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New Device Offers Hope to Children With Chest, Spinal Deformities

Two-year-old Ariana Martin had a rough start to life. A fraternal twin, she was born without four ribs on her left side, and with several health problems// , including severe scoliosis. With an under-developed chest cavity, Ariana faced severe lung disease and difficulty breathing.

“It was very stressful knowing that we would have a long and difficult road ahead of us,” recalls Ariana’s mother, Nicolette Pompa. “I wondered if she would be able to tie her shoes, ride a bike – just the normal, regular things kids do.”

Until recently, there were few options available to help Ariana – and the tens-of-thousands of children like her born with a deformity of the chest wall or spine – to grow normally into adulthood.

But now a surgically-implantable device at the University of Michigan C.S. Mott Children’s Hospital is bringing new hope to these children and their families.

Called VEPTR, for Vertical Expandable Prosthetic Titanium Rib, this implantable device is designed to mechanically stabilize and lengthen certain deformities of the spine and torso, allowing normal lung development and offering correction for some spinal conditions. Mott Hospital currently is the only hospital in Michigan to offer the VEPTR device.

“The options to spread the ribs and correct the spine to help children like Ariana were once quite limited within the realm of pediatric surgery,” says Frances A. Farley, M.D., chief, Pediatric Orthopaedic Surgery at Mott Hospital. “Now with VEPTR, we’re able to create room in the torso to allow the lungs to grow, and we’re even able to control the scoliosis, or curvature of the spine.”

VEPTR gives the rib cage room to grow when the child's breastbone fails to support normal breathing and lung growth. During surgery, the device – a curved metal rod – is attached perpendicular to the patient's natural ribs and lumbar vertebra.

Most often used for Thoracic Insufficiency Syndrome,
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