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Related Experiment Video

Updated: May 29, 2026

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
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Woodward procedure improves shoulder function in Sprengel deformity.

Ka-Kit Siu1, Jih-Yang Ko, Chung-Cheng Huang

  • 1Department of Orthopaedic Surgery, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung, Taiwan.

Chang Gung Medical Journal
|September 2, 2011
PubMed
Summary

The Woodward procedure significantly improves shoulder function and appearance in Sprengel deformity patients. Long-term outcomes show enhanced abduction and cosmetic results, validating its effectiveness.

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Area of Science:

  • Orthopedic Surgery
  • Pediatric Orthopedics
  • Congenital Deformities

Background:

  • Sprengel deformity involves congenital failure of scapula descent, causing limited shoulder abduction and cosmetic concerns.
  • The Woodward procedure is a known surgical intervention, but its long-term functional outcomes require detailed evaluation.

Purpose of the Study:

  • To assess the long-term functional and cosmetic outcomes of the Woodward procedure in patients with Sprengel deformity.
  • To evaluate improvements in shoulder range of motion, strength, and aesthetic appearance post-surgery.

Main Methods:

  • Retrospective evaluation of eight patients (nine shoulders) who underwent the Woodward procedure.
  • Assessment using the Cavendish grading system for cosmetic appearance and Constant scoring for functional outcomes.

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Published on: November 8, 2024

  • Radiographic analysis of scapular position and shoulder range of motion, including abduction.

    • Main Results:

    • Significant improvement in cosmetic appearance (Cavendish grade, p=0.000) and scapular positioning (superior displacement ratio, p=0.004).
    • Enhanced shoulder abduction range (122° to 157°, p=0.008) and improved abduction power.
    • High average Constant score (91.7 points) indicating excellent functional recovery.

    Conclusions:

    • The Woodward procedure provides substantial and lasting improvements in both shoulder function and cosmetic appearance.
    • This surgical technique is effective for addressing the challenges associated with Sprengel deformity.