Vertebral body stapling procedure for the treatment of scoliosis in the growing child.
Thirty-nine consecutive patients have had vertebral body stapling of 52 curves (26 patients with one curve stapled and 13 with two). For the group with patients who were 8 years or older with less than 50 degrees preoperative curve and a minimum 1-year followup, coronal curve stability was 87% when defined by progression less than or equal to 10 degrees . Fusion was necessary in two patients. No curves less than 30 degrees at the time of stapling progressed greater than or equal to 10 degrees . Major complications occurred in one patient (2.6%, diaphragmatic hernia) and minor complications occurred in five patients (13%). Further followup of the patient cohort and further research into efficacy and indications are warranted.
Betz
Randal R
RR
Shriners Hospitals for Children, Philadelphia, PA, USA. RandalBetz@aol.com
D'Andrea
Linda P
LP
Mulcahey
M J
MJ
Chafetz
Ross S
RS
D000293:Adolescent; D000367:Age Factors; D002648:Child; D002657:Child Development / Q000502:physiology; D002675:Child, Preschool; D015331:Cohort Studies; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D009984:Orthopedic Fixation Devices; D019637:Orthopedic Procedures / Q000295:instrumentation* / Q000379:methods; D010147:Pain Measurement; D011446:Prospective Studies; D011859:Radiography; D016059:Range of Motion, Articular / Q000502:physiology; D020127:Recovery of Function; D018570:Risk Assessment; D012600:Scoliosis / Q000000981:diagnostic imaging* / Q000601:surgery*; D012720:Severity of Illness Index; D013904:Thoracic Vertebrae / Q000601:surgery*; D016896:Treatment Outcome