An Alternate Method of Fixation for Management of Early-onset Deformity With Thoracic Kyphosis

作者：Gross Richard H^*

来源：Journal of Pediatric Orthopaedics, 2012, 32(6): E30-E34.

DOI：10.1097/BPO.0b013e31824b2826

• early-onset scoliosis
• kyphosis
• rib fixation

Background: Although methods currently used for management of early-onset scoliosis are effective, the presence of excessive thoracic kyphosis is associated with an increased instrumentation failure rate. %26lt;br%26gt;Methods: An alternate method of upper thoracic fixation by using a 4-rib construct was developed by necessity when the author was presented with 2 cases of early-onset deformity with severe kyphosis and osteoporosis. %26lt;br%26gt;Results: With a minimum 3-year follow-up, both cases have demonstrated gratifying clinical and radiographic results. %26lt;br%26gt;Conclusions: This method is presented as an alternate method of upper thoracic fixation when increased pullout forces secondary to thoracic kyphosis are anticipated.

• 出版日期2012-9