Spine Deformity With Fused Ribs Treated With Proximal Rib- Versus Spine-Based Growing Constructs
| Autor: | Joshua M. Pahys, Fady J. Baky, A. Noelle Larson, John B. Emans, David L. Skaggs, Tricia St. Hilaire, Jeff Pawelek |
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| Rok vydání: | 2019 |
| Předmět: |
Male
musculoskeletal diseases medicine.medical_specialty Kyphosis Ribs Scoliosis Prosthesis Design Article Thoracic Vertebrae 03 medical and health sciences 0302 clinical medicine Thoracic Diseases Suture Anchors Deformity Humans Medicine Orthopedics and Sports Medicine Prospective Studies Thoracoplasty Age of Onset Retrospective Studies Fixation (histology) Orthodontics 030222 orthopedics Rib cage Cobb angle business.industry Age Factors musculoskeletal system medicine.disease Spine Spinal Fusion Treatment Outcome Child Preschool Coronal plane Orthopedic surgery Female medicine.symptom business 030217 neurology & neurosurgery |
| Zdroj: | Spine Deformity. 7:152-157 |
| ISSN: | 2212-134X |
| Popis: | STUDY DESIGN: Retrospective review of prospectively collected data OBJECTIVE: To compare the use of spine-based vs. rib-based implants for the treatment of early onset scoliosis (EOS) in the setting of rib fusions. SUMMARY OF BACKGROUND DATA: Treatment for severe early-onset spinal deformity with rib fusions includes growing spine devices with proximal rib or spine anchors. The results of treatment, however, have not been compared between spine-based vs. rib-based proximal anchors. METHODS: 169 patients with rib fusions treated with rib-based or spine-based constructs and minimum 2-year follow-up were included. 16 patients were treated with proximal spine-based anchors and 153 with proximal rib-based devices (VEPTRs). 104 of the patients with rib-based fixation underwent thoracoplasty at the index surgery. We evaluated change in T1-T12 and T1-S1 height, coronal Cobb angle, kyphosis and number of lengthening/revision surgeries. RESULTS: Kyphosis increased a mean of 7 degrees in the rib-based group and decreased a mean of 20 degrees in the spine-based group (p=0.002). Major Cobb angle decreased in both groups (p |
| Databáze: | OpenAIRE |
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