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Modified Thoracoplasty for Rib Hump Deformity in Scoliosis Patients: A Case-Control Study.
World Neurosurg
November 2024
Spinal Surgery Department, The Affiliated Hospital of Southwest Medical University, Luzhou, China. Electronic address:
Article Synopsis
- Razorback deformity with stiff thoracic scoliosis presents a complex challenge that can be addressed through a modified thoracoplasty (MTP) technique, which aims to improve rib hump deformity while minimizing complications.
- A study involving 44 patients assessed the effectiveness of MTP in combination with posterior spinal fusion (PSF), showing that MTP resulted in better correction of rib hump height and thoracic curve compared to PSF alone, without compromising pulmonary function.
- The results indicated that the MTP technique enhanced patient self-image post-surgery, making it a beneficial approach in treating stiff thoracic scoliosis.
Does the addition of convex uniplanar screws in hybrid constructs improve 3D surgical correction in thoracic adolescent idiopathic scoliosis posterior fusion?
J Child Orthop
April 2024
Department of Pediatric Orthopaedic Surgery, Robert Debré University Hospital, Assistance Publique des Hôpitaux de Paris (AP-HP), Paris, France.
Purpose: Hybrid techniques using thoracic sublaminar bands have proved their efficacy in adolescent idiopathic scoliosis posterior fusion, but clinical axial correction sometimes remained disappointing. One solution found was "the frame technique" and the second alternative was the replacement of the convex sublaminar bands by periapical uniplanar screws. The goal of this study was to compare clinical and radiological outcomes of both techniques in a consecutive cohort of adolescent idiopathic scoliosis patients.
View Article and Find Full Text PDFHigh complication rate with titanium plates for chest wall reconstruction following tumour resection.
Eur J Cardiothorac Surg
November 2022
Division of Thoracic and Hyperbaric Surgery, Department of Surgery, Medical University of Graz, Graz, Austria.
Objectives: The reconstruction of the chest wall defect after tumour resection presents a challenge. Titanium rib plates were presented as a reconstruction option due to its biocompatibility, flexibility and pliability. The aim of this study was to evaluate the outcome of single-centre cohort treated with chest wall reconstruction after tumour resections, with a focus on the titanium rib plates reconstruction.
View Article and Find Full Text PDFComplications of Chest Wall Resection in Conjunction with Pulmonary Resection.
Thorac Surg Clin
November 2021
Surgery and Medicine, Division of Thoracic Surgery, McMaster University, McMaster University and Service of Thoracic Surgery, St. Joseph's Healthcare Hamilton, 50 Charlton Avenue East, T-2105, Hamilton, Ontario L8N 4A6, Canada. Electronic address:
Techniques for chest wall resection and reconstruction have evolved over the years. Chest wall resection in conjunction with pulmonary resection has several complications, including pulmonary and infectious. Risk factors for complications are related to the size of the defect, number of ribs resected, and the addition of a pulmonary resection.
View Article and Find Full Text PDFEffect of adjunct thoracoplasty on Adolescent Idiopathic Scoliosis patients' 3D back contour.
Stud Health Technol Inform
June 2021
Department of Orthopaedic Surgery, Children's Wisconsin, Milwaukee, WI, USA.
The aims of this study were to evaluate the effect of a thoracoplasty procedure in addition to a posterior spinal fusion and instrumentation on an Adolescent Idiopathic Scoliosis (AIS) patient's 3D back contour as measured by surface topography. We performed a retrospective review to identify patients who were treated with posterior spinal fusion with spinal instrumentation and those who were treated with an additional thoracoplasty procedure. We analyzed changes in surface topography measurements between these two groups using t-test and ANCOVA statistical analyses.
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