Vertebral body stapling as an alternative in the treatment of idiopathic scoliosis
Objective Unilateral vertebral body stapling as a fusionless alternative to control curvature progression in patients with idiopathic scoliosis (IS). Indications Skeletally immature patients (Risser 0 or 1) with IS measuring 20–45° and correction of the curvature 40°. Surgical technique Unilateral d...
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| Veröffentlicht in: | Operative Orthopädie und Traumatologie 2011-07, Vol.23 (3), p.227-231 |
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| creator | Trobisch, P.D. Samdani, A. Cahill, P. Betz, R.R. |
| description | Objective
Unilateral vertebral body stapling as a fusionless alternative to control curvature progression in patients with idiopathic scoliosis (IS).
Indications
Skeletally immature patients (Risser 0 or 1) with IS measuring 20–45° and correction of the curvature 40°.
Surgical technique
Unilateral disc-sparing staples are placed at the convex side. A thoracoscopic approach can be used for thoracic curves and a mini-open retroperitoneal approach for lumbar curves.
Postoperative management
Early ambulation on postoperative day 1 is encouraged. There are no absolute activity restrictions, and no bracing beyond 4 weeks is required.
Results
A total of 28 patients (4 males, 24 females; average age at operation 9.4 years) met all inclusion criteria and had a minimum 2-year follow-up (range 2–5.3 years). The success rate (improvement or stabilization of the curvature) was 86% for thoracic curves |
| doi_str_mv | 10.1007/s00064-011-0032-z |
| format | Article |
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Unilateral vertebral body stapling as a fusionless alternative to control curvature progression in patients with idiopathic scoliosis (IS).
Indications
Skeletally immature patients (Risser 0 or 1) with IS measuring 20–45° and correction of the curvature <20° on side-bending X-rays.
Contraindications
Congenital scoliosis, curvature above T4 or below L4, thoracic kyphosis >40°.
Surgical technique
Unilateral disc-sparing staples are placed at the convex side. A thoracoscopic approach can be used for thoracic curves and a mini-open retroperitoneal approach for lumbar curves.
Postoperative management
Early ambulation on postoperative day 1 is encouraged. There are no absolute activity restrictions, and no bracing beyond 4 weeks is required.
Results
A total of 28 patients (4 males, 24 females; average age at operation 9.4 years) met all inclusion criteria and had a minimum 2-year follow-up (range 2–5.3 years). The success rate (improvement or stabilization of the curvature) was 86% for thoracic curves <35° and all lumbar curves meeting the indications.</description><identifier>ISSN: 0934-6694</identifier><identifier>EISSN: 1439-0981</identifier><identifier>DOI: 10.1007/s00064-011-0032-z</identifier><identifier>PMID: 21674182</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer-Verlag</publisher><subject>Anatomy ; Child ; Female ; Hand Surgery ; Humans ; Male ; Medicine ; Medicine & Public Health ; Minimally Invasive Surgical Procedures - instrumentation ; Minimally Invasive Surgical Procedures - methods ; Operative Techniken ; Orthopedics ; Plastic Surgery ; Radiography ; Scoliosis - diagnostic imaging ; Scoliosis - surgery ; Spine - surgery ; Surgical Orthopedics ; Suture Techniques - instrumentation ; Sutures ; Traumatic Surgery ; Treatment Outcome</subject><ispartof>Operative Orthopädie und Traumatologie, 2011-07, Vol.23 (3), p.227-231</ispartof><rights>Urban & Vogel, Muenchen 2011</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c343t-fe03f3ac8b2d6ad2436b923efb77e2084495f924ba565227c665b67f3d75ed773</citedby><cites>FETCH-LOGICAL-c343t-fe03f3ac8b2d6ad2436b923efb77e2084495f924ba565227c665b67f3d75ed773</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00064-011-0032-z$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00064-011-0032-z$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27903,27904,41467,42536,51297</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21674182$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Trobisch, P.D.</creatorcontrib><creatorcontrib>Samdani, A.</creatorcontrib><creatorcontrib>Cahill, P.</creatorcontrib><creatorcontrib>Betz, R.R.</creatorcontrib><title>Vertebral body stapling as an alternative in the treatment of idiopathic scoliosis</title><title>Operative Orthopädie und Traumatologie</title><addtitle>Oper Orthop Traumatol</addtitle><addtitle>Oper Orthop Traumatol</addtitle><description>Objective
Unilateral vertebral body stapling as a fusionless alternative to control curvature progression in patients with idiopathic scoliosis (IS).
Indications
Skeletally immature patients (Risser 0 or 1) with IS measuring 20–45° and correction of the curvature <20° on side-bending X-rays.
Contraindications
Congenital scoliosis, curvature above T4 or below L4, thoracic kyphosis >40°.
Surgical technique
Unilateral disc-sparing staples are placed at the convex side. A thoracoscopic approach can be used for thoracic curves and a mini-open retroperitoneal approach for lumbar curves.
Postoperative management
Early ambulation on postoperative day 1 is encouraged. There are no absolute activity restrictions, and no bracing beyond 4 weeks is required.
Results
A total of 28 patients (4 males, 24 females; average age at operation 9.4 years) met all inclusion criteria and had a minimum 2-year follow-up (range 2–5.3 years). The success rate (improvement or stabilization of the curvature) was 86% for thoracic curves <35° and all lumbar curves meeting the indications.</description><subject>Anatomy</subject><subject>Child</subject><subject>Female</subject><subject>Hand Surgery</subject><subject>Humans</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Minimally Invasive Surgical Procedures - instrumentation</subject><subject>Minimally Invasive Surgical Procedures - methods</subject><subject>Operative Techniken</subject><subject>Orthopedics</subject><subject>Plastic Surgery</subject><subject>Radiography</subject><subject>Scoliosis - diagnostic imaging</subject><subject>Scoliosis - surgery</subject><subject>Spine - surgery</subject><subject>Surgical Orthopedics</subject><subject>Suture Techniques - instrumentation</subject><subject>Sutures</subject><subject>Traumatic Surgery</subject><subject>Treatment Outcome</subject><issn>0934-6694</issn><issn>1439-0981</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kDtPwzAURi0EoqXwA1iQN6aAX7GTEVW8JCQkBKyWk9y0rpI42A5S--tJlcLIdId7vjMchC4puaGEqNtACJEiIZQmhHCW7I7QnAqeJyTP6DGak5yLRMpczNBZCJuR5lLRUzRjVCpBMzZHb5_gIxTeNLhw1RaHaPrGditsAjYdNk0E35lovwHbDsc14OjBxBa6iF2NbWVdb-LaljiUrrEu2HCOTmrTBLg43AX6eLh_Xz4lL6-Pz8u7l6TkgsekBsJrbsqsYJU0FRNcFjnjUBdKASOZEHla50wUJpUpY6qUMi2kqnmlUqiU4gt0PXl7774GCFG3NpTQNKYDNwSdZWlOFFXZSNKJLL0LwUOte29b47eaEr0vqaeSeiyp9yX1btxcHexD0UL1t_hNNwJsAsL46lbg9cYNY6sm_GP9AUekf0o</recordid><startdate>20110701</startdate><enddate>20110701</enddate><creator>Trobisch, P.D.</creator><creator>Samdani, A.</creator><creator>Cahill, P.</creator><creator>Betz, R.R.</creator><general>Springer-Verlag</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20110701</creationdate><title>Vertebral body stapling as an alternative in the treatment of idiopathic scoliosis</title><author>Trobisch, P.D. ; Samdani, A. ; Cahill, P. ; Betz, R.R.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c343t-fe03f3ac8b2d6ad2436b923efb77e2084495f924ba565227c665b67f3d75ed773</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Anatomy</topic><topic>Child</topic><topic>Female</topic><topic>Hand Surgery</topic><topic>Humans</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Minimally Invasive Surgical Procedures - instrumentation</topic><topic>Minimally Invasive Surgical Procedures - methods</topic><topic>Operative Techniken</topic><topic>Orthopedics</topic><topic>Plastic Surgery</topic><topic>Radiography</topic><topic>Scoliosis - diagnostic imaging</topic><topic>Scoliosis - surgery</topic><topic>Spine - surgery</topic><topic>Surgical Orthopedics</topic><topic>Suture Techniques - instrumentation</topic><topic>Sutures</topic><topic>Traumatic Surgery</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Trobisch, P.D.</creatorcontrib><creatorcontrib>Samdani, A.</creatorcontrib><creatorcontrib>Cahill, P.</creatorcontrib><creatorcontrib>Betz, R.R.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Operative Orthopädie und Traumatologie</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Trobisch, P.D.</au><au>Samdani, A.</au><au>Cahill, P.</au><au>Betz, R.R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Vertebral body stapling as an alternative in the treatment of idiopathic scoliosis</atitle><jtitle>Operative Orthopädie und Traumatologie</jtitle><stitle>Oper Orthop Traumatol</stitle><addtitle>Oper Orthop Traumatol</addtitle><date>2011-07-01</date><risdate>2011</risdate><volume>23</volume><issue>3</issue><spage>227</spage><epage>231</epage><pages>227-231</pages><issn>0934-6694</issn><eissn>1439-0981</eissn><abstract>Objective
Unilateral vertebral body stapling as a fusionless alternative to control curvature progression in patients with idiopathic scoliosis (IS).
Indications
Skeletally immature patients (Risser 0 or 1) with IS measuring 20–45° and correction of the curvature <20° on side-bending X-rays.
Contraindications
Congenital scoliosis, curvature above T4 or below L4, thoracic kyphosis >40°.
Surgical technique
Unilateral disc-sparing staples are placed at the convex side. A thoracoscopic approach can be used for thoracic curves and a mini-open retroperitoneal approach for lumbar curves.
Postoperative management
Early ambulation on postoperative day 1 is encouraged. There are no absolute activity restrictions, and no bracing beyond 4 weeks is required.
Results
A total of 28 patients (4 males, 24 females; average age at operation 9.4 years) met all inclusion criteria and had a minimum 2-year follow-up (range 2–5.3 years). The success rate (improvement or stabilization of the curvature) was 86% for thoracic curves <35° and all lumbar curves meeting the indications.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer-Verlag</pub><pmid>21674182</pmid><doi>10.1007/s00064-011-0032-z</doi><tpages>5</tpages></addata></record> |
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| ispartof | Operative Orthopädie und Traumatologie, 2011-07, Vol.23 (3), p.227-231 |
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| language | eng |
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| source | MEDLINE; Springer Nature - Complete Springer Journals |
| subjects | Anatomy Child Female Hand Surgery Humans Male Medicine Medicine & Public Health Minimally Invasive Surgical Procedures - instrumentation Minimally Invasive Surgical Procedures - methods Operative Techniken Orthopedics Plastic Surgery Radiography Scoliosis - diagnostic imaging Scoliosis - surgery Spine - surgery Surgical Orthopedics Suture Techniques - instrumentation Sutures Traumatic Surgery Treatment Outcome |
| title | Vertebral body stapling as an alternative in the treatment of idiopathic scoliosis |
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