| ORIGINAL ARTICLE |
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| Year : 2015 | Volume
: 6
| Issue : 4 | Page : 200-205 |
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The effect of vertical expandable prosthetic titanium rib on growth in congenital scoliosis
Mehmet Bulent Balioglu, Akif Albayrak, Yunus Emre Akman, Yunus Atici, Deniz Kargin, Mehmet Akif Kaygusuz
Department of Orthopaedics and Traumatology, Spine Surgery and Arthroplasty Clinic, Metin Sabanci Baltalimani Bone Disease Education and Research Hospital, Istanbul, Turkey
Correspondence Address:
Dr. Mehmet Bulent Balioglu
Rumeli Hisari Caddesi No: 62 Baltalimani, Istanbul 34470
Turkey
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/0974-8237.167882
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Aims: In the treatment of thoracic insufficiency syndrome, the main aim is to maintain spinal and thoracic growth in order to continue respiratory functions. Vertical expandable prosthetic titanium rib (VEPTR) device application is a method of choice especially in the congenital cases with a thoracic deformity. In our study, we evaluated the effect of VEPTR on growth in congenital scoliosis. Materials and Methods: Four female patients in whom VEPTR was applied were retrospectively evaluated. Anteroposterior (AP) and lateral Cobb angles that were measured preoperatively and during the last control, space available for lung (SAL), T1-S1 and T1-T12 distances, coronal and sagittal balances were compared. Results: Four female patients in whom VEPTR was applied were retrospectively evaluated. AP and lateral Cobb angles that were measured preoperatively and during the last control, SAL, T1-S1, and T1-T12 distances, coronal and sagittal balances were compared. Conclusions: VEPTR may provide a good correction, and we observed a growth in the spine height and SAL following the treatment of congenital deformities. Long-term, multicenter, prospective studies that compare the spinal height, respiratory functions, the severity of the deformity, and the spinal balance are required in order to evaluate the efficacy of VEPTR. |
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