gms | German Medical Science

54. Jahrestagung der Norddeutschen Orthopädenvereinigung e. V.

Norddeutsche Orthopädenvereinigung

16.06. bis 18.06.2005, Hamburg

The management of severe spinal deformities with vertical expandable prosthetic titanium ribs (VEPTR): early results

Meeting Abstract

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  • corresponding author K. Ridderbusch - Altonaer Kinderkrankenhaus, Kinderorthopädie, Hamburg
  • R. Stücker - Hamburg

Norddeutsche Orthopädenvereinigung. 54. Jahrestagung der Norddeutschen Orthopädenvereinigung e.V.. Hamburg, 16.-18.06.2005. Düsseldorf, Köln: German Medical Science; 2005. Doc05novW4.04

The electronic version of this article is the complete one and can be found online at:

Published: June 13, 2005

© 2005 Ridderbusch et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.




The VEPTR-procedure was introduced to Europe in 2004. We report on 5 patients who were managed with VEPTR due to congenital and thoracogenic scoliosis and present the first results from Germany so far.


There were 3 female and 2 male patients with an average age of 9,0 years (4-13 years). Of the 5 patients four suffered from congenital and one female patient from thoracogenic scoliosis. One female patient had congenital scoliosis associated with myelomeningocele.

Correction of the primary curve was measured as the difference in Cobb angle between pre- and postop X-rays. Intra- and postoperative complications were recorded. Patient- and parents satisfaction was analyzed.


The primary curve measured 65° and improved to 54° after the index procedure. Intraoperative complications were not observed. 2 patients required blood transfusion. One male patient with congenital scoliosis developed a deep wound infection which required removal of one of three ribs. Another patient developed an urinary tract infection which resolved after adequate treatment.

3 of the the 5 patients had one lengthening procedure. All of them were tolerated well without sequelae and resulted in a further correction of the curves of 6°.

All patients and parents were pleased with the results and would have the procedure performed again.


The first results after VEPTR implantations in 5 patients with severe spinal deformities are very encouraging. VEPTR is the first non fusion technique for spinal deformities which adresses both the spinal and thoracic deformities simultaneously. It avoids the need for early fusion and associated problems with the development of the so called thoracic insufficiency syndrome.