The Role of the Vertical Expandable Titanium Rib in the Treatment of Infantile Idiopathic Scoliosis

Schulz, Jacob F.; Smith, Jason R.; Cahill, Patrick J.; Fine, Anthony; Samdani, Amer F.

doi:10.1097/bpo.0b013e3181efbaa8

Cited by 10 publications

(5 citation statements)

References 14 publications

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“…VEPTR treatment has demonstrated continued spinal growth with serial expansions (mean 71 mm over 4 lengthenings) while improving the coronal curve. 31,32 Hybrid A hybrid distraction-based strategy incorporates the VEPTR concept of using ribs as anchor sites but also uses traditional spinal implants, as in the TGR system. Traditional spinal hooks are placed proximally along the ribs (Fig 7).…”

Section: Veptrmentioning

confidence: 99%

Early-Onset Scoliosis: A Review of History, Current Treatment, and Future Directions

et al. 2016

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Early-onset scoliosis (EOS) is defined as curvature of the spine in children >10° with onset before age 10 years. Young children with EOS are at risk for impaired pulmonary function because of the high risk of progressive spinal deformity and thoracic constraints during a critical time of lung development. The treatment of EOS is very challenging because the population is inhomogeneous, often medically complex, and often needs multiple surgeries. In the past, early spinal fusion was performed in children with severe progressive EOS, which corrected scoliosis but limited spine and thoracic growth and resulted in poor pulmonary outcomes. The current goal in treatment of EOS is to maximize growth of the spine and thorax by controlling the spinal deformity, with the aim of promoting normal lung development and pulmonary function. Bracing and casting may improve on the natural history of progression of spinal deformity and are often used to delay surgical intervention or in some cases obviate surgery. Recent advances in surgical implants and techniques have led to the development of growth-friendly implants, which have replaced early spine fusion as the surgical treatment of choice. Treatment with growth-friendly implants usually requires multiple surgeries and is associated with frequent complications. However, growth-friendly spine surgery has been shown to correct spinal deformity while allowing growth of the spine and subsequently lung growth.

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Section: Veptrmentioning

confidence: 99%

Early-Onset Scoliosis: A Review of History, Current Treatment, and Future Directions

et al. 2016

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“…Complications are common in VEPTR treatment, including migration of the superior cradle, migration of the pelvic hooks, and skin and soft tissue infections [14][15][16]. Complications have been observed to increase with the number of surgeries [17][18][19][20].…”

Section: Discussionmentioning

confidence: 99%

Radiological Outcomes and Complications of Vertical Expandable Titanium Rib Instrumentation in Congenital Scoliosis With or Without Rib Fusion: A Retrospective Study

Majid¹,

Al-Zayed²,

Alsultan³

et al. 2021

Cureus

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“…Other conditions in which a VEPTR has been used include multiple congenital spine deformities, early-onset progressive neuromuscular scoliosis, congenital scoliosis, early-onset scoliosis, infantile idiopathic scoliosis, and myelomeningocele kyphosis. [9][10][11][12][13] Only a few published articles delineate experience with VEPTR devices in treating TIS in spondylocostal dysplasia, 14 infantile idiopathic scoliosis, 15,16 and thoracic kyphosis. 2 In a retrospective review published in 2011, Reinker et al 11 examined VEPTR devices as a means to control progressive kyphoscoliosis.…”

Section: Indicationsmentioning

confidence: 99%

“…Reprinted from Akbarnia et al, 8 with permission. All of these studies 14,15,[17][18][19] were relatively small clinical series with relatively short follow-up periods, and the results varied widely from study to study. Of note, the treatment populations were widely heterogeneous.…”

Section: Length Of Staymentioning

confidence: 99%

Use of a Vertical Expandable Prosthetic Titanium Rib in Children With Thoracic Insufficiency Syndrome and Scoliosis

Watts

2016

Critical Care Nurse

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Thoracic insufficiency syndrome is the inability of the thorax to support normal respiration or lung growth. One treatment to address the thoracic deformities associated with the syndrome is placement of a vertical expandable prosthetic titanium rib. The goal is to restore thoracic volume, symmetry, and function and to allow for growth of the thorax in skeletally immature children. The main topics include indications for placement of a titanium rib, postoperative nursing care, potential complications, long-term follow-up, quality-of-life issues, and implications for critical care nurses and advanced practice nurses. (Critical Care Nurse. 2016;36[2]:52-61)

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The Role of the Vertical Expandable Titanium Rib in the Treatment of Infantile Idiopathic Scoliosis

Abstract: IV--case series.

Cited by 10 publications

References 14 publications

Early-Onset Scoliosis: A Review of History, Current Treatment, and Future Directions

Early-Onset Scoliosis: A Review of History, Current Treatment, and Future Directions

Radiological Outcomes and Complications of Vertical Expandable Titanium Rib Instrumentation in Congenital Scoliosis With or Without Rib Fusion: A Retrospective Study

Use of a Vertical Expandable Prosthetic Titanium Rib in Children With Thoracic Insufficiency Syndrome and Scoliosis

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