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Costodesis and contralateral rib release in the management of progressive scoliosis


, : Costodesis and contralateral rib release in the management of progressive scoliosis. Acta Orthopaedica Scandinavica 54(4): 603-612

Immature patients (41) whose scoliosis was treated by fixation of ribs on the convexity are reported. All had progressive scoliosis, the curve deteriorating at more than 10.degree. p.a. [posterior anterior] or the rib-vertebra angle difference being greater than 20.degree. Of the 24 with infantile idiopathic scoliosis examined 5 yr after operation, 10 maintained the improvement obtained at operation and in a further 19 the rate of deterioration had been slowed. Factors leading to a favorable outcome included the following: an initial rib-vertebra angle difference of less than 30.degree.; success in achieving convex rib fusion; use of the operation in patients with infantile idiopathic scoliosis. There was a less favorable outcome in congenital and adolescent scoliosis. Spirometric volumes were diminished immediately after operation. Costodesis is therefore contraindicated in patients with precarious respiratory function.

US$19.90

PMID: 6670476

DOI: 10.3109/17453678308992897


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