is severe enough it may also interfere with a childs ability to learn to push up, crawl or
stand. And in other instances a bone may
fracture repeatedly, leading to a vicious cycle of a fractured bone being splinted, during which time it becomes weaker because
of inactivity, then after it is healed it quickly fractures again which requires more splinting, leading to even greater
weakness, etc.. Rodding surgery can help break this cycle and allow a child to use their limbs with much greater confidence.
Rodding surgery can either be planned or happen emergently because of
a bad fracture. If your child has moderate to severe bowing or has had repeated fractures of the same bone, it is a good thing
for the parents to talk with a doctor about rodding. If the surgery can be done locally sometimes the doctor and parents come
up with a plan to wait for the next fracture and then rod at that time so as to minimize the childs "down time". If
the surgery will not be done locally then more often this requires planning the surgery in advance.
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