Toracoplastia expansiva en el tratamiento de la escoliosis congénita torácica con malformaciones vertebrales asociadas a fusión costal

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Toracoplastia expansiva en el tratamiento de la escoliosis congénita torácica con malformaciones vertebrales asociadas a fusión costal

Expansion thoracoplasty in treatment of thoracic congenital scoliosis with spinal deformities and rib fussion

PELLICER GARCÍA V., LUCAS GARCÍA F., BAS HERMIDA T., BAS HERMIDA P., MIRANDA CASAS L. SERVICIO DE CIRUGÍA ORTOPÉDICA Y TRAUMATOLOGÍA. HOSPITAL UNIVERSITARIO LA FE, VALENCIA.

Recepción:

28/07/2009

Aceptación:

28/07/2009

Publicación:

28/07/2009

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87

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Resumen (ES)

This paper reports on a 3-year-old patient with congenital thoracic scoliosis in the context of a VACTERL''s syndrome, who had many spinal segmental defects with ribs fusion associated, in which an expansion thoracoplasty was made by means of a vertical expandable prosthetic titanium rib. An indirect correction of the scoliosis was achieved allowing the thoracic and respiratory development in the concavity of the curve and, thus, postposing the instrumentation with spinal fusion.

Palabras clave (ES):

Toracoplastia

expansiva

Escoliosis

Malformación

vertebral

Fusión

costal

Congénita

Corrección

Resumen (EN)

This paper reports on a 3-year-old patient with congenital thoracic scoliosis in the context of a VACTERL''s syndrome, who had many spinal segmental defects with ribs fusion associated, in which an expansion thoracoplasty was made by means of a vertical expandable prosthetic titanium rib. An indirect correction of the scoliosis was achieved allowing the thoracic and respiratory development in the concavity of the curve and, thus, postposing the instrumentation with spinal fusion.

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