Yunus Atici1, Yunus Emre Akman1, Mehmet Bulent Balioglu1, Sinan Erdogan2. 1. Department of Orthopaedic Surgery and Traumatology, Metin Sabanci Baltalimani Bone Diseases Training and Research Hospital, Istanbul, Turkey. 2. Department of Orthopaedic Surgery and Traumatology, Gaziosmanpasa Taksim Training and Research Hospital, Istanbul, Turkey.
Abstract
PURPOSE: The purpose of this study is to compare the effects of two different growth guidance techniques (dual growing rod and vertical expandable prosthetic titanium rib [VEPTR]) on shoulder balance, in the surgical treatment of congenital scoliosis. MATERIALS AND METHODS: Thirteen patients who were operated due to congenital scoliosis are divided into two groups. The coracoid height difference and clavicular tilt angle difference were measured on standing anteroposterior X-ray images in the preoperative, early postoperative periods, and during the last follow-up. RESULTS: Clinical improvement in shoulder balance was obtained in VEPTR during the last follow-up, but there was no significance in the comparison among the two groups during the last follow-up. CONCLUSION: The effect of the growth guidance techniques on shoulder balance positively contributes in the surgical treatment of congenital scoliosis.
PURPOSE: The purpose of this study is to compare the effects of two different growth guidance techniques (dual growing rod and vertical expandable prosthetic titanium rib [VEPTR]) on shoulder balance, in the surgical treatment of congenital scoliosis. MATERIALS AND METHODS: Thirteen patients who were operated due to congenital scoliosis are divided into two groups. The coracoid height difference and clavicular tilt angle difference were measured on standing anteroposterior X-ray images in the preoperative, early postoperative periods, and during the last follow-up. RESULTS: Clinical improvement in shoulder balance was obtained in VEPTR during the last follow-up, but there was no significance in the comparison among the two groups during the last follow-up. CONCLUSION: The effect of the growth guidance techniques on shoulder balance positively contributes in the surgical treatment of congenital scoliosis.
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