Skip to main content

VEPTR Instrumentation in Early Onset Scoliosis

  • Chapter
  • First Online:
Non-Idiopathic Spine Deformities in Young Children

Abstract

VEPTR has been developed for the treatment of thoracic insufficiency syndrome in cases of congenital scoliosis with or without rib fusions but quickly evolved as an alternative for the treatment of many types of early onset scoliosis. The efficacy of VEPTR instrumentation in controlling complex congenital spine deformities, the relative ease of application, and the spine-sparing approach have been factors to stimulate this conversion. VEPTR in non-congenital cases has been shown to be effective in correcting loss of balance and pelvic obliquity, control scoliosis, and moderately improve it. However, it requires periodic lengthening and thus has a high complications rate, and usually after a certain time lengthenings become less effective. VEPTR instrumentation remains a viable alternative to other methods of management of early onset scoliosis.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  • Akbarnia, B.A., Marks, D.S., Boachie-Adjei, O., Thompson, A.G., Asher, M.A.: Dual growing rod technique for the treatment of progressive early-onset scoliosis: a multicenter study. Spine 30, S46–S57 (2005)

    Article  PubMed  Google Scholar 

  • Campbell Jr., R.M., Hell-Vocke, A.K.: Growth of the thoracic spine in congenital scoliosis after expansion thoracoplasty. J. Bone Joint Surg. Am. 85-A, 409–420 (2003)

    PubMed  Google Scholar 

  • Campbell Jr., R.M., Smith, M.D., Mayes, T.C., Mangos, J.A., Willey-Courand, D.B., Kose, N., Pinero, R.F., Alder, M.E., Duong, H.L., Surber, J.L.: The effect of opening wedge thoracostomy on thoracic insufficiency syndrome associated with fused ribs and congenital scoliosis. J. Bone Joint Surg. Am. 86-A, 1659–1674 (2004)

    PubMed  Google Scholar 

  • Emans, J.B., Caubet, J.F., Ordonez, C.L., Lee, E.Y., Ciarlo, M.: The treatment of spine and chest wall deformities with fused ribs by expansion thoracostomy and insertion of vertical expandable prosthetic titanium rib: growth of thoracic spine and improvement of lung volumes. Spine 30(Suppl), S58–S68 (2005)

    Article  PubMed  Google Scholar 

  • Hell, A.K., Campbell, R.M., Hefti, F.: The vertical expandable prosthetic titanium rib implant for the treatment of thoracic insufficiency syndrome associated with congenital and neuromuscular scoliosis in young children. J. Pediatr. Orthop. B 14, 287–293 (2005)

    Article  PubMed  Google Scholar 

  • Latalski, M., Fatyga, M., Raganowicz, T., Gregosiewicz, A.: VEPTR as an alternative for early kyphectomy in children congenital kyphosis in myelomeningocele (abstract). 2nd International Congress on Early Onset Scoliosis & Growing Spine (ICEOS), Montreal (2008)

    Google Scholar 

  • McCarthy, R., McCullough, F., Luhmann, S., Lenke, L.: Greater than two years follow-up Shilla growth enhancing system for the treatment of scoliosis in children (abstract). 2nd International Congress on Early Onset Scoliosis & Growing Spine (ICEOS), Montreal (2008)

    Google Scholar 

  • Sankar, W., Skaggs, D., Emans, J., Marks, D., Dormans, J., Thompson, G., Shah, S., Sponseller, P., Akbarnia, B.A.: Neurologic risk in growing rod spine surgery in early onset scoliosis (abstract). 2nd International Congress on Early Onset Scoliosis & Growing Spine (ICEOS), Montreal (2008)

    Google Scholar 

  • Skaggs, D.L., Choi, P.D., Rice, C., Emans, J., Song, K.M., Smith, J.T., Campbell, R.M.: Efficacy of intraoperative neurologic monitoring in surgery involving a vertical expandable prosthetic titanium rib for early-onset spinal deformity. J. Bone Joint Surg. Am. 91(7), 1657–1663 (2009)

    Article  PubMed  Google Scholar 

  • Smith, J.M.S.: Treatment of progressive spinal deformity using the VEPTR device with a bilateral percutaneous rib to pelvis technique in non-ambulatory children with neuromuscular disease (abstract). 2nd International Congress on Early Onset Scoliosis & Growing Spine (ICEOS), Montreal (2008)

    Google Scholar 

  • Thompson, G.H., Akbarnia, B.A., Kostial, P., Poe-Kochert, C., Armstrong, D.G., Roh, J., Lowe, R., Asher, M.A., Marks, D.S.: Comparison of single and dual growing rod techniques followed through definitive surgery: a preliminary study. Spine 30, 2039–2044 (2005)

    Article  PubMed  Google Scholar 

  • Thompson, G.H., Akbarnia, B.A., Campbell, R.M.: Growing rod techniques in early-onset ­scoliosis. J. Pediatr. Orthop. 27, 354–361 (2007)

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Fritz Hefti .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2011 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Hefti, F., Mehrkens, A., Hasler, CC. (2011). VEPTR Instrumentation in Early Onset Scoliosis. In: Yazici, M. (eds) Non-Idiopathic Spine Deformities in Young Children. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-19417-7_14

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-19417-7_14

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-19416-0

  • Online ISBN: 978-3-642-19417-7

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics