The ApiFix procedure is an FDA-approved surgical option for the correction of progressive adolescent idiopathic scoliosis. Created by the ApiFix Corporation, the first ApiFix procedure was performed in 2012, and since then, more than 500 patients have undergone the procedure.
ApiFix is a non-fusion surgical procedure that involves using three pedicle screws to stabilize the spinal curvature. Also known as the MID-C, or minimally invasive deformity correction system, the ApiFix procedure offers scoliosis correction without the permanence of spinal fusion. From a posterior approach, the self-adjusting rod is implanted on one side of the spine to brace the spine and help straighten the curve. The rod features two polyaxial joints that allow for spinal motion.
The ApiFix is appropriate for patients with Lenke classifications 1 and 5 who display enough bone density to hold the screws to the posterior aspect of the curve apex. At both the superior and inferior vertebral levels.Because the rod is self-adjusting, it allows for continued postoperative correction and accommodates the patient continued growth.
This procedure is less invasive than traditional spinal fusion surgery, and this means your child will have:
Reduced length of hospital stay
Less surgery time
Less tissue disruption and bony anatomy removal
Less blood loss and smaller scar
The procedure takes about an hour, and the patient is discharged from the hospital in 1-2 days. About three weeks after surgery, the patient will start physical therapy.
Studies show “the probable benefit success rate of curve correction and maintenance below 35 degrees is greater than or equal to 75% over the 24-month duration of follow-up” (fda.gov), meaning there is a better chance of correcting the curvature with ApiFix without having to move toward spinal fusion surgery. Additionally, clinical data shows a 95.2% success rate in patient at six-month followup and 88.9% success rate at 12-month followup (apifix.com).
More parents prefer a nonsurgical approach to scoliosis correction, and ApiFix is an option you will want to discuss to see if your child is a candidate for this type of correction.