Anterior Growth Modulation Techniques: Vertebral Body Stapling View Full Text


Ontology type: schema:Chapter     


Chapter Info

DATE

2016

AUTHORS

Patrick J. Cahill , Justin Iorio , Amer F. Samdani , Joshua M. Pahys , Randal R. Betz

ABSTRACT

Vertebral body stapling (VBS) is a fusionless treatment alternative to observation and bracing for the growing child with moderate (20–45°) idiopathic scoliosis. Thoracic spine staples are inserted thoracoscopically, and thoracolumbar or lumbar staples are placed through a minimal access direct lateral retroperitoneal approach.The following indications and strategies are recommended for stapling:Age: less than 13 years in female and less than 15 years in males.Growth remaining: Risser 0–2; at least 1 year of remaining growth on wrist radiographs; and Sanders digital stage less than or equal to 4.Thoracic and lumbar coronal curve less than 45° with minimal rotation and flexible with side bending correction to less than 20°.Sagittal thoracic kyphosis less than 40°.Consider adding a posterior rib to the spine growing rod or VEPTR construct during the stapling procedure if the thoracic curve measures 35–45° and does not bend below 20°.Postoperative nighttime bracing should be used if the curve on the first erect film does not measure less than 20°. More... »

PAGES

731-749

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/978-3-662-48284-1_43

DOI

http://dx.doi.org/10.1007/978-3-662-48284-1_43

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1032358562


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