PURPOSE: To evaluate the effect of a vertical expandable prosthetic titanium rib (VEPTR) on shoulder balance in patients with congenital scoliosis. METHODS: Fifteen patients had a thoracic congenital scoliosis. The Cobb angles of the thoracic primary curves were measured. Preoperative measurements of the coracoid height difference (CHD; expressed in millimeters) and the clavicular tilt angle difference (CTAD; expressed in degrees) were performed for all patients. All of the patients were treated with VEPTR open wedge thoracostomy. RESULT: There was a statistically significant improvement in thoracic Cobb angle. At the end of follow-up there was a significant improvement in CHD; all but three of the patients had CHD < 9 mm. Preoperatively, CTAD was 8.9°. It improved to 4.4° postoperatively and significantly decreased to 3.9° by the end of follow-up. Complications included device migration (one patient), infection (one patient), and pedicle screw loosening or displacement (two patients). CONCLUSION: VEPTR is able to produce a modest intraoperative correction of shoulder imbalance.
PURPOSE: To evaluate the effect of a vertical expandable prosthetic titanium rib (VEPTR) on shoulder balance in patients with congenital scoliosis. METHODS: Fifteen patients had a thoracic congenital scoliosis. The Cobb angles of the thoracic primary curves were measured. Preoperative measurements of the coracoid height difference (CHD; expressed in millimeters) and the clavicular tilt angle difference (CTAD; expressed in degrees) were performed for all patients. All of the patients were treated with VEPTR open wedge thoracostomy. RESULT: There was a statistically significant improvement in thoracic Cobb angle. At the end of follow-up there was a significant improvement in CHD; all but three of the patients had CHD < 9 mm. Preoperatively, CTAD was 8.9°. It improved to 4.4° postoperatively and significantly decreased to 3.9° by the end of follow-up. Complications included device migration (one patient), infection (one patient), and pedicle screw loosening or displacement (two patients). CONCLUSION: VEPTR is able to produce a modest intraoperative correction of shoulder imbalance.
Authors: Robert M Campbell; Melvin D Smith; Thomas C Mayes; John A Mangos; Donna B Willey-Courand; Nusret Kose; Ricardo F Pinero; Marden E Alder; Hoa L Duong; Jennifer L Surber Journal: J Bone Joint Surg Am Date: 2003-03 Impact factor: 5.284
Authors: John B Emans; Jean François Caubet; Claudia L Ordonez; Edward Y Lee; Michelle Ciarlo Journal: Spine (Phila Pa 1976) Date: 2005-09-01 Impact factor: 3.468
Authors: Robert M Campbell; Melvin D Smith; Thomas C Mayes; John A Mangos; Donna B Willey-Courand; Nusret Kose; Ricardo F Pinero; Marden E Alder; Hoa L Duong; Jennifer L Surber Journal: J Bone Joint Surg Am Date: 2004-08 Impact factor: 5.284
Authors: Huan Dong; Rajpal Nandra; Dan Thurston; Edward Laugharne; Matthew Newton Ede; Adrian Gardner; Jwalant Mehta Journal: Spine Deform Date: 2021-02-01
Authors: Charles E Mackel; Ajit Jada; Amer F Samdani; James H Stephen; James T Bennett; Ali A Baaj; Steven W Hwang Journal: Childs Nerv Syst Date: 2018-08-04 Impact factor: 1.475