STUDY DESIGN: The efficacy of performing a thoracoplasty from within the thoracotomy during anterior surgery for scoliosis was investigated. OBJECTIVES: Patients were prospectively studied to determine the possible complications and morbidity of the procedure, and were compared to a similar group of patients that previously underwent same-day anterior and posterior procedures for scoliosis, but without thoracoplasty. Description of the technique is presented. SUMMARY OF BACKGROUND DATA: The seven study patients had uneventful intra- and post-operative courses. For the posterior procedure (CD instrumentation), only morselized rib graft was used, obviating the need for iliac graft. RESULTS: There was no greater rate or additional types of complications in the study group compared to the control group, except one additional day of thoracotomy tube retention. CONCLUSIONS: When same day anterior and posterior procedures are to be performed for scoliosis, internal thoracoplasty is indicated, as a source of autogenous bone and for cosmesis.
STUDY DESIGN: The efficacy of performing a thoracoplasty from within the thoracotomy during anterior surgery for scoliosis was investigated. OBJECTIVES:Patients were prospectively studied to determine the possible complications and morbidity of the procedure, and were compared to a similar group of patients that previously underwent same-day anterior and posterior procedures for scoliosis, but without thoracoplasty. Description of the technique is presented. SUMMARY OF BACKGROUND DATA: The seven study patients had uneventful intra- and post-operative courses. For the posterior procedure (CD instrumentation), only morselized rib graft was used, obviating the need for iliac graft. RESULTS: There was no greater rate or additional types of complications in the study group compared to the control group, except one additional day of thoracotomy tube retention. CONCLUSIONS: When same day anterior and posterior procedures are to be performed for scoliosis, internal thoracoplasty is indicated, as a source of autogenous bone and for cosmesis.
Authors: Amer F Samdani; Jahangir Asghar; Firoz Miyanji; James T Bennett; Jane S Hoashi; Baron S Lonner; Michelle C Marks; Peter O Newton; Randal R Betz Journal: Eur Spine J Date: 2014-12-31 Impact factor: 3.134