An alternate method of fixation for management of early-onset deformity with thoracic kyphosis
| Autor: | Richard H. Gross |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
Male
medicine.medical_specialty Thoracic Surgical Procedure Adolescent Radiography Kyphosis Ribs Scoliosis Severity of Illness Index Thoracic Vertebrae Fixation (surgical) medicine Deformity Humans Orthopedics and Sports Medicine Child Rib cage business.industry General Medicine Thoracic Surgical Procedures medicine.disease Surgery medicine.anatomical_structure Treatment Outcome Child Preschool Pediatrics Perinatology and Child Health Thoracic vertebrae Osteoporosis Female medicine.symptom business Follow-Up Studies |
| Zdroj: | Journal of pediatric orthopedics. 32(6) |
| ISSN: | 1539-2570 |
| Popis: | BACKGROUND: Although methods currently used for management of early-onset scoliosis are effective, the presence of excessive thoracic kyphosis is associated with an increased instrumentation failure rate. METHODS: An alternate method of upper thoracic fixation by using a 4-rib construct was developed by necessity when the author was presented with 2 cases of early-onset deformity with severe kyphosis and osteoporosis. RESULTS: With a minimum 3-year follow-up, both cases have demonstrated gratifying clinical and radiographic results. CONCLUSIONS: This method is presented as an alternate method of upper thoracic fixation when increased pullout forces secondary to thoracic kyphosis are anticipated. LEVEL OF EVIDENCE: IV. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|