Behandlungsverlauf von Kindern mit intraspinalen Tumoren, Wirbelsäulendeformitäten und vertical expandable prosthetic titanium rib (VEPTR) Implantaten
Surgical Treatment of Spinal Deformities in Young Paraplegic Children with Intraspinal Tumors and vertical expandable prosthetic titanium rib (VEPTR)
by Steffen Schiele
Date of Examination:2019-03-21
Date of issue:2019-03-19
Advisor:Prof. Dr. Anna-Kathrin Hell
Referee:Prof. Dr. Thomas Meyer
Referee:Prof. Dr. Hans Christoph Ludwig
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Abstract
English
Bilateral vertical expandable prosthetic titanium rib (VEPTR) treatment using rib-to-pelvis constructs without touching the spine is a safe surgical technique to correct scoliosis while still allowing further MRI or neurosurgical interventions. In this retrospective cohort study, 4 paraplecic children with spinal deformity after intraspinal tumors and 6 children with neuromuscular diseases were compared. VEPTR treatment was able to considerably reduce the main scoliotic curve in both patient groups (41 vs. 40%). However, the tumor group constantly showed more severe curve progression over time and less favorable pelvic obliquity control. In conclusion, bilateral VEPTR can be expected to be less satisfying in children in children with tumors.
Keywords: Spinal deformity; Intraspinal tumor; Children; Vertival expandable prosthetic titanium rib; VEPTR; Correction; Scoliosis