A Novel Modification of Woodward Procedure for Correction of Sprengel Deformity by Application of Anchoring Sutures

Alsiddiky, Abdulmonem; Rafiq, Zulqurnain; Bakarman, Khalid A.; Alhuzaimi, Fahad; Asif, Muhammad

doi:10.1007/s43465-020-00187-3

Cited by 1 publication

(8 citation statements)

References 25 publications

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“…Most studies reported the patients’ sex, except three [ 34 , 43 , 57 ], and the affected side, except eight [ 21 , 23 , 43 , 47 , 50 , 54 , 57 , 59 ]. In the preoperative evaluation, 28 studies classified patients according to the Cavendish clinical scoring system [ 2 , 9 , 14 , 16 , 17 , 19 , 20 , 21 , 23 , 33 , 35 , 36 , 37 , 38 , 41 , 42 , 44 , 45 , 46 , 47 , 48 , 49 , 52 , 53 , 55 , 58 , 59 , 60 ] and 15 studies [ 14 , 15 , 16 , 17 , 19 , 21 , 32 , 36 , 41 , 45 , 48 , 53 , 57 ,…”

Section: Resultsmentioning

confidence: 99%

“…Twenty-three studies (441 patients) reported the grade of deformity, according to the Cavendish classification [ 9 , 14 , 16 , 17 , 19 , 20 , 21 , 23 , 35 , 36 , 37 , 41 , 42 , 44 , 45 , 46 , 48 , 52 , 53 , 55 , 58 , 59 , 60 ]. Ninety-seven patients (22%) were grade 4, 283 patients (64.2%) were grade 3, 51 patients (11.5%) were grade 2 and 10 patients (2.3%) were grade 1.…”

Section: Resultsmentioning

confidence: 99%

“…Ninety-seven patients (22%) were grade 4, 283 patients (64.2%) were grade 3, 51 patients (11.5%) were grade 2 and 10 patients (2.3%) were grade 1. Fifteen studies (283 patients) used Rigault’s classification [ 14 , 15 , 16 , 17 , 19 , 21 , 32 , 36 , 41 , 45 , 48 , 53 , 57 , 58 , 60 ]: 41% reported score 3 (116/283), 59% score 2 (167/283), whereas no patient had score 1 at the preoperative assessment. Only two papers did not report any vertebral-shoulder connection in their patients [ 9 , 40 ]; the other studies identified a connection between the scapula and spine in 305 patients (46.9%), represented by an omovertebral bone bar (264 patients), fibrous bridge (22 cases) or cartilaginous bar (19 cases).…”

Section: Resultsmentioning

confidence: 99%

“…The Putti–Schrock procedure was reported only by Farsetti [ 32 ] and Sulamaa [ 13 ] in nine cases. The original and modified Green procedure was reported in 14 papers [ 14 , 15 , 23 , 34 , 35 , 37 , 39 , 40 , 44 , 45 , 47 , 48 , 51 , 53 ], accounting for 280 patients; Woodward’s procedure (or modified techniques) was performed in 18 studies [ 2 , 9 , 16 , 17 , 23 , 32 , 33 , 42 , 43 , 46 , 49 , 50 , 54 , 55 , 56 , 57 , 58 , 60 ], accounting for 234 patients. Bhasker [ 41 ], Masquijo [ 19 ] and Mears [ 18 ] treated 29 patients overall with Mears’s technique.…”

Section: Resultsmentioning

confidence: 99%

“… Release of the trapezius, elevator scapulae and rhomboids at the origins from the spinous processes, placing the scapula in an inferiorly-located pocket and reattaching the muscles inferiorly. The most widespread technique was reported by Woodward [ 16 , 17 ] in an attempt to simplify surgery and decrease complications. Woodward’s procedure seems the most physiological and the best biomechanically adapted, since it displaces more distally the origin of muscle insertion.…”

Section: Introductionmentioning

confidence: 99%

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Surgical Treatment of Sprengel’s Deformity: A Systematic Review and Meta-Analysis

et al. 2021

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(1) Background: Sprengel’s deformity (SD) is a rare congenital anomaly caused by failure in the descent of the scapula. We aimed to systematically review the current literature reporting data from children undergoing surgery for SD, in order to explore the rate of success and complications of the different surgical techniques, possibly providing recommendations about the management of SD in children. (2) Methods: we electronically searched the literature from Ovid, MEDLINE and the Cochrane Library databases. Demographic data, surgical procedures, outcomes and complications were analyzed. We categorized surgical procedures into five groups. (3) Results: 41 articles met the inclusion criteria, showing a poor overall study quality; 674 patients (711 shoulders) were analyzed. Green’s and Woodward’s procedures, both aiming the scapular relocation in a more anatomical position, were the most commonly used techniques. We counted 168 adverse events (18 major complications). The best clinical and cosmetic results seem to be achieved when surgery is performed in children aged less than eight years. (4) Conclusions: this paper represents the first systematic review reporting qualitative and quantitative data about the surgical treatment of SD. Surgery for SD seems to be effective in increasing the shoulder’s range of motion and improving the cosmetic appearance in almost all cases, with a low rate of major complications.

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