THORACOPLASTY FOR THE TREATMENT OF RIB PROMINENCE IN THORACIC SCOLIOSIS

被引：58

作者：

GEISSELE, AE ^{[1
]}

OGILVIE, JW ^{[1
]}

COHEN, M ^{[1
]}

BRADFORD, DS ^{[1
]}

机构：

[1] UNIV MINNESOTA,TWIN CITIES SCOLIOSIS SPINE CTR,DEPT ORTHOPAED SURG,MINNEAPOLIS,MN 55407

来源：

SPINE | 1994年 / 19卷 / 14期

关键词：

D O I：

10.1097/00007632-199407001-00014

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Objectives. The authors evaluated the reduction of rib prominence in patients who underwent thoracoplasty versus matched control patients who underwent fusion without thoracoplasty. Summary of Background Data. Correction in rib prominence with thoracoplasty is not well quantified in the literature. The role of rib bone graft as an alternative to iliac crest is unknown, Methods. Fifty patients who underwent thoracoplasty were reviewed and compared with 26 patients who underwent fusion without thoracoplasty. Rib prominence, clinical data, and patient outcome were evaluated. Results. The mean reduction in rib prominence was 71% in the thoracoplasty group and 17% in the control group. There was no difference in estimated blood loss, operative time, and length of hospitalization. Satisfaction with thoracoplasty was high. Conclusions. Thoracoplasty is more effective than fusion alone for reduction of rib prominence in thoracic scoliosis; it provides ample, effective bone graft for fusion.

引用

页码：1636 / 1642

页数：7

共 21 条

[1]

Aaro S., Dahlborn M., The effect of Harrington instrumentation on the longitudinal axis rotation of the apical vertebra and on the spinal and ribcage deformity in idiopathic scoliosis studied by computer tomography, Spine, 7, pp. 456-462, (1982)

[2]

Allen B.L., Ferguson R.L., The Galveston experience with L-rod instrumentation for adolescent idiopathic scoliosis, Clin Orthop, 229, pp. 59-69, (1988)

[3]

Betz R.R., Huss G.K., Clancy M., Indications for rib resection with Cotrel-Dubousset (C-D) instrumentation for correction of adolescent idiopathic scoliosis, Orthop Trans, 13, 1, (1989)

[4]

Birch J.G., Herring J.A., Roach J.W., Johnston C.E., Cotrel- Dubousset instrumentation in idiopathic scoliosis: A preliminary report, Clin Orthop, 227, pp. 24-29, (1988)

[5]

Briard J.-L., Surgical correction of rib deformity in scoliosis, Orthop Trans, 4, 1, (1980)

[6]

Broome G., Simpson A., Catalan J., Jefferson R.J., Houghton G.R., The modified Schollner costoplasty, J Bone Jointsurg, 72B, pp. 894-900, (1990)

[7]

Buchman J., Cosmetic result in a case of marked scoliosis with rotation of the ribs treated by convex frame, spine fusion and rib resection, Am J Surg, 8, 5, pp. 1081-1083, (1930)

[8]

Del Torto U., Rib resection with Marino-Zuco-Har- rington instrumentátion, Clin Orthop, 65, pp. 191-194, (1969)

[9]

Gaines R.W., McKinley L.M., Leatherman K.D., Effect of the Harrington compression system on correction of the rib hump in spinal instrumentation for idiopathic scoliosis, Spine, 6, pp. 489-493, (1981)

[10]

Harvey C.J., Betz R.R., Huss G.K., Clements D.H., Clancy M., Steel H.H., Are There Indications for Partial Rib Resection in Adolescent Idiopathic Scoliosis Patients Treated with Cotrel- Dubousset Instrumentation, (1992)

← 1 2 3 →