Vertebral body stapling for Juvenile scoliosis

Written by  Dr. Clayton Stitzel
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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.

 

Originally published by:

Clin Orthop Relat Res. 2005 May;(434):55-60.

Betz RR, D'Andrea LP, Mulcahey MJ, Chafetz RS.

Shriners Hospitals for Children, Philadelphia, PA, USA. This e-mail address is being protected from spambots. You need JavaScript enabled to view it