Video-assisted thoracoscopic surgery (VATS) for the treatment of scolioticrib XXXX .

@entity1 @entity2112 @entity85 @entity158
A retrospective study of 21 @entity1 with @entity2112 who underwent endoscopic thoracoplasty was done. The objective of the study was to report and assess the morbidity and mid term outcomes of video-assisted thoracoplasty in @entity2112 . @entity1 with @entity2112 often present cosmetic complaints due to their @entity85 . This deformity may still exist after surgical correction of the main scoliotic curve. Endoscopic thoracoplasty has been reported as a safe method in limited cases of @entity2112 . Between 2002 and 2004, 21 @entity1 underwent endoscopic anterior release and thoracoplasty for significant rib @entity85 associated with @entity2112 . @entity1 were operated on lateral position, with two endoscopic ports. Anterior release and rib resection were performed during the first stage, and instrumented posterior fusion was performed in a second stage. @entity1 were evaluated preoperatively, 1 week after surgery, 6 months after surgery and at their most recent follow-up with clinical and radiological measurement of the @entity85 . The mean age at surgery was 14.9 years old (range 13-17 years). The average Cobb's angle of the main scoliotic curve was 70 degrees (range 60 degrees -85 degrees). Average follow-up was 25 months (range 23-32 months). The mean number of resected ribs was five ribs (range 4-7) and the mean length of the resected rib was 4.2 cm (range 2.2-7 cm). Average operating time of endoscopic thoracoplasty (including anterior release) was 65 min (range 45-108 min). The mean preoperative height of rib @entity85 was 3.6 cm (range 2.5-5.5 cm). It was reduced to 1.5 cm at most recent follow-up. There was no significant @entity158 necessitating medication postoperatively. No complications related to endoscopic anterior release and rib hump resection occurred in the series. Endoscopic thoracoplasty is a safe and reliable technique in @entity2112 . If indicated, the anterior release can be performed with video-assistance and the thoracoplasty can be performed on the same stage.
