Dynamic effects of the Nuss procedure on the spine in asymmetric pectus excavatum

The Journal of Thoracic and Cardiovascular Surgery
Tomohisa NagasaoKazuo Kishi

Abstract

This study aimed to elucidate dynamic effects of the Nuss procedure on the spine in the treatment of patients with pectus excavatum with asymmetric thoraces. Twenty-five patients with pectus excavatum who underwent the Nuss procedure were categorized into 4 groups by preoperative morphology of the spine and thoracic asymmetry. In group 1 (n = 8), the right side of the thorax was concave and the spine bowed to the right. In group 2 (n = 4), the right side of the thorax was concave and the spine bowed to the left. In group 3 (n = 5), the left side of the thorax was concave and the spine bowed to the right. In group 4 (n = 8), the left side of the thorax was concave and the spine bowed to the left. With computed tomographic data, finite-element models were produced to simulate each patient's thorax. Thereafter, dynamic response patterns of the spine to the Nuss procedure were examined. Validity of these biomechanical findings was verified by referring to clinical outcomes. In group 1 and group 4 models, deformed spines were straightened; in group 2 and group 3 models, spinal bowing increased. These biomechanical findings were compatible with clinical evaluations. Performance of the Nuss procedure for asymmetric pectus excavatum ex...Continue Reading

References

Dec 16, 2000·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·D L KopperdahlT M Keaveny
Aug 29, 2006·The Journal of Thoracic and Cardiovascular Surgery·Johannes SchalamonMichael E Hoellwarth
Sep 6, 2006·Journal of Pediatric Surgery·Mark J CartoskiRobert E Kelly
Oct 3, 2006·Journal of Pediatric Surgery·Heather A CreswickVirginia K Proud
Nov 21, 2007·The Journal of Thoracic and Cardiovascular Surgery·Tomohisa NagasaoTatsuo Nakajima
Aug 30, 2008·The Annals of Thoracic Surgery·Hans K Pilegaard, Peter B Licht
Mar 5, 2009·The Journal of Thoracic and Cardiovascular Surgery·Elias BalarasJames S Gammie
Jul 22, 2009·The Journal of Thoracic and Cardiovascular Surgery·Attila Kálmán
Oct 27, 2009·The Annals of Thoracic Surgery·Theresa D LuuDaniel L Miller
Nov 26, 2009·The Annals of Thoracic Surgery·Marlos de Souza CoelhoLucas de Matos Fernandes
Jan 29, 2010·The Journal of Thoracic and Cardiovascular Surgery·Hyung Joo ParkYoung Ho Choi
Apr 7, 2010·The Journal of Thoracic and Cardiovascular Surgery·Tomohisa NagasoTamotsu Tamaki

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Citations

Feb 11, 2012·Surgical and Radiologic Anatomy : SRA·Chase DeanMarios Loukas
Feb 18, 2014·The Journal of Thoracic and Cardiovascular Surgery·Shuai LiJiarui Pu
Mar 14, 2013·Computer Aided Surgery : Official Journal of the International Society for Computer Aided Surgery·Asako HatanoKazuo Kishi
May 17, 2015·Medical Hypotheses·Tomohisa NagasaoYoshio Tanaka
Mar 14, 2013·Journal of Pediatric Surgery·Nicola ZampieriMario Lima
Jan 17, 2014·Computer Methods in Biomechanics and Biomedical Engineering·Sara C NevesJoão L Vilaça
Aug 17, 2016·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Marco GhionzoliAntonio Messineo
Aug 30, 2018·The Journal of Craniofacial Surgery·Koji ImajoMinoru Miyake
Dec 16, 2016·Computer Assisted Surgery·Tomohisa NagasaoKazuo Kishi
Mar 23, 2017·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Jae Ho ChungKwang Taik Kim
Oct 27, 2017·Journal of Healthcare Engineering·WeiHong ZhongChunQiu Zhang
Nov 16, 2017·Journal of Healthcare Engineering·Jin-Duo YeWei-Hong Zhong
Mar 21, 2019·Journal of Plastic Surgery and Hand Surgery·Tomohisa NagasaoTetsukuni Kogure
Nov 17, 2019·Spine Deformity·Lorena V FloccariBrandon A Ramo
Nov 24, 2020·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Hiroomi OkuyamaKoichi Deguchi
Jan 19, 2021·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Yoshiaki SakamotoKazuo Kishi
Jan 25, 2020·Spine Deformity·Lorena V FloccariBrandon A Ramo

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