Lorenz Heiko M, Braunschweig Lena, Schiele Steffen, Tsaknakis Konstantinos, Hecker Marina M, Gantner Andrea S, Hell Anna-Kathrin
Pediatr Neurosurg. 2018;53(3):149-152. doi: 10.1159/000487810. Epub 2018 Apr 10.
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 paraplegic children with spinal deformity after intraspinal tumors and 4 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 with tumors.
使用肋骨至骨盆结构且不触及脊柱的双侧垂直可扩张人工钛肋骨（VEPTR）治疗是一种安全的手术技术，可用于矫正脊柱侧弯，同时仍允许进一步进行MRI或神经外科干预。在这项回顾性队列研究中，对4例脊髓内肿瘤后脊柱畸形的截瘫儿童和4例患有神经肌肉疾病的儿童进行了比较。VEPTR治疗能够显著降低两组患者的主要脊柱侧弯曲线（分别为41%和40%）。然而，肿瘤组随着时间的推移始终表现出更严重的曲线进展和较差的骨盆倾斜控制。总之，双侧VEPTR治疗对肿瘤患儿的效果可能不太理想。
