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Outcomes following endoscopic-assisted Woodward procedure for Sprengel deformity
Francisco Soldado1, Sergi Barrera-Ochoa2, Paula Diaz-Gallardo1
1Unit for Paediatric Hand, Nerve and Microsurgery, Barcelona Children's Hospital HM Nens, HM Hospitales, Barcelona, Spain.
Purpose:
An endoscopic-assisted approach for Sprengel deformity has been previously reported. Our objective was to assess outcomes of the endoscopic Woodward procedure in a series of patients.
Methods:
Retrospective analysis was performed of children with a Sprengel deformity treated between November 2014 and February 2018. Recorded data were demographic, pre- and postoperative active shoulder elevation and deformity severity according to Cavendish.
Results:
A total of 12 children (four girls and eight boys, ten right-sided/two left-sided) with a mean age of nine years two months (3 years 5 months to 16 years 1 month) and mean follow-up 19.8 months (10 to 48) were assessed. Nine children were classified as Cavendish Grade III and three as grade IV, respectively. Mean preoperative active shoulder forward elevation was 100.8° (70° to 120°), while postoperatively it increased to 149.2° (100° to 170°). Mean preoperative scapular high difference was 4.5 cm (2.8 to 5.2), while postoperatively it was 1.33 cm (0 to 2.8).
Conclusion:
The endoscopic assisted Woodward procedure is an effective technique. Further comparative studies will ascertain advantages in functional and cosmetic results compared to the standard Woodward procedure.
Level Of Evidence:
Therapeutic study, Level IV.
