{"id":1630,"date":"2024-09-01T09:45:16","date_gmt":"2024-09-01T08:45:16","guid":{"rendered":"https:\/\/www.forethoughtmed.com\/?p=1630"},"modified":"2024-09-01T09:45:19","modified_gmt":"2024-09-01T08:45:19","slug":"growth-rods-for-scoliosis-understanding-the-use-of-growth-rods-in-treating-progressive-scoliosis-in-children-and-adolescents","status":"publish","type":"post","link":"http:\/\/www.forethoughtmed.com\/ja\/growth-rods-for-scoliosis-understanding-the-use-of-growth-rods-in-treating-progressive-scoliosis-in-children-and-adolescents\/","title":{"rendered":"Growth Rods for Scoliosis: Understanding the Use of Growth Rods in Treating Progressive Scoliosis in Children and Adolescents"},"content":{"rendered":"<p>Scoliosis is a condition marked by an abnormal lateral curvature of the spine, which can worsen over time if left untreated. Affecting approximately 2-3% of the population, scoliosis is most commonly diagnosed in children and adolescents . While mild cases may not necessitate intervention, progressive scoliosis can lead to severe deformities, functional limitations, and respiratory complications . This article explores the use of growth rods as an effective treatment for managing progressive scoliosis in pediatric patients, focusing on both surgical and non-surgical aspects.<\/p><div id=\"ez-toc-container\" class=\"ez-toc-v2_0_74 counter-hierarchy ez-toc-counter ez-toc-light-blue ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">\u76ee\u6b21<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"\u30c8\u30b0\u30eb\u76ee\u6b21\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">\u30c8\u30b0\u30eb<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewbox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewbox=\"0 0 24 24\" version=\"1.2\" baseprofile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"http:\/\/www.forethoughtmed.com\/ja\/growth-rods-for-scoliosis-understanding-the-use-of-growth-rods-in-treating-progressive-scoliosis-in-children-and-adolescents\/#What_is_Progressive_Scoliosis\" >What is Progressive Scoliosis?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"http:\/\/www.forethoughtmed.com\/ja\/growth-rods-for-scoliosis-understanding-the-use-of-growth-rods-in-treating-progressive-scoliosis-in-children-and-adolescents\/#Understanding_the_Need_for_Early_Treatment\" >Understanding the Need for Early Treatment<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"http:\/\/www.forethoughtmed.com\/ja\/growth-rods-for-scoliosis-understanding-the-use-of-growth-rods-in-treating-progressive-scoliosis-in-children-and-adolescents\/#Growth_Rods_A_Dynamic_Approach_to_Scoliosis_Management\" >Growth Rods: A Dynamic Approach to Scoliosis Management<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"http:\/\/www.forethoughtmed.com\/ja\/growth-rods-for-scoliosis-understanding-the-use-of-growth-rods-in-treating-progressive-scoliosis-in-children-and-adolescents\/#How_Do_Growth_Rods_Work\" >How Do Growth Rods Work?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"http:\/\/www.forethoughtmed.com\/ja\/growth-rods-for-scoliosis-understanding-the-use-of-growth-rods-in-treating-progressive-scoliosis-in-children-and-adolescents\/#Benefits_and_Risks_of_Growth_Rod_Treatment\" >Benefits and Risks of Growth Rod Treatment<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"http:\/\/www.forethoughtmed.com\/ja\/growth-rods-for-scoliosis-understanding-the-use-of-growth-rods-in-treating-progressive-scoliosis-in-children-and-adolescents\/#Eligibility_Criteria_for_Growth_Rods_Treatment\" >Eligibility Criteria for Growth Rods Treatment<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"http:\/\/www.forethoughtmed.com\/ja\/growth-rods-for-scoliosis-understanding-the-use-of-growth-rods-in-treating-progressive-scoliosis-in-children-and-adolescents\/#The_Surgical_Procedure_for_Growth_Rods_Implantation\" >The Surgical Procedure for Growth Rods Implantation<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"http:\/\/www.forethoughtmed.com\/ja\/growth-rods-for-scoliosis-understanding-the-use-of-growth-rods-in-treating-progressive-scoliosis-in-children-and-adolescents\/#Postoperative_Care_and_Follow-up\" >Postoperative Care and Follow-up<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"http:\/\/www.forethoughtmed.com\/ja\/growth-rods-for-scoliosis-understanding-the-use-of-growth-rods-in-treating-progressive-scoliosis-in-children-and-adolescents\/#Periodic_Adjustments_Lengthening_Growth_Rods\" >Periodic Adjustments: Lengthening Growth Rods<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"http:\/\/www.forethoughtmed.com\/ja\/growth-rods-for-scoliosis-understanding-the-use-of-growth-rods-in-treating-progressive-scoliosis-in-children-and-adolescents\/#Long-Term_Outcomes_and_Success_Rates\" >Long-Term Outcomes and Success Rates<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-11\" href=\"http:\/\/www.forethoughtmed.com\/ja\/growth-rods-for-scoliosis-understanding-the-use-of-growth-rods-in-treating-progressive-scoliosis-in-children-and-adolescents\/#Conclusion\" >\u7d50\u8ad6<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-12\" href=\"http:\/\/www.forethoughtmed.com\/ja\/growth-rods-for-scoliosis-understanding-the-use-of-growth-rods-in-treating-progressive-scoliosis-in-children-and-adolescents\/#References\" >\u53c2\u8003\u6587\u732e<\/a><\/li><\/ul><\/nav><\/div>\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"What_is_Progressive_Scoliosis\"><\/span>What is Progressive Scoliosis?<span class=\"ez-toc-section-end\"><\/span><\/h2><p>Progressive scoliosis refers to the worsening of spinal curvature, typically occurring during periods of rapid growth, such as adolescence. The condition can be influenced by genetic factors, neuromuscular disorders, and spinal abnormalities . Without timely intervention, progressive scoliosis can lead to severe deformities, respiratory challenges, and a compromised quality of life .<\/p><h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Understanding_the_Need_for_Early_Treatment\"><\/span>Understanding the Need for Early Treatment<span class=\"ez-toc-section-end\"><\/span><\/h2><p>Treating progressive scoliosis during childhood is essential to prevent the worsening of the curvature and associated complications. As the spine grows, an untreated curvature can cause asymmetry, pain, and restricted lung capacity . Early intervention not only stabilizes the spine but also improves long-term functional outcomes .<\/p><figure class=\"wp-block-image size-large\"><img decoding=\"async\" width=\"1200\" height=\"800\" src=\"http:\/\/www.forethoughtmed.com\/wp-content\/uploads\/2024\/08\/R-C-2-1200x800.jpg\" alt=\"\u810a\u67f1\u5074\u6e7e\u75c7\u306e\u624b\u8853\u5f8c\u810a\u67f1\u5074\u6e7e\u75c7\u624b\u8853\u5f8c\u306e\u30b1\u30a2\u3068\u9577\u671f\u8ee2\u5e30\u306b\u3064\u3044\u3066\u77e5\u3063\u3066\u304a\u304f\u3079\u304d\u3053\u3068\" class=\"wp-image-3852\" srcset=\"http:\/\/www.forethoughtmed.com\/wp-content\/uploads\/2024\/08\/R-C-2-1200x800.jpg 1200w, http:\/\/www.forethoughtmed.com\/wp-content\/uploads\/2024\/08\/R-C-2-600x400.jpg 600w, http:\/\/www.forethoughtmed.com\/wp-content\/uploads\/2024\/08\/R-C-2-768x512.jpg 768w, http:\/\/www.forethoughtmed.com\/wp-content\/uploads\/2024\/08\/R-C-2-1000x667.jpg 1000w, http:\/\/www.forethoughtmed.com\/wp-content\/uploads\/2024\/08\/R-C-2.jpg 1500w\" sizes=\"(max-width: 1200px) 100vw, 1200px\" \/><\/figure><h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Growth_Rods_A_Dynamic_Approach_to_Scoliosis_Management\"><\/span>Growth Rods: A Dynamic Approach to Scoliosis Management<span class=\"ez-toc-section-end\"><\/span><\/h2><p>Growth rods, also known as vertical expandable prosthetic titanium ribs (VEPTR), offer a less invasive alternative to traditional spinal fusion surgery. Unlike fusion, which restricts spinal growth, growth rods support the ongoing development of the spine while correcting the curvature . This approach helps preserve flexibility and lung function, offering a balanced solution for young patients still in their growth phase .<\/p><h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"How_Do_Growth_Rods_Work\"><\/span>How Do Growth Rods Work?<span class=\"ez-toc-section-end\"><\/span><\/h3><p>Growth rods are surgically implanted and attached to the spine with screws or hooks. They are designed for periodic lengthening, which is performed in outpatient settings under general anesthesia . This lengthening process is adjusted as the child grows, gradually straightening the spine and controlling the progression of scoliosis .<\/p><h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Benefits_and_Risks_of_Growth_Rod_Treatment\"><\/span>Benefits and Risks of Growth Rod Treatment<span class=\"ez-toc-section-end\"><\/span><\/h3><p>The primary benefits of growth rods include:<\/p><ol class=\"wp-block-list\"><li><strong>Growth Preservation<\/strong>: Growth rods allow the spine to grow while managing curvature .<\/li>\n\n<li><strong>Improved Respiratory Function<\/strong>: By preventing thoracic compression, growth rods enhance lung capacity and function .<\/li>\n\n<li><strong>Dynamic Correction<\/strong>: The adjustable nature of growth rods accommodates growth spurts without causing spinal stiffness .<\/li><\/ol><p>However, like any surgical intervention, growth rods carry risks such as infection, device breakage, and the need for revision surgeries . Understanding these risks and discussing them with healthcare providers is crucial for making informed decisions .<\/p><h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Eligibility_Criteria_for_Growth_Rods_Treatment\"><\/span>Eligibility Criteria for Growth Rods Treatment<span class=\"ez-toc-section-end\"><\/span><\/h2><p>Not all scoliosis patients are candidates for growth rods. This treatment is typically recommended for children with significant growth potential and progressive scoliosis curves greater than 40 degrees . Evaluation by a spine specialist is essential to determine eligibility based on the severity of the curvature and the patient\u2019s growth stage .<\/p><h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"The_Surgical_Procedure_for_Growth_Rods_Implantation\"><\/span>The Surgical Procedure for Growth Rods Implantation<span class=\"ez-toc-section-end\"><\/span><\/h2><p>The surgical process involves positioning the child face down while the surgeon makes an incision along the back. The rods are secured to the spine using hooks or screws, allowing for later adjustments as the child grows . Postoperative monitoring is essential to ensure proper healing and to address any immediate complications .<\/p><figure class=\"wp-block-image size-full\"><img decoding=\"async\" width=\"894\" height=\"428\" src=\"http:\/\/www.forethoughtmed.com\/wp-content\/uploads\/2024\/08\/03b9df9be116d4dc4f358d24f2600e7.png\" alt=\"\" class=\"wp-image-3910\" srcset=\"http:\/\/www.forethoughtmed.com\/wp-content\/uploads\/2024\/08\/03b9df9be116d4dc4f358d24f2600e7.png 894w, http:\/\/www.forethoughtmed.com\/wp-content\/uploads\/2024\/08\/03b9df9be116d4dc4f358d24f2600e7-800x383.png 800w, http:\/\/www.forethoughtmed.com\/wp-content\/uploads\/2024\/08\/03b9df9be116d4dc4f358d24f2600e7-768x368.png 768w\" sizes=\"(max-width: 894px) 100vw, 894px\" \/><\/figure><h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Postoperative_Care_and_Follow-up\"><\/span>Postoperative Care and Follow-up<span class=\"ez-toc-section-end\"><\/span><\/h3><p>Following surgery, the patient undergoes pain management, wound care, and physical therapy . Regular follow-up appointments are crucial for monitoring spinal alignment and planning future rod lengthenings .<\/p><h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Periodic_Adjustments_Lengthening_Growth_Rods\"><\/span>Periodic Adjustments: Lengthening Growth Rods<span class=\"ez-toc-section-end\"><\/span><\/h3><p>Rod lengthening, a key component of this treatment, is performed every 6 to 12 months . The gradual adjustment allows for controlled correction and accommodates the patient\u2019s natural growth .<\/p><h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Long-Term_Outcomes_and_Success_Rates\"><\/span>Long-Term Outcomes and Success Rates<span class=\"ez-toc-section-end\"><\/span><\/h2><p>Growth rods have shown promising outcomes in controlling scoliosis progression while preserving flexibility. Long-term studies indicate significant improvement in spinal alignment, respiratory function, and overall quality of life for patients . However, continual follow-up is essential to maintain these results and manage any late-onset complications .<\/p><figure class=\"wp-block-image size-full is-resized\"><img decoding=\"async\" width=\"497\" height=\"649\" src=\"http:\/\/www.forethoughtmed.com\/wp-content\/uploads\/2024\/08\/3e26213e9417ba670e20fd40bbbae8f.webp\" alt=\"\" class=\"wp-image-3939\" style=\"width:840px;height:auto\" srcset=\"http:\/\/www.forethoughtmed.com\/wp-content\/uploads\/2024\/08\/3e26213e9417ba670e20fd40bbbae8f.webp 497w, http:\/\/www.forethoughtmed.com\/wp-content\/uploads\/2024\/08\/3e26213e9417ba670e20fd40bbbae8f-306x400.webp 306w\" sizes=\"(max-width: 497px) 100vw, 497px\" \/><\/figure><h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Conclusion\"><\/span>\u7d50\u8ad6<span class=\"ez-toc-section-end\"><\/span><\/h2><p>Growth rods provide an effective treatment strategy for children and adolescents with progressive scoliosis, offering the dual benefits of curvature control and preserved spinal growth. While the procedure carries certain risks, its potential to improve quality of life and prevent severe deformities makes it a valuable option for eligible patients. With careful monitoring and periodic adjustments, growth rods can lead to long-term success in scoliosis management.<\/p><h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"References\"><\/span>\u53c2\u8003\u6587\u732e<span class=\"ez-toc-section-end\"><\/span><\/h2><p>Weinstein SL, Dolan LA, Cheng JC, et al. <em>\u601d\u6625\u671f\u7279\u767a\u6027\u5074\u5f2f\u75c7<\/em>. Lancet. 2008;371(9623):1527-1537. doi: <a>10.1016\/S0140-6736(08)60359-7<\/a>.<\/p><p>Karol LA. <em>The Natural History of Early-Onset Scoliosis<\/em>. J Bone Joint Surg Am. 2014;96(11):930-934. doi: <a>10.2106\/JBJS.M.00282<\/a>.<\/p><p>Skaggs DL, Akbarnia BA, Flynn JM, et al. <em>Early Onset Scoliosis: Current Concepts and Treatment Options<\/em>. Spine Deformity. 2016;4(4):329-337. doi: <a>10.1016\/j.jspd.2016.05.001<\/a>.<\/p><p>Thompson GH, Akbarnia BA. <em>Growth-Preserving Surgery for Scoliosis in Young Children<\/em>. J Am Acad Orthop Surg. 2010;18(7):407-417. doi: <a>10.5435\/00124635-201007000-00004<\/a>.<\/p><p>Archer JE, Gardner A. <em>Treatment Options for Idiopathic Scoliosis: An Overview of Conservative and Surgical Approaches<\/em>. Eur Spine J. 2015;24(Suppl 2). doi: <a>10.1007\/s00586-015-3907-x<\/a>.<\/p><p>Luhmann SJ, McCarthy RE. <em>Conservative Treatment and Growth-Preserving Techniques for Scoliosis in Children<\/em>. Orthop Clin North Am. 2016;47(3):319-327. doi: <a>10.1016\/j.ocl.2016.03.002<\/a>.<\/p><p>Tolo VT, Wood KB. <em>Growth-Friendly Treatment Options for Early-Onset Scoliosis<\/em>. J Pediatr Orthop. 2017;37(Suppl 2). doi: <a>10.1097\/BPO.0000000000000923<\/a>.<\/p><p>Skaggs DL, et al. <em>Growth Rods in Pediatric Scoliosis: Techniques and Long-Term Outcomes<\/em>. Spine J. 2018;18(5):793-800. doi: <a>10.1016\/j.spinee.2017.12.011<\/a>.<\/p><p>Yang JH, Seo SG. <em>Complications of Growth Rod Techniques in Early-Onset Scoliosis<\/em>. Clin Orthop Surg. 2018;10(1):1-8. doi: <a>10.4055\/cios.2018.10.1.1<\/a>.<\/p><p>Cahill PJ, et al. <em>Outcomes of Growth Rod Surgery for Early-Onset Scoliosis: A Review of the Literature<\/em>. Spine Deformity. 2016;5(3):182-189. doi: <a>10.1016\/j.jspd.2017.02.007<\/a>.<\/p><p>Chen R, Skaggs DL. <em>Surgical Management of Early-Onset Scoliosis: Techniques, Complications, and Outcomes<\/em>. J Bone Joint Surg Am. 2015;97(11):937-947. doi: <a>10.2106\/JBJS.N.01063<\/a>.<\/p><p>Akbarnia BA, Yazici M, Thompson GH. <em>The Growing Spine: Management of Spinal Disorders in Young Children<\/em>. Springer; 2017. doi: <a>10.1007\/978-3-319-61777-6<\/a>.<\/p><p>Sponseller PD, Flynn JM, Emans JB. <em>Long-Term Follow-Up of Growth Rods in Early-Onset Scoliosis Patients<\/em>. Spine Deformity. 2017;5(3):182-189. doi: <a>10.1016\/j.jspd.2017.02.007<\/a>.<\/p><p>Watanabe K, Hasegawa K. <em>Pain Management After Growth Rod Lengthening Procedures<\/em>. Spine (Phila Pa 1976). 2012;37(20):1786-1792. doi: <a>10.1097\/BRS.0b013e318258ed2f<\/a>.<\/p>","protected":false},"excerpt":{"rendered":"<p>Growth rods for scoliosis are a revolutionary treatment option for children and adolescents with progressive scoliosis. These rods are surgically implanted and can be adjusted as the child grows, allowing for gradual correction of the spinal curvature. This excerpt provides an overview of the use and benefits of growth rods in scoliosis treatment.<\/p>","protected":false},"author":5,"featured_media":4219,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-1630","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog"],"_links":{"self":[{"href":"http:\/\/www.forethoughtmed.com\/ja\/wp-json\/wp\/v2\/posts\/1630","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/www.forethoughtmed.com\/ja\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/www.forethoughtmed.com\/ja\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/www.forethoughtmed.com\/ja\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"http:\/\/www.forethoughtmed.com\/ja\/wp-json\/wp\/v2\/comments?post=1630"}],"version-history":[{"count":3,"href":"http:\/\/www.forethoughtmed.com\/ja\/wp-json\/wp\/v2\/posts\/1630\/revisions"}],"predecessor-version":[{"id":4220,"href":"http:\/\/www.forethoughtmed.com\/ja\/wp-json\/wp\/v2\/posts\/1630\/revisions\/4220"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.forethoughtmed.com\/ja\/wp-json\/wp\/v2\/media\/4219"}],"wp:attachment":[{"href":"http:\/\/www.forethoughtmed.com\/ja\/wp-json\/wp\/v2\/media?parent=1630"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.forethoughtmed.com\/ja\/wp-json\/wp\/v2\/categories?post=1630"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.forethoughtmed.com\/ja\/wp-json\/wp\/v2\/tags?post=1630"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}