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Journal of Craniovertebral Junction and Spine
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ORIGINAL ARTICLE
Year : 2015  |  Volume : 6  |  Issue : 4  |  Page : 190-194

A comparison of the effects of two different techniques on shoulder balance in the treatment of congenital scoliosis: Vertical expandable prosthetic titanium rib and dual growing rod


1 Department of Orthopaedic Surgery and Traumatology, Metin Sabanci Baltalimani Bone Diseases Training and Research Hospital, Istanbul, Turkey
2 Department of Orthopaedic Surgery and Traumatology, Gaziosmanpasa Taksim Training and Research Hospital, Istanbul, Turkey

Correspondence Address:
Dr. Yunus Atici
Metin Sabanci Baltalimani Kemik Hastaliklari Egitim ve Arastirma Hastanesi, Rumeli Hisari Sok. No: 62 34470 Sariyer/Istanbul
Turkey
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-8237.167880

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Purpose: The purpose of this study is to compare the effects of two different growth guidance techniques (dual growing rod and vertical expandable prosthetic titanium rib [VEPTR]) on shoulder balance, in the surgical treatment of congenital scoliosis. Materials and Methods: Thirteen patients who were operated due to congenital scoliosis are divided into two groups. The coracoid height difference and clavicular tilt angle difference were measured on standing anteroposterior X-ray images in the preoperative, early postoperative periods, and during the last follow-up. Results: Clinical improvement in shoulder balance was obtained in VEPTR during the last follow-up, but there was no significance in the comparison among the two groups during the last follow-up. Conclusion: The effect of the growth guidance techniques on shoulder balance positively contributes in the surgical treatment of congenital scoliosis.


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