{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,5]],"date-time":"2025-10-05T02:49:44Z","timestamp":1759632584498},"reference-count":8,"publisher":"Georg Thieme Verlag KG","issue":"03","license":[{"start":{"date-parts":[[2016,9,14]],"date-time":"2016-09-14T00:00:00Z","timestamp":1473811200000},"content-version":"vor","delay-in-days":75,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Surg J (N Y)"],"published-print":{"date-parts":[[2016,7]]},"abstract":"<jats:p>\n            Aim\u2003To present a new therapy for Poland syndrome (PS) using a novel surgical approach: the vertical expandable prosthetic titanium rib (VEPTR) system.<\/jats:p><jats:p>\n            Methods\u2003The VEPTR system rib-to-rib variant was used to enhance the chest wall and vertebral column support in a young patient before walking age.<\/jats:p><jats:p>\n            Case Report\u2003We present a 12-month-old infant diagnosed with left-sided PS at the age of 6 months associated with missing ribs, scoliosis, and absence of the left pectoral muscles. Because of four missing ribs, paradoxical breathing was present. In addition, the left scapula was protruding into the chest due to the missing rib support. Scoliosis was caused by a left-sided nonsegmented bar of the thoracic spine.<\/jats:p><jats:p>\n            Results\u2003We decided to use the VEPTR system before the patient reached walking age to prevent progression of column deformation and future pulmonary problems. To improve the spinal deformity, to stabilize the thorax, and to improve thoracic function, we performed the operation at 1\u2009year of age. At 10-month follow-up, the patient was reevaluated. The construction was still stable and scoliosis had not deteriorated.<\/jats:p><jats:p>\n            Conclusion\u2003The VEPTR system is a choice of treatment in young patients with PS to prevent late complications after a child reaches walking age.<\/jats:p>","DOI":"10.1055\/s-0036-1593354","type":"journal-article","created":{"date-parts":[[2016,9,14]],"date-time":"2016-09-14T23:09:51Z","timestamp":1473894591000},"page":"e91-e95","source":"Crossref","is-referenced-by-count":6,"title":["Poland Syndrome: Use of Vertical Expandable Prosthetic Titanium Rib System before Walking Age\u2014A Case Report"],"prefix":"10.1055","volume":"02","author":[{"suffix":"II","given":"Atanas","family":"Katsarov","sequence":"first","affiliation":[{"name":"Department of Children's Orthopaedics, University Emergency Hospital \u201cN.I. Pirogov\u201d, Sofia, Bulgaria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rosen S.","family":"Drebov","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, University Emergency Hospital \u201cN.I. Pirogov\u201d, Sofia, Bulgaria"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2016,9,14]]},"reference":[{"issue":"02","key":"ref1","first-page":"131","article-title":"A variant of Poland syndrome","volume":"47","author":"J S Nachnani","year":"2001","journal-title":"J Postgrad Med"},{"key":"ref2","first-page":"191","article-title":"Deficiency of the pectoral muscles","volume":"6","author":"A Poland","year":"1841","journal-title":"Guy Hosp Rep"},{"issue":"02","key":"ref3","doi-asserted-by":"crossref","first-page":"139","DOI":"10.1159\/000350778","article-title":"Correction of Poland's syndrome: case report and review of the current literature","volume":"8","author":"T Lantzsch","year":"2013","journal-title":"Breast Care (Basel)"},{"issue":"04","key":"ref4","doi-asserted-by":"crossref","first-page":"903","DOI":"10.1002\/ajmg.1320230405","article-title":"Subclavian artery supply disruption sequence: hypothesis of a vascular etiology for Poland, Klippel-Feil, and M\u00f6bius anomalies","volume":"23","author":"J N Bavinck","year":"1986","journal-title":"Am J Med Genet"},{"issue":"03","key":"ref5","doi-asserted-by":"crossref","first-page":"e1","DOI":"10.1016\/j.jpedsurg.2011.10.077","article-title":"Chest wall repair in Poland syndrome: complex single-stage surgery including vertical expandable prosthetic titanium rib stabilization--a case report","volume":"47","author":"J Lieber","year":"2012","journal-title":"J Pediatr Surg"},{"issue":"02","key":"ref6","doi-asserted-by":"crossref","first-page":"122","DOI":"10.1097\/00000637-199708000-00003","article-title":"Poland's deformity reconstructions with a customized, extrasoft silicone prosthesis","volume":"39","author":"J E Gatti","year":"1997","journal-title":"Ann Plast Surg"},{"issue":"03","key":"ref7","doi-asserted-by":"crossref","first-page":"399","DOI":"10.2106\/00004623-200303000-00001","article-title":"The characteristics of thoracic insufficiency syndrome associated with fused ribs and congenital scoliosis","volume":"85\u2013A","author":"R M Campbell Jr","year":"2003","journal-title":"J Bone Joint Surg Am"},{"issue":"S 02","key":"ref8","doi-asserted-by":"crossref","first-page":"S106","DOI":"10.1007\/s00586-013-2671-2","article-title":"VEPTR: past experience and the future of VEPTR principles","volume":"22","author":"R M Campbell Jr","year":"2013","journal-title":"Eur Spine J"}],"container-title":["The Surgery Journal"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0036-1593354.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,18]],"date-time":"2023-10-18T23:14:29Z","timestamp":1697670869000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0036-1593354"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,7]]},"references-count":8,"journal-issue":{"issue":"03","published-online":{"date-parts":[[2016,7,20]]},"published-print":{"date-parts":[[2016,7]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0036-1593354","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["2378-5128","2378-5136"],"issn-type":[{"value":"2378-5128","type":"print"},{"value":"2378-5136","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,7]]}}}