Weight gain following vertical expandable prosthetic titanium ribs surgery in children with thoracic insufficiency syndrome

Spine
David L SkaggsR M Campbell

Abstract

Retrospective review of patients from a multicenter database. To evaluate the nutritional status of children with thoracic insufficiency syndrome (TIS) and to determine if treatment with vertical expandable prosthetic titanium ribs (VEPTR) leads to improvements in weight percentile. Children with pulmonary insufficiency characteristically have poor nutrition as the energy expenditure from the extra work of breathing approaches the nutritional gain of eating. To our knowledge, no previous studies have examined the relation between VEPTR and potential nutritional improvements in children with TIS. Seventy-six patients at 7 different institutions underwent placement of VEPTR devices for treatment or prevention of TIS. Mean age at surgery was 3.7 years (range, 8 months-14 years). All patients were observed for a minimum of 24 months with an average follow-up of 3.3 years (range, 2-6 years). Before surgery and at each postoperative visit, patients were weighed and the Cobb angle was measured. All weights were converted to normative percentiles based on the patient's age. Overall, we found a significant increase in the percentile of patients' weights after VEPTR surgery (P = 0.0004). Of the 76 patients in our series, 60 (79%) were < ...Continue Reading

References

Mar 15, 2003·The Journal of Bone and Joint Surgery. American Volume·Robert M CampbellJennifer L Surber
Mar 15, 2003·The Journal of Bone and Joint Surgery. American Volume·Robert M Campbell, Anna K Hell-Vocke

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Citations

Aug 30, 2011·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Alain Dimeglio, Federico Canavese
Jan 29, 2013·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Robert M Campbell
Apr 6, 2012·Current Reviews in Musculoskeletal Medicine·Nicholas D Fletcher, Robert W Bruce
Jun 22, 2010·Spine·Wudbhav N SankarDavid L Skaggs
Dec 5, 2013·Current Opinion in Pediatrics·Ozgur DedeMuharrem Yazici
Sep 10, 2014·The Orthopedic Clinics of North America·Peter F SturmOzgur Dede
Jan 10, 2016·Current Problems in Pediatric and Adolescent Health Care·Oscar MayerGregory Redding
May 16, 2015·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Christian PlaassDaniel Studer
Apr 25, 2014·Journal of Children's Orthopaedics·Karen S MyungUNKNOWN Growing Spine Study Group
Jun 2, 2012·Journal of Children's Orthopaedics·Behrooz A AkbarniaMuharrem Yazici
Jan 18, 2011·Journal of Pediatric Surgery·Samir K GadepalliFrances A Farley
Feb 1, 2017·Journal of Pediatric Orthopedics·Ron El-HawaryUNKNOWN Children’s Spine Study Group
Jun 26, 2018·Journal of Orthopaedic Surgery·Christopher J DeFrancescoKeith D Baldwin
Dec 31, 2017·Spine Deformity·Liam R HarrisUNKNOWN Growing Spine Study Group
May 13, 2020·Spine Deformity·Keith D BaldwinUNKNOWN Harms Study Group Investigators
Jan 1, 2018·Spine Deformity·Liam R HarrisUNKNOWN Growing Spine Study Group

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