An unusual case of congenital scoliosis associated with rib agenesis in the upper part of the concavity treated by VEPTR vertebra to vertebra
| Autor: | Traian-Stefan Gavriliu, C Vlad, Cristian Burnei, Ileana Georgescu, Gheorghe Burnei |
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| Rok vydání: | 2012 |
| Předmět: |
musculoskeletal diseases
Male medicine.medical_specialty Context (language use) Ribs Scoliosis Prosthesis Design Prosthesis Implantation Medicine Humans Orthopedics and Sports Medicine Congenital scoliosis Titanium Rib cage business.industry Infant Anatomy musculoskeletal system medicine.disease Hypoplasia Vertebra Radiography medicine.anatomical_structure Treatment Outcome Agenesis Orthopedic surgery Surgery Neurology (clinical) business Respiratory Insufficiency |
| Zdroj: | The spine journal : official journal of the North American Spine Society. 13(11) |
| ISSN: | 1878-1632 |
| Popis: | Background context Rib agenesis in congenital scoliosis is rarely encountered, and its disposal in the application area of the proximal vertical expandable prosthetic titanium rib (VEPTR) module is a challenge to the orthopedic surgeon. Purpose To present a case in which known treatment methods in early-onset scoliosis were not possible to apply. Study design Case report. Methods A patient aged 1 year and 10 months, presenting a congenital scoliosis with the following characteristics: left T3 hemisegmented hemivertebra, T5–T6–T7 hemivertebral segment, T9, T10 trapezoidal vertebrae, right side I–IV rib agenesis with T1–T2–T4 hemivertebral hypoplasia (T3 agenesis) and bilateral XIIth rib agenesis, and V–VI and VII–VIII–IX fused ribs on the right side. We applied a standard VEPTR in a new construct, vertebra to vertebra. Results The VEPTR vertebra to vertebra proved to be an efficient and stabile construct after 1.5 years of follow-up and three device distractions in a row. The curve corrected from 100 to 58 Cobb degrees. Conclusions We believe that the vertebra-to-vertebra construct with eventual modifications may be a solution in the treatment of early-onset scoliosis needing surgery, which associate rib agenesis in the area where the proximal module has to be applied. |
| Databáze: | OpenAIRE |
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