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D.T. Ginat et al.

 

 

11.3.11  Vertical Expandable Prosthetic Titanium Rib (VEPTR)

11.3.11.1\ Discussion

VEPTR is used to gradually correct chest wall deformity and scoliosis in selected pediatric patients, with repeated lengthening sessions. The

a

devices are typically implanted at the time of wedge thoracostomy and consist of an adjustable metal rod that is interposed vertically between ribs on the concave side of the scoliosis for distraction (Fig. 11.62). Most patients with VEPTR maintain near-normal thoracic spine growth rates and satisfactory lung volumes. Complications include device migration, infection, and brachial plexus injury.

b

Fig. 11.62  Vertical expandable prosthetic titanium rib.

radiographs show two metallic devices interposed

The patient is a child with a history of severe scoliosis and

between the right ribs

associated chest wall deformity. Frontal (a) and lateral (b)