Study supports costoplasty for rib hump deformity correction

Study supports costoplasty for rib hump deformity correction
In the treatment of adolescent idiopathic scoliosis, the addition of costoplasty to pedicle screws and vertebral derotation may significantly improve correction of the rib hump deformity compared with pedicle screws and vertebral derotation alone, according to research published online Sept. 28 in the Journal of Spinal Disorders & Techniques.

(HealthDay)—In the treatment of adolescent idiopathic scoliosis, the addition of costoplasty to pedicle screws and vertebral derotation may significantly improve correction of the rib hump deformity compared with pedicle screws and vertebral derotation alone, according to research published online Sept. 28 in the Journal of Spinal Disorders & Techniques.

Marios G. Lykissas, M.D., Ph.D., of the University of Cincinnati, and colleagues used data from a multicenter registry to identify 36 adolescents with who had been treated with pedicle screws, direct vertebral rotation, and no costoplasty (group I) and 40 who had been treated with pedicle screws, vertebral rotation, and costoplasty (group II). The rib index and Cobb angle were measured and compared between groups I and II.

The researchers found that the average pre- and postoperative Cobb angles did not significantly differ between groups I and II (preoperative angles, 49.7 and 49.8 degrees, respectively; postoperative angles, 10.2 and 10.9 degrees, respectively). However, adding costoplasty was associated with a significant improvement in postoperative rib index, yielding a correction of 13.7 percent for group I and 28.3 percent for group II.

"A major concern to adolescent idiopathic patients and spine surgeons is rib hump deformity as a part of scoliosis deformity," the authors write. "Our study strongly infers that costoplasty combined with pedicle screws and vertebral derotation may significantly improve rib hump deformity as opposed to pedicle screws and vertebral derotation alone."

More information: Abstract
Full Text (subscription or payment may be required)

add to favorites email to friend print save as pdf

Related Stories

Pedicle breach rate 6.2 percent with 2D fluoroscopy

Jun 21, 2012

(HealthDay) -- A two-dimensional (2D) fluoroscopic technique is safe for percutaneous placement of pedicle screws during transforaminal lumbar interbody fusion (TLIF), with a pedicle breach rate of 6.2 percent, ...

Lowest fused vertebral level linked to motion in scoliosis

May 10, 2012

(HealthDay) -- For postoperative patients with adolescent idiopathic scoliosis (AIS), preservation of vertebral motion segments allows for greater distribution of functional motion, according to a study published ...

Recommended for you

Two expats die of MERS in Saudi commercial hub

3 hours ago

Two foreigners died of MERS in the Saudi city of Jeddah, the health ministry said Saturday, as fears rise over the spreading respiratory virus in the kingdom's commercial hub.

UAE reports 12 new cases of MERS

3 hours ago

Health authorities in the United Arab Emirates have announced 12 new cases of infection by the MERS coronavirus, but insisted the patients would be cured within two weeks.

Filipino tests negative for Middle East virus

15 hours ago

A Filipino nurse who tested positive for the Middle East virus has been found free of infection in a subsequent examination after he returned home, Philippine health officials said Saturday.

User comments