Vertical scapular osteotomy in congenital high scapula

Area of Science:

• Orthopedic surgery
• Pediatric orthopedics
• Skeletal deformities

Background:

• Congenital high scapula (CHS) presents significant cosmetic and functional challenges in children, primarily limiting shoulder abduction.
• Current surgical treatments like scapular excision, relocation, or subtotal scapulectomy carry risks of poor aesthetics, hemorrhage, and neurological injury.

Purpose of the Study:

• To evaluate the medium to long-term efficacy and outcomes of Vertical Scapular Osteotomy (VSO) for treating congenital high scapula in pediatric patients.

Main Methods:

• A prospective case series involving seven female children diagnosed with unilateral CHS.
• Patients underwent Vertical Scapular Osteotomy (VSO) following Campbell's technique.
• Outcomes were assessed using the Cavendish grading system and measurements of shoulder abduction, with an average follow-up of 4.6 years.

Main Results:

• All patients and their families reported high satisfaction with surgical outcomes.
• Significant improvement in global shoulder abduction was observed, averaging a 52.9° gain.
• Cosmetic appearance improved with better shoulder leveling, and all patients showed enhanced Cavendish grades.

Conclusions:

• Vertical Scapular Osteotomy (VSO) is a successful and reproducible surgical technique for managing congenital high scapula (CHS).
• The procedure provides both functional and cosmetic benefits, addressing the limitations associated with other surgical interventions.