VEPTR (Vertical Expandable Prosthetic Titanium Rib) is a new concept for the treatment of Thoracic Insufficiency Syndrome. Thoracic Insufficiency Syndrome is the inability of the thorax to support normal respiration or lung growth. It occurs in young children with severe rib and chest wall malformations often associated with scoliosis.

Key Features & Benefits

–	Three-dimensional thoracic approach to treat patients with complex chest wall and/or spinal deformities
–	VEPTR mechanically stabilizes and distracts the thorax to improve respiration and lung growth
–	VEPTR controls and may correct scoliosis
–	Devices are attached perpendicularly to the patient’s natural ribs
–	Allows regular expansion and anatomic distraction as the child grows

Indications

Primary Thoracic Insufficiency Syndrome (TIS) due to three-dimensional deformity of the thorax

• Progressive thoracic congenital scoliosis with concave fused ribs
• Progressive thoracic congenital scoliosis with flail chest due to absent ribs
• Progressive thoracic congenital, neurogenic or idiopathic scoliosis without rib abnormality
• Hypoplastic thorax syndromes, like Jeune’s Syndrome or Jarcho-Levine Syndrome
• Congenital or acquired chest wall defect, posterolateral

Secondary Thoracic Insufficiency Syndrome due to lumbar kyphosis

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