conclusions getting a complete knowledge of the condition and evaluating different treatment modalities to treat thoracic insufficiency syndrome. results a direct enlargement of the thorax that will thus provide sufficient space for lung growth; the correction of both the three-dimensional thoracic deformity and the progressive scoliosis. recent findings have revealed that veptr instrumentation...

BACKGROUND Thoracic insufficiency syndrome represents a novel form of postnatal restrictive respiratory disease occurring in children with early-onset scoliosis and chest wall anomalies. Expansion thoracoplasty improves lung volumes in children with thoracic insufficiency syndrome; however, how it affects lung development is unknown. QUESTIONS/PURPOSES Using a rabbit model of thoracic insuffi...

Thoracic insufficiency syndrome is the inability of the thorax to support normal respiration or lung growth. One treatment to address the thoracic deformities associated with the syndrome is placement of a vertical expandable prosthetic titanium rib. The goal is to restore thoracic volume, symmetry, and function and to allow for growth of the thorax in skeletally immature children. The main top...

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...

introduction: cervical rib is relatively uncommon congenital abnormality that originates from the seventh cervical vertebrae and rarely from the sixth vertebrae. the purpose of this paper is to consider that this abnormal condition is an important cause of neurovascular compression at the thoracic outlet. methods: in this study all patients who were referred to radiology department of isfahan h...

Nonoperative and operative management for early onset scoliosis has changed significantly since the Harrington era 50 plus years ago. Surgeons learned quickly that a spine fusion in growing child can result short thorax development of thoracic insufficiency syndrome. Techniques were developed refined over subsequent decades to allow spinal growth, control chest wall deformity, limit pulmonary d...