The Usefulness of VEPTR in the Older Child With Complex Spine and Chest Deformity

Abstract

The vertical expandable prosthetic titanium rib

Can VEPTR® Control Progression of Early-onset Kyphoscoliosis?: A Cohort Study of VEPTR® Patients With Severe Kyphoscoliosis

“…Similarly, Fernandes and Weinstein [10] have documented the progressive natural history of infantile scoliosis. In contrast, multiple authors have documented improvements in thoracic dimensions, spinal height, and scoliotic curves with the use of VEPTR 1 in thoracic deformity causing thoracic insufficiency syndrome [3,4,9,13,20,22,24]. We too demonstrate modest improvements in scoliosis and spinal height.…”

Vertical expandable prosthetic titanium rib device insertion: does it improve pulmonary function?

“…The patients were categorized into 4 diagnoses (congenital or infantile scoliosis, Jeune syndrome, neuromuscular scoliosis, and unspecified structural thoracic disorder). Almost half of these patients had congenital or infantile scoliosis (12), whereas the other half was mostly split between neuromuscular scoliosis (5) and unspecified structural thoracic disorder (7). Only 2 patients with Jeune syndrome comprised our VEPTR experience.…”

Use of a Vertical Expandable Prosthetic Titanium Rib in Children With Thoracic Insufficiency Syndrome and Scoliosis

“…Other conditions in which a VEPTR has been used include multiple congenital spine deformities, early-onset progressive neuromuscular scoliosis, congenital scoliosis, early-onset scoliosis, infantile idiopathic scoliosis, and myelomeningocele kyphosis. [9][10][11][12][13] Only a few published articles delineate experience with VEPTR devices in treating TIS in spondylocostal dysplasia, 14 infantile idiopathic scoliosis, 15,16 and thoracic kyphosis. 2 In a retrospective review published in 2011, Reinker et al 11 examined VEPTR devices as a means to control progressive kyphoscoliosis.…”