Abstract
Materials and methods We retrospectively reviewed 16 paediatric patients affected by kyphotic spinal deformity (T3-T12 kyphosys > 60°) surgically treated with Growing Rod or VEPTR-like systems from 2006 to 2011. There were 8 males and 8 females, with a mean age of 7 years (range, 4 to 11). The aetiology was: idiopathic scoliosis (5 cases), kyphosis in Morquio disease (1) and in Pott disease (1), congenital scoliosis (3), trisomy 8 (1), Escobar syndrome (1), Prader Willi (1), spondylocostal dysplasia (1), arthrogryposis (2). Dual growing rod was implanted in 9 cases, VEPTR in 9 (always rib to spine construct). Pre-operative main thoracic scoliosis averaged 64° (range, 10° to 100°), lumbar scoliosis 55° and thoracic kyphosis 71° (60° to 90°), 67° in patients treated with growing rod and 77° for those treated with VEPTR.
Highlights
Growing spinal systems are used for the treatment of early onset scoliosis
They are distraction based systems, so the hyperkyphosis is not considered as a correct indication
Aim of our study is to show if those systems can be effectively used in the treatment of spinal kyphotic deformities
Summary
Growing spinal systems and early onset deformities: is hyperkhyphosis a contraindication?. Stefano Giacomini*, Mario Di Silvestre, Francesco Lolli, Francesco Vommaro, Konstantinos Martikos, Elena Maredi, Andrea Baioni, Tiziana Greggi. From The 10th Meeting of the International Research Society of Spinal Deformities (IRSSD 2014 Sapporo) Sapporo, Japan. From The 10th Meeting of the International Research Society of Spinal Deformities (IRSSD 2014 Sapporo) Sapporo, Japan. 29 June - 2 July 2014
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