Document Detail


The role of the vertical expandable titanium rib in the treatment of infantile idiopathic scoliosis: early results from a single institution.
MedLine Citation:
PMID:  20864849     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: Few studies exist on the management of progressive curves in the setting of infantile idiopathic scoliosis. We have performed a retrospective review of our experience treating those patients unresponsive to conservative management with the vertical expandable prosthetic titanium rib.
METHODS: We reviewed 8 consecutive patients with infantile idiopathic scoliosis treated at our institution between 2000 and 2009. All patients were screened to ensure that no confounding congenital anomalies or comorbidities contributed to the spinal deformity. Pretreatment, posttreatment, and most recent Cobb angle, sagittal balance, and spinal length, were measured to assess overall curve correction. Patient charts were reviewed for the occurrence of complications.
RESULTS: The average age at the time of surgery was 45.8 months (range: 24 to 84 mo). The average preoperative Cobb angle was 84 degrees (range: 50 to 119 degrees) and showed mean curve correction of 35.1% (range: 20% to 60%) over an average follow-up of 32 months (range: 14 to 45 mo). Spinal height increased a mean of 71 mm (range: 51 to 98 mm) over an average of 4 lengthenings (range: 2 to 7). Three of the patients (37%) experienced minor hardware complications, none experienced a neurologic deficit.
CONCLUSIONS: Our results suggest that the vertical expandable prosthetic titanium rib device is a safe and effective treatment option for large-magnitude curves in this unique patient population.
LEVEL OF EVIDENCE: IV--case series.
Authors:
Jacob F Schulz; Jason Smith; Patrick J Cahill; Anthony Fine; Amer F Samdani
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of pediatric orthopedics     Volume:  30     ISSN:  1539-2570     ISO Abbreviation:  J Pediatr Orthop     Publication Date:    2010 Oct-Nov
Date Detail:
Created Date:  2010-09-24     Completed Date:  2011-01-11     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8109053     Medline TA:  J Pediatr Orthop     Country:  United States    
Other Details:
Languages:  eng     Pagination:  659-63     Citation Subset:  IM    
Affiliation:
Department of Orthopaedic Surgery, Albert Einstein Medical Center, Philadelphia, PA 19141, USA. schulz.jacob@gmail.com
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MeSH Terms
Descriptor/Qualifier:
Body Height
Child
Child, Preschool
Databases, Factual
Female
Humans
Male
Postoperative Complications / etiology*
Prostheses and Implants
Prosthesis Design
Prosthesis Implantation / adverse effects,  methods*
Retrospective Studies
Ribs / surgery*
Scoliosis / surgery*
Titanium
Treatment Outcome
Chemical
Reg. No./Substance:
7440-32-6/Titanium

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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