治疗胸功能不全综合征（TIS） - 波士顿儿童医院

治疗胸功能不全综合征（TIS） - 波士顿儿童医院
Treatment of Thoracic Insufficency Syndrome (TIS) - Boston Children's Hospital

Surgeons at Boston Children's Hospital implant a vertical expandable prosthetic titanium rib (VEPTR™) in a pediatric patient during a live webcast. The webcast is part of Boston Children's ongoing effort to bring its cutting edge care and technology to specialists and referring physicians around the world and allow consumers to see the latest and most innovative medical treatments available.

John B. Emans, MD, director of the Division of Spinal Surgery at Boston Children's Hospital and professor of Orthopaedic Surgery at Harvard Medical School, will perform the surgery. Dr. Emans specializes in pediatric spinal deformity and has used the expansion thoracostomy and the VEPTR™ device for the treatment of thoracic insufficiency syndrome (TIS) in 31 children with rib fusions and 38 children overall since 1999.

Moderating the broadcast will be James R. Kasser, MD, Orthopedic surgeon-in-chief and professor of Orthopedic Surgery at Harvard Medical School, and Daniel J. Hedequist, MD, a spinal surgeon at Boston Children's with expertise in congenital spine deformity and experience with titanium rib implantation. Drs. Emans, Kasser and Hedequist will answer e-mail questions from viewers during the live broadcast.

"Chest wall expansion and VEPTR™ insertion with periodic expansions may be the preferable treatment for young children with chest wall deformity and scoliosis because it allows both to continue to grow. A multidisciplinary team and care of the soft tissues are as important as the bony operation itself," says Dr. Emans.
VEPTR™ is used to treat TIS, a condition caused by congenital or early onset scoliosis or by hypoplastic thorax syndromes. Deformities of the chest wall, rib cage and spine developing in young children can restrict lung growth or complicate breathing, resulting in TIS. Traditional treatments of early onset spine and chest wall deformity, such as spinal fusion, focused on the vertebral column deformity and often restricted growth of the spine. The VEPTR™ procedure addresses both chest wall and spine deformity directly.

After initial implantation, the VEPTR™ devices are periodically expanded, allowing growth of spine, chest and lungs. Once implanted, the titanium rib, produced by Synthes, Inc., both stabilizes the spine and expands the rib cage to allow for increased lung space. The degree of expansion may be adjusted during surgery and later in the child's life to accommodate growth.

Boston Children's Hospital is the nation's premier pediatric medical center. Founded in 1869 as a 20-bed hospital for children, today it is a 368-bed comprehensive center for pediatric and adolescent health care grounded in the values of excellence in patient care and sensitivity to the complex needs and diversity of children and families. More than 100 outpatient specialty clinics are located at Children's. Children's Hospital Boston is the primary pediatric teaching affiliate of Harvard Medical School, home to the world's leading research enterprise at a pediatric hospital, and the largest provider of health care to the children of Massachusetts.
外科医生在波士顿儿童医院植入一个垂直扩展的人工钛肋（VEPTR™）在儿科病人在网上直播。网上直播是波士顿儿童的持续努力的一部分，将其尖端技术，护理和世界各地的专家和转诊医师，让消费者看到最新的和最具创新性的医疗护理服务。医师，科主任约翰·B·依万氏，在波士顿儿童医院和哈佛医学院的教授，矫形外科，脊柱外科进行手术。依万氏专业博士在小儿脊柱畸形，并使用扩展胸腔和的VEPTR™装置，用于治疗胸廓功能不全综合征（TIS）自1999年以来，在31名儿童，肋骨融合和38名儿童整体调节广播将是詹姆斯R. ，价值，医学博士，骨科医生在整形外科的院长和教授在哈佛医学院和Daniel J. Hedequist，医学博士，波士顿儿童先天性脊柱畸形的专业知识和经验钛肋骨植入的脊柱外科医生。博士。在直播期间，依万氏，，价值和Hedequist的将回答观众的电子邮件问题。“胸壁扩张和VEPTR™插入具有周期性的扩展幼儿胸壁畸形和脊柱侧弯的治疗可能是最好的，因为它允许双方继续成长的软组织是一个多学科小组和护理的骨性手术本身一样重要，“博士说：”依万氏。VEPTR™用于治疗TIS的，这种情况所造成的先天性或早发性脊柱侧凸或发育不全的胸部综合征。胸壁，肋骨和脊椎在幼儿发展的畸形可以限制肺的生长或复杂的呼吸，导致TIS。早发性脊柱和胸壁畸形，如脊柱融合术，专注于脊柱畸形和脊柱的增长，往往局限于传统的治疗方法。VEPTR™，程序解决胸壁和脊柱畸形。最初植入后，VEPTR™设备会定期扩展，使脊柱，胸部和肺部的增长。一旦植入，钛肋，Synthes公司，公司生产的，两个稳定脊柱和扩大的肋条笼形件，以允许增加的肺空间。扩张的程度可能在手术过程中进行调整，以后在孩子的生命，以适应增长。波士顿儿童医院是全国最大的儿科医疗中心。作为一个20张床位的儿童医院成立于1869年，如今已是一个368个床位的综合性卓越的病人护理和灵敏度的儿童和家庭需求的复杂性和多样性的价值观植根于儿童和青少年保健中心。超过100个门诊专科诊所位于儿童。波士顿儿童医院是哈佛医学院的儿科教学的主要子公司，世界领先的研究企业在儿科医院，马萨诸塞州的儿童卫生保健的最大供应商。
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