VERTICAL EXPANDABLE PROSTHETIC TITANIUM RIB (VEPTR) TECHNIQUE FOR THE TREATMENT OF EARLY ONSET SCOLIOSIS: THE EFFECT ON GROWTH AND THE CORRECTION OF SPINE DEFORMITY, SAGITTAL AND CORONAL BALANCE, AND SHOULDER BALANCE
Journal Title: Journal of Turkish Spinal Surgery - Year 2012, Vol 23, Issue 4
Abstract
Objectives: The purpose of this study is to evaluate the effects of VEPTR on spine growth and deformity improvement, and the complication rates. Materials and Methods: In our institute between 2009 and 2011, 12 patients were instrumented with VEPTR without fusion for the treatment of progressive early onset scoliosis. Diagnoses included six patients with congenital scoliosis (five patients had fused ribs), two cases of infantile idiopathic scoliosis, two cases of syndromic scoliosis, one case of neuromuscular scoliosis, and one case of juvenile idiopathic scoliosis. The mean age at the time of surgery was 4.1 (range: 1.6–9) years. The mean duration of follow-up was 1.5 (range: 1–2.5) years. The average number of lengthenings was 3.6 (range: 2–5) per patient. The average interval between lengthenings was 6.9 (range: 5.5–9.5) months. Radiographic evaluation included the measurement of changes of the deformity Cobb angle, the T1–S1 distance, the coronal, sagittal and shoulder balance, and the kyphosis. Results: The mean preoperative scoliosis improved from 66° (range: 48–88°) to 52° (range: 32–85°) postoperatively, and was 63° (range: 40–96°) at the last follow-up. The mean total T1–S1 elongation was increased by 1.8 cm per year. Nine of the 12 patients (75%) had 21 complications (1.75 complications per patient) during the treatment period (five distal hook dislodgements, five rib cradle cephalad migrations, five deep wound infections, two rib cradle caudal migrations, two distal screw pull-outs, one crankshaft phenomenon, and one superficial wound infection). Conclusion: Spinal deformity (scoliosis and shoulder, coronal and sagittal balance) was not effectively controlled by the VEPTR system in this study. Although this system allows for the continued growth of the spine, it has high complication rates.
Authors and Affiliations
Yunus ATICI, Akif ALBAYRAK, Mehmet Temel TACAL, Sami SÖKÜCÜ, Kubilay BENG, Seçkin SARI, Mehmet Akif KAYGUSUZ
Keywords
Related Articles
- EP ID EP676734
- DOI -
- Views 98
- Downloads 0
TUBERCULOSIS OF THE LOWER CERVICAL SPINE
Since 1987, över 150 patients with tuberculosis of the spine have been examined in our clinic. The cervi-cal spine was affected in 6 of them. We report here 4 of these patients. The remaining 2 had tuberculosis of the at...
ANATOMICAL VARIATIONS OF INTRAOSSEOUS VERTEBRAL ARTERY IN C2 VERTEBRA WITH CT ANGIOGRAPHY PREVALENCE STUDY
Objectives: Vertebral artery (VA) injury as a complication of C1–C2 transarticular or C2 pedicular screw placement is commonly related to the anatomic positional variations of the VA in C2 intraosseous canal. These va...
PREGNANCY-ASSOCIATED VERTEBRAL COMPRESSION FRACTURE: CASE REPORT AND SHORT REVIEW
Background Data: Osteoporosis associated with pregnancy or lactation is a rare condition. The incidence and mechanism of this phenomenon has not been clarified, but it can cause one or more vertebral compression fract...
THE SURGICAL TREATMENT OF SPINAL STENOSIS
// is defined as spinal stenosis that spinal canal, neural canal and foramina lose their normal width by bone, soft tissue orboth; and surgical indicaton exists only, if neurologic deficit and Us progression present. İn...
A VARIANT OF TYPE IlA HANGMAN’S FRACTURE WITH POSTERIOR ANGULATION RESULTING FROM EXTENSION-DISTRACTION INJURY: CASE REPORT
Type IIA Hangman's fracture results from fi-exion-distraction injury and shows severe angu-lation with minimum displacement. In this study, A variant case of type IIA hangman's fracture re-sulting from extension-distract...