Lateral thoracic expansion for Jeune syndrome

Evidence of rib healing and new bone formation

J. Terrance Davis, Frederick R. Long, Brent H. Adler, Robert G. Castile, Samuel Weinstein

Research output: Contribution to journalArticle

29 Citations (Scopus)

Abstract

Background. Lateral thoracic expansion is a procedure that has been described to enlarge the thoracic cage in patients with Jeune's asphyxiating thoracic dystrophy. The procedure involves separating ribs from their periosteum and plating them together in an expanded fashion with titanium struts. We have speculated that the ribs heal in this situation, despite the absence of surrounding periosteum, and that new rib formation occurs in the liberated periosteum. Methods. Radiographic studies of patients who have undergone lateral thoracic expansion were reviewed for evidence of rib healing or periosteal new bone formation. Results. This study presents radiologic evidence that rib healing actually occurs, as does periosteal ossification. Conclusions. Lateral thoracic expansion creates additional chest wall that is formed of autologous tissue, fully healed, and not ultimately dependent on titanium struts.

Original languageEnglish (US)
Pages (from-to)445-448
Number of pages4
JournalAnnals of Thoracic Surgery
Volume77
Issue number2
DOIs
StatePublished - Feb 2004
Externally publishedYes

Fingerprint

Ribs
Osteogenesis
Thorax
Periosteum
Titanium
Thoracic Wall
Jeune syndrome

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery

Cite this

Lateral thoracic expansion for Jeune syndrome : Evidence of rib healing and new bone formation. / Davis, J. Terrance; Long, Frederick R.; Adler, Brent H.; Castile, Robert G.; Weinstein, Samuel.

In: Annals of Thoracic Surgery, Vol. 77, No. 2, 02.2004, p. 445-448.

Research output: Contribution to journalArticle

Davis, J. Terrance ; Long, Frederick R. ; Adler, Brent H. ; Castile, Robert G. ; Weinstein, Samuel. / Lateral thoracic expansion for Jeune syndrome : Evidence of rib healing and new bone formation. In: Annals of Thoracic Surgery. 2004 ; Vol. 77, No. 2. pp. 445-448.
@article{94cb0bfac2e045cea503f625d05ab41b,
title = "Lateral thoracic expansion for Jeune syndrome: Evidence of rib healing and new bone formation",
abstract = "Background. Lateral thoracic expansion is a procedure that has been described to enlarge the thoracic cage in patients with Jeune's asphyxiating thoracic dystrophy. The procedure involves separating ribs from their periosteum and plating them together in an expanded fashion with titanium struts. We have speculated that the ribs heal in this situation, despite the absence of surrounding periosteum, and that new rib formation occurs in the liberated periosteum. Methods. Radiographic studies of patients who have undergone lateral thoracic expansion were reviewed for evidence of rib healing or periosteal new bone formation. Results. This study presents radiologic evidence that rib healing actually occurs, as does periosteal ossification. Conclusions. Lateral thoracic expansion creates additional chest wall that is formed of autologous tissue, fully healed, and not ultimately dependent on titanium struts.",
author = "Davis, {J. Terrance} and Long, {Frederick R.} and Adler, {Brent H.} and Castile, {Robert G.} and Samuel Weinstein",
year = "2004",
month = "2",
doi = "10.1016/S0003-4975(03)01340-7",
language = "English (US)",
volume = "77",
pages = "445--448",
journal = "Annals of Thoracic Surgery",
issn = "0003-4975",
publisher = "Elsevier USA",
number = "2",

}

TY - JOUR

T1 - Lateral thoracic expansion for Jeune syndrome

T2 - Evidence of rib healing and new bone formation

AU - Davis, J. Terrance

AU - Long, Frederick R.

AU - Adler, Brent H.

AU - Castile, Robert G.

AU - Weinstein, Samuel

PY - 2004/2

Y1 - 2004/2

N2 - Background. Lateral thoracic expansion is a procedure that has been described to enlarge the thoracic cage in patients with Jeune's asphyxiating thoracic dystrophy. The procedure involves separating ribs from their periosteum and plating them together in an expanded fashion with titanium struts. We have speculated that the ribs heal in this situation, despite the absence of surrounding periosteum, and that new rib formation occurs in the liberated periosteum. Methods. Radiographic studies of patients who have undergone lateral thoracic expansion were reviewed for evidence of rib healing or periosteal new bone formation. Results. This study presents radiologic evidence that rib healing actually occurs, as does periosteal ossification. Conclusions. Lateral thoracic expansion creates additional chest wall that is formed of autologous tissue, fully healed, and not ultimately dependent on titanium struts.

AB - Background. Lateral thoracic expansion is a procedure that has been described to enlarge the thoracic cage in patients with Jeune's asphyxiating thoracic dystrophy. The procedure involves separating ribs from their periosteum and plating them together in an expanded fashion with titanium struts. We have speculated that the ribs heal in this situation, despite the absence of surrounding periosteum, and that new rib formation occurs in the liberated periosteum. Methods. Radiographic studies of patients who have undergone lateral thoracic expansion were reviewed for evidence of rib healing or periosteal new bone formation. Results. This study presents radiologic evidence that rib healing actually occurs, as does periosteal ossification. Conclusions. Lateral thoracic expansion creates additional chest wall that is formed of autologous tissue, fully healed, and not ultimately dependent on titanium struts.

UR - http://www.scopus.com/inward/record.url?scp=0442324620&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0442324620&partnerID=8YFLogxK

U2 - 10.1016/S0003-4975(03)01340-7

DO - 10.1016/S0003-4975(03)01340-7

M3 - Article

VL - 77

SP - 445

EP - 448

JO - Annals of Thoracic Surgery

JF - Annals of Thoracic Surgery

SN - 0003-4975

IS - 2

ER -