title: SPRENGEL'S DEFORMITY: SURGICAL CORRECTION BY A MODIFIED GREEN PROCEDURE.
abstract: OBJECTIVE
  To evaluate the cosmetic and functional results of patients submitted to surgical correction of Congenital High Scapula (Sprengel's Deformity) using modified Green's Procedure, as well as patients' satisfaction and complications.
  
  
  METHODS
  Nine patients submitted to surgical treatment from September 1993 to April 2008 have been assessed. The modification from original technique was: subperiosteal muscle detachment, resection of superomedial scapular portion and fixation of medial portion of scapular spine to contralateral posterior iliac crest instead of skeletal traction, with subcutaneous wire. The mean age was 7 years and 3 months. The mean follow-up time was 3 years and 7 months.
  
  
  RESULTS
  The mean improvement in forward elevation was 39o (range 0 to 80o). According to the Cavendish Classification, cosmetic improvement of two degrees was achieved in eight cases, and three degrees in one. All patients were satisfied with results.
  
  
  CONCLUSIONS
  Surgical correction of Sprengel's Deformity by a modified Green's procedure with contralateral posterior iliac crest fixation instead of skeletal traction, showed both cosmetic and functional improvements; all patients and/or family members were satisfied with the results, and the complications associated to the surgical technique did not interfere on end results.
authors.affiliation: Head, Shoulder and Elbow Group, Hospital das Clínicas, School of Medicine, Universidade Federal de Goiás.
authors.forename: Sandro
authors.initials: S
authors.lastname: da Silva Reginaldo
authors.affiliation: Assistant Physician, Shoulder and Elbow Group, Hospital das Clínicas, School of Medicine, Universidade Federal de Goiás.
authors.forename: Ruy Rocha
authors.initials: RR
authors.lastname: de Macedo
authors.affiliation: Former intern, Shoulder and Elbow Group, Hospital das Clínicas, School of Medicine, Universidade Federal de Goiás.
authors.forename: Rogério
authors.initials: R
authors.lastname: de Andrade Amaral
authors.affiliation: Assistant Physician, Department of Orthopedics and Traumatology, School of Medicine, Universidade Federal de Goiás.
authors.forename: André Luiz Passos
authors.initials: AL
authors.lastname: Cardoso
authors.affiliation: Assistant Physician, Department of Orthopedics and Traumatology, School of Medicine, Universidade Federal de Goiás.
authors.forename: Helder Rocha Silva
authors.initials: HR
authors.lastname: Araújo
authors.affiliation: Professor, Department of Orthopedics and Traumatology, School of Medicine, Universidade Federal de Goiás.
authors.forename: Sergio
authors.initials: S
authors.lastname: Daher
keywords: Scapula; Sprengel's deformity