{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T10:39:53Z","timestamp":1785926393238,"version":"3.56.0"},"reference-count":13,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2016,7,11]],"date-time":"2016-07-11T00:00:00Z","timestamp":1468195200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Asian Cardiovasc Thorac Ann"],"published-print":{"date-parts":[[2016,9]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The Ravitch procedure is a well-established surgical procedure for correction of chest wall deformities. Sternal wedge osteotomy is an important part of this procedure. We studied the incidence of wedge osteotomy with respect to the type of chest wall deformity in patients undergoing surgical correction with the use of a recently developed chest wall stabilization system.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A total of 47 patients, 39 (83%) male and 8 (17%) female with a mean age of 14.9\u2009\u00b1\u20092.1 years, underwent the Ravitch procedure. Twenty-four (51.1%) had pectus carinatum, 19 (40.4%) had pectus excavatum, and 4 (8.5%) had pectus arcuatum. A conventional or oblique sternal wedge osteotomy was performed as indicated, followed by chest wall stabilization using the MedXpert system.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of the 47 patients, 27 (57.4%) had a sternal wedge osteotomy. All cases of pectus arcuatum and redo cases underwent sternal wedge osteotomy. Pectus excavatum cases tended to have a greater incidence of wedge osteotomy compared to pectus carinatum cases (68.4% vs. 41.7%, p\u2009=\u20090.052). Patients with more resected ribs had a greater rate of wedge osteotomy (63.4%) compared to those with fewer resected ribs (16.7%, p\u2009=\u20090.043).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>A sternal wedge osteotomy is more commonly performed in patients with pectus excavatum compared to those with pectus carinatum. All redo and pectus arcuatum cases need a wedge osteotomy for proper correction. Wedge osteotomy is very likely in more aggressive corrections with more rib resections.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0218492316657243","type":"journal-article","created":{"date-parts":[[2016,6,29]],"date-time":"2016-06-29T20:39:04Z","timestamp":1467232744000},"page":"658-662","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["The use of sternal wedge osteotomy in pectus surgery: when is it necessary?"],"prefix":"10.1177","volume":"24","author":[{"given":"Murat","family":"Kara","sequence":"first","affiliation":[{"name":"Department of General Thoracic Surgery, Kanuni Sultan Suleyman Research and Training Hospital, Istanbul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmet Gokhan","family":"Gundogdu","sequence":"additional","affiliation":[{"name":"Department of General Thoracic Surgery, Arnavutkoy Government Hospital, Istanbul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Salih Zeki","family":"Kadioglu","sequence":"additional","affiliation":[{"name":"Department of General Thoracic Surgery, Basaksehir Government Hospital, Istanbul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ertug Can","family":"Cayirci","sequence":"additional","affiliation":[{"name":"Acibadem University School of Medicine, Istanbul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Necati","family":"Taskin","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Esenyurt Government Hospital, Istanbul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2016,7,11]]},"reference":[{"key":"bibr1-0218492316657243","doi-asserted-by":"publisher","DOI":"10.1093\/icvts\/ivt394"},{"key":"bibr2-0218492316657243","doi-asserted-by":"publisher","DOI":"10.1093\/icvts\/ivs045"},{"key":"bibr3-0218492316657243","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2010.02.012"},{"key":"bibr4-0218492316657243","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2007.12.020"},{"key":"bibr5-0218492316657243","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2009.02.017"},{"key":"bibr6-0218492316657243","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2014.01.025"},{"key":"bibr7-0218492316657243","doi-asserted-by":"publisher","DOI":"10.1093\/icvts\/ivu175"},{"key":"bibr8-0218492316657243","unstructured":"Wihlm JM, Grosdidier G, Chapelier A. Thoracic osteosynthesis for chest wall malformations, traumas and tumors using the STRATOS titanium system. Interact Cardiovasc Thorac Surg 2007;6:273. Available at: http:\/\/icvts.oxfordjournals.org\/content\/14\/6\/801.full. Accessed June 06, 2016."},{"key":"bibr9-0218492316657243","doi-asserted-by":"publisher","DOI":"10.1136\/thx.35.9.700"},{"key":"bibr10-0218492316657243","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-200003000-00019"},{"key":"bibr11-0218492316657243","doi-asserted-by":"publisher","DOI":"10.1016\/0003-4975(94)90412-X"},{"key":"bibr12-0218492316657243","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2004.02.016"},{"key":"bibr13-0218492316657243","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3468(88)80197-0"}],"container-title":["Asian Cardiovascular and Thoracic Annals"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0218492316657243","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0218492316657243","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0218492316657243","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T17:52:34Z","timestamp":1777398754000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0218492316657243"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,7,11]]},"references-count":13,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2016,9]]}},"alternative-id":["10.1177\/0218492316657243"],"URL":"https:\/\/doi.org\/10.1177\/0218492316657243","relation":{},"ISSN":["0218-4923","1816-5370"],"issn-type":[{"value":"0218-4923","type":"print"},{"value":"1816-5370","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,7,11]]}}}