What to expect postoperatively with respect to head tilt in congenital scoliosis
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : Mohamed Samy Zayed Al Zayed
- چاپ و سال / کشور: 2010
Description
Purpose To evaluate the effect of a vertical expandable prosthetic titanium rib (VEPTR) on head tilt in patients with congenital scoliosis. Methods Twelve Patients with fused ribs, congenital scoliosis (CS), thoracic insufficiency syndrome (TIS), and cervical tilt were treated with VEPTR open wedge thoracostomy. The Cobb angles of the primary thoracic curves were measured. Preoperative measurements of cervical tilt angle, first thoracic (T1) oblique take-off angle, head decompensation, and shoulder horizontal angle were all measured. All the patients were treated with VEPTR open wedge thoracostomy. Result There was statistically significant improvement in thoracic Cobb angle. At the end of follow-up there was significant improvement in the shoulder horizontal angle from 14.4 to 6.7. Head decompensation had improved to B2 cm in nine patients. Both thoracic oblique take-off angle and cervical tilt angle had improved from 35.1 to 33.9 preoperatively to 30 and 27.2 at the end of followup. Complications included device migration (one patient) and pedicle screw loosing (one patient). Conclusion VEPTR is able to stabilize head tilt in patients with congenital scoliosis
Eur J Orthop Surg Traumatol (2011) 21:1–5 DOI 10.1007/s00590-010-0659-8 Received: 24 April 2010 / Accepted: 12 May 2010 / Published online: 8 June 2010
