AI Article Synopsis
- Bilateral vertical expandable prosthetic titanium rib (VEPTR) treatment is a surgical method that corrects scoliosis without involving the spine, allowing for future procedures like MRI or neurosurgery.
- A study compared outcomes between 4 children with spinal deformities from tumors and 4 with neuromuscular diseases, finding a significant reduction in scoliosis curves for both groups (41% for tumors, 40% for neuromuscular cases).
- However, children with tumors showed more severe curve progression and less effective pelvic alignment control, suggesting that VEPTR may be less effective for these patients.
Article Abstract
Bilateral vertical expandable prosthetic titanium rib (VEPTR) treatment using rib-to-pelvis constructs without touching the spine is a safe surgical technique to correct scoliosis while still allowing further MRI or neurosurgical interventions. In this retrospective cohort study, 4 paraplegic children with spinal deformity after intraspinal tumors and 4 children with neuromuscular diseases were compared. VEPTR treatment was able to considerably reduce the main scoliotic curve in both patient groups (41 vs. 40%). However, the tumor group constantly showed more severe curve progression over time and less favorable pelvic obliquity control. In conclusion, bilateral VEPTR can be expected to be less satisfying in children with tumors.
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| http://dx.doi.org/10.1159/000487810 | DOI Listing |
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