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Ilkka J. Helenius Department of Pediatric Orthopedic Surgery, University of Turku and Turku University Hospital, Turku, Finland

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Fig. 4 a) 3D CT format demonstrating congenital scoliosis with fused ribs (spondylocostal dysostosis) at the age of one year; b) three-year postoperative standing radiograph after staged thoracostomy and rib-to-rib vertical titanium prosthetic rib

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Amer Sebaaly Department of Orthopedic Surgery, Hotel Dieu de France Hospital, Beirut, Lebanon
Faculty of Medicine, Saint Joseph University, Beirut, Lebanon

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Mohammad Daher Faculty of Medicine, Saint Joseph University, Beirut, Lebanon

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Bendy Salameh Faculty of Medicine, Saint Joseph University, Beirut, Lebanon

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Ali Ghoul Department of Orthopedic Surgery, Hotel Dieu de France Hospital, Beirut, Lebanon

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Samuel George Department of Orthopedic Surgery, Hotel Dieu de France Hospital, Beirut, Lebanon

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Sami Roukoz Department of Orthopedic Surgery, Hotel Dieu de France Hospital, Beirut, Lebanon
Faculty of Medicine, Saint Joseph University, Beirut, Lebanon

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insufficiency syndrome, rib distraction can be used ( 62 ). The procedure mainly consists of multiple open wedge thoracotomies followed by insertion of vertical expendable prosthetic titanium rib devices ( 63 ). The devices are hooked around the second and

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Geovanny Ruiz Ponce Health Sciences University, School of Medicine, Ponce, Puerto Rico

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Norberto J Torres-Lugo Department of Orthopaedic Surgery, University of Puerto Rico, Medical Sciences Campus, San Juan, Puerto Rico

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Pablo Marrero-Ortiz Department of Orthopaedic Surgery, University of Puerto Rico, Medical Sciences Campus, San Juan, Puerto Rico

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Humberto Guzmán Department of Orthopaedic Surgery, University of Puerto Rico, Medical Sciences Campus, San Juan, Puerto Rico

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Gerardo Olivella Department of Orthopaedic Surgery, University of Puerto Rico, Medical Sciences Campus, San Juan, Puerto Rico

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Norman Ramírez Department of Orthopaedic Surgery, Mayagüez Medical Center, Mayagüez, Puerto Rico

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) and Post (B) Vertical Expandable Prosthetic Titanium Rib (VEPTR) Implantation. On the other hand, throughout the history of this instrumentation, subsequent studies have not been able to support the initial findings. For example, objective

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Hanna Wellauer Department of Orthopaedic Surgery and Traumatology, HFR Fribourg Hospital, University of Fribourg, Fribourg, Switzerland
Division of Orthopaedics and Trauma Surgery, Cantonal Hospital Winterthur, Winterthur, Switzerland

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Roman Heuberger RMS Foundation, Bettlach, Switzerland

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Emanuel Gautier Department of Orthopaedic Surgery and Traumatology, HFR Fribourg Hospital, University of Fribourg, Fribourg, Switzerland

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Moritz Tannast Department of Orthopaedic Surgery and Traumatology, HFR Fribourg Hospital, University of Fribourg, Fribourg, Switzerland

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Hubert Steinke Institute for the History of Medicine, University of Bern, Bern, Switzerland

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Peter Wahl Division of Orthopaedics and Trauma Surgery, Cantonal Hospital Winterthur, Winterthur, Switzerland
Faculty of Medicine, University of Berne, Berne, Switzerland

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given a new, polished surface ( 40 ). Also, titanium alloy was used in France as a material for the first time in the development of the Ceraver Osteal stem, with a similar shape to the Charnley–Kerboull stem ( 42 ). In contrast to the previous stem

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Alpaslan Senkoylu Gazi University, Department of Orthopaedics and Traumatology, Ankara, Turkey

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Rolf B. Riise Oslo University Hospital, Orthopaedic Clinic, Oslo, Norway

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Emre Acaroglu Ankara Spine Centre, Ankara, Turkey

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Ilkka Helenius University of Helsinki and Helsinki University Hospital, Helsinki, Finland

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prosthetic titanium rib (VEPTR ) correct deformity by distractive forces applied across the deformity with anchors which are attached to the spine, rib or pelvis. Guided-growth techniques including Luque trolley and Shilla technique allow spinal growth while

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