medigraphic.com
ISSN 2992-7749 (Electronic)
ISSN 2992-7897 (Print)
Órgano Oficial de difusión científica de la Asociación Mexicana de Cirujanos de Columna A. C.

2023, Number 1

<< Back Next >>

Cir Columna 2023; 1 (1)

Clinical and radiographical improvement in scoliosis of early appearance after use of the system VEPTR in pediatric patients at the UMAE Hospital of Pediatrics CMNO between the period January 2018 to January 2022

González MJJ, López GDA

Language: Spanish
References: 13
Page: 8-12
PDF size: 185.98 Kb.


ABSTRACT

Introduction: early-onset scoliosis is a disease that should be treated differently from adolescent scoliosis, since its characteristics give it a different evolution and a different possibility of treatment, the understanding of these treatments by the orthopedist It must be a priority, this opens the world to broader prognosis possibilities for some cases; one of the best treatment systems today is the VEPTR system, which is also called the expandable staple system, which has been shown to decrease the risk of the deadliest complication of this disease, which is chest compression syndrome, and helping to decrease the range of the curve, facilitating treatment as it grows. Objective: this system must be evaluated in our population to have a real evaluation of our patients. Material and methods: 17 patients with a diagnosis of early-onset scoliosis who meet the inclusion criteria were evaluated, being evaluated in terms of age, sex, comorbidities, classification according to the C-EOS, complications, number of surgeries performed, cob index. according to evolution with treatment, complications and clinical improvement according to FEV1/FVC and respiratory patterns. Results: the ages of the patients vary between three to thirteen years, twelve patients are between 3 to 7.4 years, three patients are from 7.5 to 11.4 years and two patients are older than 11.5 years. The main etiology is neuromuscular scoliosis and the main pathology was neurofibrosis. The average curve decrease was 21o degrees after the five expansion surgeries. Conclusion: the VEPTR system seems to be a good treatment to reduce the risk of chest compression syndrome.


REFERENCES

  1. Álvarez GQLI, Núñez GA. Escoliosis idiopática. Pediatr Aten Primaria. 2011; 13: 135-146. Disponible en: https://pap.es/articulo/11420/escoliosis-idiopatica

  2. Dewald RL, Ray RD. Skeletal traction for the treatment of severe scoliosis. The University of Illinois halo-hoop apparatus. J Bone Joint Surg Am. 1970; 52: 233-238.

  3. Nickel VL, Perry J, Garrett A, Heppenstall M. The halo. A spinal skeletal traction fixation device. J Bone Joint Surg Am. 1968; 50: 1400-1409. Available in: https://pubmed.ncbi.nlm.nih.gov/5677293/

  4. Asher MA, Burton DC. Reflection: Paul Randall Harrington (1911-1980). J Bone Joint Surg Am. 2011; 93 (24): e151. Available in: https://www.jbjs.org/reader.php?id=200896&rsuite_id=113226 2&native=1&source=The_Journal_of_Bone_and_Joint_Surge ry/93/24/e151/abstract&topics=pd% 2b DOI:10.2106/JBJS.K.01150

  5. Climent JM, Bagó J, Rodríguez-Ruiz C, Sánchez-Raya J, Mulet S, Cholbi F. Nueva estrategia para mejorar la medida de la calidad de vida en la escoliosis idiopática: adición de la dimensión de deformidad percibida al cuestionario de la Scoliosis Research Society (SRS-22). Rehabil. 2011; 45: 228-232.

  6. Álvarez-Martínez MM, Rosales-Morales E, Valcarce-León JA. Manejo de la escoliosis de inicio temprano. Medigraphic.com. [Citado 2023 Enero 5]. Disponible en: https://www.medigraphic.com/pdfs/ortope/or-2011/or113k.pdf

  7. Pantoja TS, Chamorro LM. Escoliosis en niños y adolescentes. Rev Médica Clín Las Condes. 2015; 26: 99-108. Disponible en: https://www.sciencedirect.com/science/article/pii/S0716864015000164

  8. James JI, Lloyd-Roberts GC, Pilcher MF. Infantile structural scoliosis. J Bone Joint Surg Br. 1959; 41-B: 719-735. Available in: https://pubmed.ncbi.nlm.nih.gov/13853092/

  9. Ponseti IV, Friedman B. Prognosis in idiopathic scoliosis. J Bone Joint Surg Am. 1950; 32A: 381-395. Available in: https://pubmed.ncbi.nlm.nih.gov/15412180/

  10. Ponseti IV, Friedman B. Changes in the scoliotic spine after fusion. J Bone Joint Surg Am. 1950; 32A: 751-766. Available in: https://pubmed.ncbi.nlm.nih.gov/14784484/

  11. Asher M. Letter to the editor: Harrington and scoliosis. J Neurosurg Spine. 2013; 18: 534-535. Available in: https://pubmed.ncbi.nlm.nih.gov/23432324/

  12. Park HY, Matsumoto H, Feinberg N, Roye DP, Kanj WW, Betz RR, et al. The classification for early-onset scoliosis (C-EOS) correlates with the speed of vertical expandable prosthetic titanium rib (VEPTR) proximal anchor failure. J Pediatr Orthop. 2017; 37: 381-386.

  13. Ramírez N, Rivera-Rosario L, Restrepo RL, Cuneo A, Fernández CA, Marrero-Ortiz P. Escoliosis desarrollo temprano. Curso de instrucción. Rev Colomb Ortop Traumatol. 2020; 34: 167-176. Disponible en: https://www.elsevier.es/es-revista-revistacolombiana-ortopedia-traumatologia-380-articulo-escoliosisdesarrollo-temprano-curso-instruccion-S0120884520300651




2020     |     www.medigraphic.com