TY - JOUR T1 - Treatment of Gibbus Deformity Associated with Myelomeningocele in the Young Child with Use of the Vertical Expandable Prosthetic Titanium Rib (VEPTR)A Case Report AU - Smith, John T. AU - Novais, Eduardo Y1 - 2010/09/15 N1 - 10.2106/JBJS.I.00856 JO - The Journal of Bone & Joint Surgery SP - 2211 EP - 2215 VL - 92 IS - 12 N2 - Approximately 8% to 21% of patients with myelomeningocele have an associated kyphotic deformity, most commonly in the upper lumbar or thoracolumbar area1-3. The natural history of congenital rigid kyphosis, or gibbus deformity, is rapid progression in early childhood1-6. The apex of the deformity is most frequently located in the middle and upper lumbar spine3,7 and is associated with vertebral anomalies, a sharp apical angulation, and the potential for skin breakdown over the deformity. It is the most common type of kyphosis associated with myelomeningocele4. SN - 0021-9355 M3 - doi: 10.2106/JBJS.I.00856 UR - http://dx.doi.org/10.2106/JBJS.I.00856 ER -