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

VEPTR Treating three-dimensional thoracic deformity of early onset scoliosis

The Synthes Spine Vertical Expandable Prosthetic Titanium Rib (VEPTR) allows new growth sparing surgical procedures for treatment of spine deformity in early childhood. The prime FDA indication for its use is the presence of thoracic insufficiency syndrome [1], which is the inability of the thorax to support normal respiration or lung growth. This syndrome is most often due to three-dimensional...

Unexpected longevity in patients with severe kyphoscoliosis.

The threat of premature death in the fourth or fifth decades of life from cardiorespiratory failure in kyphoscoliosis is well known. Ten patients with severe kyphoscoliosis (curves greater than 100 degrees), who had survived into their seventh decade free of cardiorespiratory failure, were encountered over a four-year period. Pulmonary function studies on five patients showed impaired chest bel...

Kyphoscoliosis.

Anaesthetic management of a parturient with severe kyphoscoliosis.

Use of neuraxial block in a patient with severe kyphoscoliosis is controversial. We describe the anaesthetic management by spinal anaesthesia of a parturient with severe kyphoscoliosis in obstructed labour. The perioperative course was uneventful. We suggest that a patient with severe kyphoscoliosis may be successfully managed by spinal anaesthesia for caesarean section.

Spinal anesthesia in a patient with severe thoracolumbar kyphoscoliosis.

Patients with spine abnormalities, present unique challenges to the health care provider responsible for administrating sedation and anesthesia during surgical and technical procedures. Spinal deformities may cause difficulties with both tracheal intubation and regional anesthesia. This report describes the anesthetic management for two urological operations that were performed in a patient wit...