| The treatment of vertebral and chest wall deformities with expandable thoracoplasty and a prosthetic expandable implant. | |
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MedLine Citation:
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PMID: 20032749 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Expansion thoracoplasty is a temporary solution to allow complete pulomonary development in the setting of vertebral and rib cage deformities. After thoracoplasty, an expandable implant is needed to maintain the correction. The Growing Spine Profiler (GSP) is a new type of readjustable rib distracter. The purpose of this study was to evaluate the experiences of surgeons in Europe with the implantation of the GSP. METHODS: We retrospectively reviewed 44 patients that underwent placement of the GSP at 15 sites throughout Europe. The mean age at the time of surgery was 6.24 years. Basic demographic data and postoperative management were reviewed. All patients received an opening-wedge thoracostomy with device implantation and expansion thoracoplasty. Retrospectively, the original indications for implantation were determined. Digital images of the radiographs were used to measure coronal and sagittal parameters. RESULTS: The most common diagnoses for implantation were hemivertebrae (9), hemivertebrae with chest wall deformity (10), and unilateral bar (8). Outcomes were available for 43 patients with a mean follow-up period of 3.07 years. There were 23 patients that had an adverse event. Rib fractures were the most common adverse event, with 8 incidents in 7 patients. Radiographically, coronal curve magnitudes were maintained, whereas sagittal kyphosis gradually increased. CONCLUSIONS: The GSP was effective in the maintenance of deformity, while providing a moderate complication rate. Further studies need to be performed to determine the safety and efficacy of this implant. |
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Authors:
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Jonathan R Kamerlink; Itzhak Engel; Ajit Patwardhan; Antonio Valdevit; Gary Lowery; Marco Brayda-Bruno; Reinhard Zeller; Thomas J Errico |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of pediatric orthopedics Volume: 30 ISSN: 1539-2570 ISO Abbreviation: J Pediatr Orthop Publication Date: 2010 Jan-Feb |
Date Detail:
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Created Date: 2009-12-24 Completed Date: 2010-03-17 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8109053 Medline TA: J Pediatr Orthop Country: United States |
Other Details:
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Languages: eng Pagination: 90-8 Citation Subset: IM |
Affiliation:
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NYU Hospital for Joint Diseases, LLC, New York 10016, USA. |
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Child Child, Preschool Europe Follow-Up Studies Humans Infant Postoperative Complications / etiology Prostheses and Implants* / adverse effects Prosthesis Design Respiratory Insufficiency / surgery Retrospective Studies Rib Fractures / etiology Syndrome Thoracic Vertebrae / abnormalities, surgery* Thoracic Wall / abnormalities, surgery* Thoracoplasty / adverse effects, methods* Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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