Abstract
Background: To assess the cosmetic advantage of costotomy at the angle of the ribs on the convexity of a curve in the management of Adolescent Idiopathic scoliosis. Whilst modem segmental correction produces gratifying improvement in Cobb-angle and, to some extent rotation, rib asymmetry often remains as a concern for patients. Performing costotomy at the angle of the rib at the same time as corrective surgery can improve the cosmetic appearance significantly. It avoids any further scars or surgery, and is associated with minimal complications, the main one being pneumothorax and the requirement of a chest drain.
Methods: Retrospective review of 50 patients. This has been a standard practice and this presentation reports on 50 patients treated in Preston with a variety of corrective devices; we have assessed results radiologically, with cosmetic acceptability by the patient and surface topographical analysis.
Results: Significant improvement occurs at the time of costotomy as the ribs drop from their arched position after the coronal deformity has been improved
Conclusion: The addition of costotomy at the time of primary surgery for Adolescent Idiopathic Scoliosis leads to minimal complications. Significant improvement occurs at the time of costotomy as the ribs drop from their arched position after the coronal deformity has been improved. This is maintained in the post-operative period by moulding of the brace.
The abstracts were prepared by Mr Colin E. Bruce. Correspondence should be addressed to Colin E. Bruce, Consultant Orthopaedic Surgeon, Alder Hey Children’s Hospital, Eaton Road, Liverpool, L12 2AP.
