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Related Experiment Video

Updated: Jun 28, 2026

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
04:19

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device

Published on: November 8, 2024

[Fusion and function after eight scapulothoracic arthrodesis].

M-O Falcone1, A Sauvage, G Wavreille

  • 1Unité B, département de chirurgie orthopédique, hôpital Roger-Salengro, 59037 Lille cedex, France.

Revue De Chirurgie Orthopedique Et Reparatrice De L'Appareil Moteur
|November 6, 2008
PubMed
Summary

Scapulothoracic arthrodesis effectively reduced scapula alata and improved shoulder function in patients with muscular dystrophy or nerve injury. While CT scans revealed nonunion in some cases, functional outcomes remained positive, demonstrating the procedure

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Area of Science:

  • Orthopedic surgery
  • Shoulder reconstruction
  • Scapulothoracic stabilization

Context:

  • Scapula alata, caused by serratus anterior muscle deficiency, leads to shoulder instability and pain.
  • Etiologies include fascioscapulohumeral dystrophy and long thoracic nerve injury.
  • Surgical options include dynamic muscle transfer or static procedures like scapulopexy or scapulothoracic arthrodesis.

Purpose:

  • To evaluate fusion and functional outcomes following scapulothoracic arthrodesis.
  • To assess the efficacy of cerclage with compression and intercostal avivement for enhanced fusion.

Summary:

  • Eight scapulothoracic arthrodeses were performed on five patients (three with fascioscapulohumeral dystrophy, two with long thoracic nerve injury).
  • Postoperative assessment showed reduced scapula alata, improved motion (39° antepulsion, 41° abduction), and high functional scores (81.5% weighted Constant score).

Related Experiment Videos

Last Updated: Jun 28, 2026

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
04:19

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device

Published on: November 8, 2024

  • CT scans confirmed fusion in five shoulders and nonunion in three, yet functional improvement was observed regardless of fusion status.

    • Impact:

    • Scapulothoracic arthrodesis successfully addresses scapula alata, enhancing shoulder elevation and daily activity function.
    • The procedure yields satisfactory functional gains comparable to existing literature, despite potential nonunion.
    • Complications were minimal, including transient dysesthesia and one pneumothorax, with no significant impact on respiratory function.