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Published on: November 17, 2023
Central Airway Obstruction with Persistent Pulmonary Decline After Vertebral Body Tethering: A Case Report
Melanie Boeyer1, Nicole Tweedy1, Daniel Hoernschemeyer1
1Department of Orthopaedic Surgery, University of Missouri, Columbia, Missouri.
Case:
An 11-year-old girl with pectus excavatum presented with an acute airway obstruction and persistent pulmonary compromise after vertebral body tethering (VBT). The anterior instrumentation was occluding her right basilar bronchus, resulting in hyperinflation. Removal of the instrumentation reversed the hyperinflation.
Conclusion:
This case illustrates the difficulty of performing VBT in a small patient with severe scoliosis and significant asymmetric pectus excavatum. We recommend using low-profile instrumentation and ensuring the trajectory of the instrumentation is anterior to the rib head and parallel to the articular facets.
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