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Orthopaedic Proceedings
Vol. 94-B, Issue SUPP_XXXI | Pages 17 - 17
1 Jul 2012
OPERATIVE TREATMENT OF SCOLIOSIS WITH THE USE OF VEPTR: our experience
Pyrovolou N MacDonald JW Fairbank J Nnadi C
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STUDY DESIGN

Retrospective study of 8 children treated with vertical expandable prosthetic titanium rib (VEPTR) for correction of early onset spinal scoliotic deformities.

METHODS

8 children with progressive scoliosis due to a variety of conditions, 6 congenital (2 Goldenhar syndrome, 2 VACTERL syndrome, 2 congenital thoracic abnormalities), 1 spondyloepiphyseal dysplasia, 1 early onset of scoliosis, underwent the index procedure and subsequent lengthening procedures at 6 months intervals (1 patient had 11 lengthening procedures).

Mean age was 4 years (2-6 years) and mean follow up 3.8 years (2-6 years). Mean preoperative Cobb angle was 64,8° (51-108) and mean postoperative angle 40° (31-50)

Orthopaedic Proceedings
Vol. 86-B, Issue SUPP_II | Pages 116 - 116
1 Feb 2004
ECG OF SURGEONS DURING SCOLIOSIS SURGERY
Davies E Bowden G Fairbank J MacDonald JW Boeree N Newby D
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Objective: To assess the cardiology of continuous ECG of Spinal Surgeons performing complex spinal deformity surgery.

Design: Spinal surgeons were attached to 24 hour tape ECG monitors while performing spinal deformity surgery. Pre op, intra-op and immediate post op assessment were performed.

Subjects: 4 Consultants 1 Spinal Fellow

Outcome measures: ECG changes, Heart Rate variance and Heart Rate

Results: Variability in Heart rate was related to the experience of the surgeon and the case performed.

Heart rate variance was highest in the Consultant with the most recent appointment. Heart rate variance in the Trainee was the lowest. The highest heart rate was achieved when scrubbed supervising the surgical trainee. The surgeons with the highest deformity work load had the lowest intra-operative heart rate

Conclusions: Spinal deformity surgery is stressful to the Consultant performing the case. Experience and case mix affect these findings. The highest stress rate occurs with supervising trainees.