EVALUATION OF THE RESULTS OF THE USE OF VEPTR IN PATIENTS WITH SCOLIOSIS
Saved in:
| Title: | EVALUATION OF THE RESULTS OF THE USE OF VEPTR IN PATIENTS WITH SCOLIOSIS |
|---|---|
| Authors: | ARAÚJO, JOÃO PAULO SILVA, FERREIRA, MARCOS ANDRÉ COSTA, PEREIRA, ANDRÉ FLAVIO FREIRE, RANGEL, TULIO ALBUQUERQUE DE MOURA, MEDEIROS, RODRIGO CASTRO DE, CABRAL, LUCIANO TEMPORAL BORGES |
| Source: | Coluna/Columna, Vol 15, Iss 3, Pp 181-185 Coluna/Columna v.15 n.3 2016 Coluna/Columna Sociedade Brasileira de Coluna (SBCO) instacron:SBCO Coluna/Columna, Volume: 15, Issue: 3, Pages: 181-185, Published: SEP 2016 |
| Publisher Information: | FapUNIFESP (SciELO), 2016. |
| Publication Year: | 2016 |
| Subject Terms: | Fusión vertebral/Instrumentación, Orthopedic surgery, 2. Zero hunger, Escoliose, Diseases of the musculoskeletal system, Fusão vertebral/Instrumentação, Spine, Prótesis e implantes, Columna vertebral, 3. Good health, Spinal fusion/Instrumentation, 03 medical and health sciences, 0302 clinical medicine, Scoliosis, RC925-935, Prostheses and implants, Escoliosis, Próteses e implantes, Coluna vertebral, RD701-811 |
| Description: | Objective: Evaluation of the results of the use of VEPTR (Vertical Expandable Prosthetic Titanium Rib - Synthes Spine Co.(r), West Chester, Pennsylvania, USA) as an option in spinal instrumentation without fusion in younger children with scoliosis, considering the complications inherent to spinal fusion in this age group. Methods: Sixteen (16) patients with scoliosis, regardless of etiology, with a mean age of 5.2 (3-8) years, were followed up by Spine Surgery Group at Hospital Getúlio Vargas, Recite-PE, and were submitted to surgical correction of the deformity using VEPTR, from April/2009 to July/2014. The survey was conducted through medical register review, and photographic and radiographic records, with the measurement of pre- and postoperative curves by the Cobb method. Results: The mean values of Cobb angle in the preoperative period, in the immediate postoperative period and after the last distraction were, respectively, 84.1° (112°-60°), 55.4° (92°-16°) and 64.4° (100°-16°), with an average initial correction of 28.7° (34.1%) and final correction of 19.7° (23.4%). The mean follow-up was 23.1 (0-61) months with an average distraction of 3.1 (0-8). The complication rate in this study was 62.5%. Conclusion: The VEPTR presented considerable correction rates of scoliosis curves in patients whose age contraindicate the spinal fusion methods. It is necessary to improve the technique and the implant itself in order to reduce complication rates, which can be considered relatively high, in addition to the conduction of more studies with longer follow-up to determine the actual efficacy of the implant and the maintenance of long-term correction. |
| Document Type: | Article |
| File Description: | text/html |
| ISSN: | 1808-1851 |
| DOI: | 10.1590/s1808-185120161503147272 |
| Access URL: | http://www.scielo.br/pdf/coluna/v15n3/1808-1851-coluna-15-03-00181.pdf https://doaj.org/article/c70486d438fa45be8d2a2d98d69e75bb https://www.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512016000300181 https://www.scielo.br/j/coluna/a/Hjr5SZYWDvSsCBPNgCCJYKM/ http://www.scielo.br/j/coluna/a/Hjr5SZYWDvSsCBPNgCCJYKM/ http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512016000300181 http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512016000300181&lng=en&tlng=en |
| Rights: | CC BY |
| Accession Number: | edsair.doi.dedup.....32f110d0758466b1e53a6ce0ca43979b |
| Database: | OpenAIRE |
Nájsť tento článok vo Web of Science | Abstract: | Objective: Evaluation of the results of the use of VEPTR (Vertical Expandable Prosthetic Titanium Rib - Synthes Spine Co.(r), West Chester, Pennsylvania, USA) as an option in spinal instrumentation without fusion in younger children with scoliosis, considering the complications inherent to spinal fusion in this age group. Methods: Sixteen (16) patients with scoliosis, regardless of etiology, with a mean age of 5.2 (3-8) years, were followed up by Spine Surgery Group at Hospital Getúlio Vargas, Recite-PE, and were submitted to surgical correction of the deformity using VEPTR, from April/2009 to July/2014. The survey was conducted through medical register review, and photographic and radiographic records, with the measurement of pre- and postoperative curves by the Cobb method. Results: The mean values of Cobb angle in the preoperative period, in the immediate postoperative period and after the last distraction were, respectively, 84.1° (112°-60°), 55.4° (92°-16°) and 64.4° (100°-16°), with an average initial correction of 28.7° (34.1%) and final correction of 19.7° (23.4%). The mean follow-up was 23.1 (0-61) months with an average distraction of 3.1 (0-8). The complication rate in this study was 62.5%. Conclusion: The VEPTR presented considerable correction rates of scoliosis curves in patients whose age contraindicate the spinal fusion methods. It is necessary to improve the technique and the implant itself in order to reduce complication rates, which can be considered relatively high, in addition to the conduction of more studies with longer follow-up to determine the actual efficacy of the implant and the maintenance of long-term correction. |
|---|---|
| ISSN: | 18081851 |
| DOI: | 10.1590/s1808-185120161503147272 |