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Internal thoracoplasty. A new procedure

H L Shufflebarger1, K Smiley, H J Roth

  • 1Miami Children's Hospital, Florida.

Spine
|April 1, 1994
PubMed
Summary
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Performing an internal thoracoplasty during anterior scoliosis surgery is safe and effective. This technique provides autogenous bone and improves cosmetic outcomes without increasing complications.

Area of Science:

  • Spine surgery
  • Scoliosis correction
  • Thoracic procedures

Background:

  • Traditional scoliosis surgery often involves separate anterior and posterior procedures.
  • Autogenous bone grafting is crucial for spinal fusion.
  • Cosmetic outcomes are a consideration in scoliosis treatment.

Purpose of the Study:

  • To investigate the efficacy of internal thoracoplasty during anterior scoliosis surgery.
  • To assess complications and morbidity associated with this combined approach.
  • To compare outcomes with patients undergoing separate anterior and posterior procedures without thoracoplasty.

Main Methods:

  • Prospective study of patients undergoing combined anterior surgery with internal thoracoplasty.
  • Comparison with a control group that had same-day anterior and posterior scoliosis procedures without thoracoplasty.

Related Experiment Videos

  • Detailed description of the internal thoracoplasty technique within the thoracotomy.

    • Main Results:

    • No increased rate or type of complications observed in the internal thoracoplasty group compared to controls.
    • One additional day of thoracotomy tube retention was the only noted difference.
    • Uneventful intra- and post-operative courses for the seven study patients.

    Conclusions:

    • Internal thoracoplasty is indicated for patients requiring same-day anterior and posterior scoliosis procedures.
    • The technique serves as a valuable source of autogenous bone for fusion.
    • Internal thoracoplasty contributes positively to cosmetic results in scoliosis surgery.