P D Trobisch1, A Samdani, P Cahill, R R Betz. 1. Dept. of Orthopedics, Shriners Hospital for Children, 3551 N Broad Street, Philadelphia, PA 19140, USA. pertrobisch@gmail.com
Abstract
OBJECTIVE: Unilateral vertebral body stapling as a fusionless alternative to control curvature progression in patients with idiopathic scoliosis (IS). INDICATIONS: Skeletally immature patients (Risser 0 or 1) with IS measuring 20-45° and correction of the curvature <20° on side-bending X-rays. CONTRAINDICATIONS: Congenital scoliosis, curvature above T4 or below L4, thoracic kyphosis >40°. SURGICAL TECHNIQUE: Unilateral disc-sparing staples are placed at the convex side. A thoracoscopic approach can be used for thoracic curves and a mini-open retroperitoneal approach for lumbar curves. POSTOPERATIVE MANAGEMENT: Early ambulation on postoperative day 1 is encouraged. There are no absolute activity restrictions, and no bracing beyond 4 weeks is required. RESULTS: A total of 28 patients (4 males, 24 females; average age at operation 9.4 years) met all inclusion criteria and had a minimum 2-year follow-up (range 2-5.3 years). The success rate (improvement or stabilization of the curvature) was 86% for thoracic curves <35° and all lumbar curves meeting the indications.
OBJECTIVE: Unilateral vertebral body stapling as a fusionless alternative to control curvature progression in patients with idiopathic scoliosis (IS). INDICATIONS: Skeletally immature patients (Risser 0 or 1) with IS measuring 20-45° and correction of the curvature <20° on side-bending X-rays. CONTRAINDICATIONS: Congenital scoliosis, curvature above T4 or below L4, thoracic kyphosis >40°. SURGICAL TECHNIQUE: Unilateral disc-sparing staples are placed at the convex side. A thoracoscopic approach can be used for thoracic curves and a mini-open retroperitoneal approach for lumbar curves. POSTOPERATIVE MANAGEMENT: Early ambulation on postoperative day 1 is encouraged. There are no absolute activity restrictions, and no bracing beyond 4 weeks is required. RESULTS: A total of 28 patients (4 males, 24 females; average age at operation 9.4 years) met all inclusion criteria and had a minimum 2-year follow-up (range 2-5.3 years). The success rate (improvement or stabilization of the curvature) was 86% for thoracic curves <35° and all lumbar curves meeting the indications.
Authors: Christoph Mehren; H Michael Mayer; Christoph Siepe; Frank Grochulla; Andreas Korge Journal: Oper Orthop Traumatol Date: 2010-05 Impact factor: 1.154
Authors: Randal R Betz; Ashish Ranade; Amer F Samdani; Ross Chafetz; Linda P D'Andrea; John P Gaughan; Jahangir Asghar; Harsh Grewal; Mary Jane Mulcahey Journal: Spine (Phila Pa 1976) Date: 2010-01-15 Impact factor: 3.468
Authors: Randal R Betz; John Kim; Linda P D'Andrea; M J Mulcahey; Rohinton K Balsara; David H Clements Journal: Spine (Phila Pa 1976) Date: 2003-10-15 Impact factor: 3.468
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