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January 20, 1945

ONE STAGE COMBINED RESECTION OF THE RIBS AND SPINAL FUSION FOR SEVERE SCOLIOSIS

Author Affiliations

ROCHESTER, MINN.

From the Section on Orthopedic Surgery, Mayo Clinic (Dr. Bickel), and the Division of Surgery, Mayo Clinic (Dr. Clagett).

JAMA. 1945;127(3):139-144. doi:10.1001/jama.1945.02860030011003
Abstract

It has long been recognized that in cases of severe thoracic scoliosis the posterior part of the thorax on the convex side of the scoliosis is unduly prominent owing to the vertebral rotation with corresponding deformity of the ribs. Although arrest of the progress of the scoliosis is the prime purpose of therapy, a procedure which, in addition, eliminates this prominence is preferred by the patient. Failure to correct such deformity frequently causes dissatisfaction. Buchman1 in 1930 reported a case in which he performed resection of the ribs for thoracic deformity owing to the patient's insistence on cosmetic improvement, although the progression of the scoliosis had been halted for a year by a spinal fusion.

Accordingly, in 1927 Whitman2 proposed resection of the prominent ribs and the use of the resected portions of the ribs as bone grafts to fuse the curved spinal column in such cases. A

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