Summary: Surgical removal of ribs, allowing the chest wall to move inward and collapse a diseased lung. (Dorland, 28th ed)

Top Publications

  1. Shufflebarger H, Smiley K, Roth H. Internal thoracoplasty. A new procedure. Spine (Phila Pa 1976). 1994;19:840-2 pubmed
    The efficacy of performing a thoracoplasty from within the thoracotomy during anterior surgery for scoliosis was investigated...
  2. Deslauriers J, Jacques L, Gregoire J. Role of Eloesser flap and thoracoplasty in the third millennium. Chest Surg Clin N Am. 2002;12:605-23 pubmed
    In the modern era of thoracic surgery, few indications remain for thoracoplasty. Indeed, many surgeons believe that the resulting deformity outweighs the usefulness of collapse therapy...
  3. Muschik M, Kimmich H, Demmel T. Comparison of anterior and posterior double-rod instrumentation for thoracic idiopathic scoliosis: results of 141 patients. Eur Spine J. 2006;15:1128-38 pubmed
    ..Augmentation of the anterior threaded rod combined with a solid second rod significantly decreases the rate of implant breakages and reliably reduces consecutive correction losses. ..
  4. Motoyama E, Yang C, Deeney V. Thoracic malformation with early-onset scoliosis: effect of serial VEPTR expansion thoracoplasty on lung growth and function in children. Paediatr Respir Rev. 2009;10:12-7 pubmed publisher
    The effect on pulmonary function of serial VEPTR expansion thoracoplasty was studied longitudinally in anesthetized children with spondylothoracic dysplasia using a special mobile unit...
  5. Suk S, Kim J, Kim S, Lee J, Han Y. Thoracoplasty in thoracic adolescent idiopathic scoliosis. Spine (Phila Pa 1976). 2008;33:1061-7 pubmed publisher
    Retrospective study. To evaluate the effect and outcome of thoracoplasty in conjunction with pedicle screw instrumentation in the treatment of thoracic adolescent idiopathic scoliosis (AIS)...
  6. Lenke L, Bridwell K, Blanke K, Baldus C. Analysis of pulmonary function and chest cage dimension changes after thoracoplasty in idiopathic scoliosis. Spine (Phila Pa 1976). 1995;20:1343-50 pubmed
    ..scoliosis undergoing posterior spinal fusion with segmental spinal instrumentation and a concomitant thoracoplasty had pulmonary function evaluation before surgery and at selected time points up to a minimum 2 years after ..
  7. Newton P, Perry A, Bastrom T, Lenke L, Betz R, Clements D, et al. Predictors of change in postoperative pulmonary function in adolescent idiopathic scoliosis: a prospective study of 254 patients. Spine (Phila Pa 1976). 2007;32:1875-82 pubmed
    ..07-0.09), surgical time (R = 0.03-0.07), and thoracoplasty (R = 0.02-0.04). These models explain 40 to 51% of the variance in 2-year PFT...
  8. Campbell R, Smith M, Hell Vocke A. Expansion thoracoplasty: the surgical technique of opening-wedge thoracostomy. Surgical technique. J Bone Joint Surg Am. 2004;86-A Suppl 1:51-64 pubmed
    ..spine were measured in the twenty-one children with congenital scoliosis and fused ribs after expansion thoracoplasty had been carried out with use of a vertical, expandable titanium prosthetic rib...
  9. Stefani A, Jouni R, Alifano M, Bobbio A, Strano S, Magdeleinat P, et al. Thoracoplasty in the current practice of thoracic surgery: a single-institution 10-year experience. Ann Thorac Surg. 2011;91:263-8 pubmed publisher
    We retrospectively reviewed our recent experience with thoracoplasty to define its role in the context of current surgical practice...

More Information


  1. Chang P, Lai J, Chen J, Wang C. Quantitative evaluation of bone and cartilage changes after the Ravitch thoracoplasty by multislice computed tomography with 3-dimensional reconstruction. J Thorac Cardiovasc Surg. 2007;134:1279-83 pubmed
    Various bone and cartilage changes after the Ravitch thoracoplasty have recently been reported...
  2. Grima R, Krassas A, Bagan P, Badia A, Le Pimpec Barthes F, Riquet M. Treatment of complicated pulmonary aspergillomas with cavernostomy and muscle flap: interest of concomitant limited thoracoplasty. Eur J Cardiothorac Surg. 2009;36:910-3 pubmed publisher
    ..We reviewed the place of a limited thoracoplasty in association with that procedure...
  3. Min K, Waelchli B, Hahn F. Primary thoracoplasty and pedicle screw instrumentation in thoracic idiopathic scoliosis. Eur Spine J. 2005;14:777-82 pubmed
    b>Thoracoplasty in combination with spine fusion is an established method to address the rib cage deformity in idiopathic scoliosis. Most reports about thoracoplasty and scoliosis correction focused on Harrington or CD instrumentation...
  4. Krassas A, Grima R, Bagan P, Badia A, Arame A, Barthes F, et al. Current indications and results for thoracoplasty and intrathoracic muscle transposition. Eur J Cardiothorac Surg. 2010;37:1215-20 pubmed publisher
    b>Thoracoplasty has lost much of its popularity and is being supplanted by space-reduction operations using muscle flaps...
  5. Mehta H, Snyder B, Baldassarri S, Hayward M, Giuffrida M, Entezari V, et al. Expansion thoracoplasty improves respiratory function in a rabbit model of postnatal pulmonary hypoplasia: a pilot study. Spine (Phila Pa 1976). 2010;35:153-61 pubmed publisher
    Using a rabbit model of postnatal pulmonary hypoplasia, we investigated how expansion thoracoplasty affected growth of the spine and lungs.
  6. Campbell R, Hell Vocke A. Growth of the thoracic spine in congenital scoliosis after expansion thoracoplasty. J Bone Joint Surg Am. 2003;85-A:409-20 pubmed
    ..spine were measured in the twenty-one children with congenital scoliosis and fused ribs after expansion thoracoplasty had been carried out with use of a vertical, expandable titanium prosthetic rib...
  7. Yang J, Bhandarkar A, Kasat N, Suh S, Hong J, Modi H, et al. Isolated percutaneous thoracoplasty procedure for skeletally mature adolescent idiopathic scoliosis patients, with rib deformity as their only concern: short-term outcomes. Spine (Phila Pa 1976). 2013;38:37-43 pubmed publisher
    Prospective case series study. To study the effect of percutaneous thoracoplasty-only procedure on curve pattern in mature adolescent idiopathic scoliosis (AIS)...
  8. Takanami I. Successful treatment of huge chronic expanding hematoma after thoracoplasty. J Thorac Cardiovasc Surg. 2003;126:1202-3 pubmed
  9. El Hamamsy I, Stevens L, Perrault L, Carrier M. Right pneumonectomy and thoracoplasty followed by coronary artery bypass grafting and mitral valve replacement. J Thorac Cardiovasc Surg. 2003;125:215-6 pubmed
  10. Motoyama E, Deeney V, Fine G, Yang C, Mutich R, Walczak S, et al. Effects on lung function of multiple expansion thoracoplasty in children with thoracic insufficiency syndrome: a longitudinal study. Spine (Phila Pa 1976). 2006;31:284-90 pubmed
    ..pulmonary function in young children with thoracic hypoplasia and scoliosis undergoing multiple expansion thoracoplasty using the vertical expandable prosthetic titanium ribs (VEPTRs)...
  11. Cano Maldonado A, Alcázar Montero J, González Fernández J, Adrio Díaz G. Outside-the-ribcage thoracic migration of a spigelian hernia. Hernia. 2009;13:89-92 pubmed publisher
    ..Here, we report such a case, supported by comprehensive iconography and a detailed discussion of the hypothetical pathogenesis...
  12. Levy Faber D, Fadel E, Kolb F, Delaloge S, Mercier O, Mussot S, et al. Outcome of full-thickness chest wall resection for isolated breast cancer recurrence. Eur J Cardiothorac Surg. 2013;44:637-42 pubmed publisher
    ..033). En-bloc full-thickness CWR eventually extended to adjacent structures provides acceptable morbidity and excellent long-term survival and should be considered the treatment of choice in locally recurrent breast cancer. ..
  13. Osawa H, Nishii T, Suzuki Y, Numata M, Shigemasa K, Tanabe H, et al. [Experience of chest wall reconstruction with newly developed material]. Kyobu Geka. 2008;61:1023-5 pubmed
  14. Shiraishi Y. [Thoracoplasty]. Kyobu Geka. 2010;63:681-3 pubmed
    b>Thoracoplasty was at 1st invented for the treatment of pulmonary tuberculosis during the days when no effective chemotherapeutic drugs for tuberculosis were available...
  15. Sakurada T, Osawa H, Sasaki J, Araki E. [On-pump beating coronary artery bypass grafting for the post-thoracoplasty patient with porcelain aorta; report of a case]. Kyobu Geka. 2011;64:244-7 pubmed
    A 79-year-old post-thoracoplasty patient who had undergone coronary artery bypass grafting (CABG) 20 years before was admitted to our hospital because of chest pain. Coronary angiogram showed occlusion of the both saphenous vein grafts...
  16. Martinez Ferro M, Fraire C, Saldaña L, Reussmann A, Dogliotti P. Complete videoendoscopic harvest and transposition of latissimus dorsi muscle for the treatment of Poland syndrome: a first report. J Laparoendosc Adv Surg Tech A. 2007;17:108-13 pubmed
    ..In our last case, latissimus dorsi muscle harvesting and transposition was performed completely videoendoscopically. We believe we are the first to report this technique in the literature. ..
  17. Szentkereszty Z, Boros M, Sapy P, Kiss S. Surgical treatment of intercostal hernia with implantation of polypropylene mesh. Hernia. 2006;10:354-6 pubmed
    ..Recurrence is rare in those patients treated with this method. ..
  18. Hisamatsu C, Okata Y, Zaima A, Yasufuku M, Maeda K, Okita Y, et al. Innominate artery transection for patients with severe chest deformity: optimal indication and timing. Pediatr Surg Int. 2012;28:877-81 pubmed publisher
    ..This would be the best timing to schedule the prophylactic operation. ..
  19. Chunguang Z, Yueming S, Limin L, Qingquan K, Hao L, Quan G, et al. Convex short length rib resection in thoracic adolescent idiopathic scoliosis. J Pediatr Orthop. 2011;31:757-63 pubmed publisher
    Although it brings satisfactory rib hump correction, concomitant thoracoplasty with surgical correction of scoliosis decreases pulmonary function values...
  20. Shimamura J, Kubota H, Sudo K. Left-sided approach for cardiac procedure and thoracoplasty in a patient with Marfan syndrome. Thorac Cardiovasc Surg. 2012;60:87-90 pubmed publisher
    ..We present a case of a 20-year-old female in whom we successfully performed a simultaneous Bentall procedure and thoracoplasty by initially removing only the left side of the costal cartilages...
  21. Smith J. The use of growth-sparing instrumentation in pediatric spinal deformity. Orthop Clin North Am. 2007;38:547-52, vii pubmed
    ..This article provides an overview of current methods and outcomes for spinal instrumentation in the growing spine. ..
  22. Kim H, Lenke L, Shaffrey C, Van Alstyne E, Skelly A. Proximal junctional kyphosis as a distinct form of adjacent segment pathology after spinal deformity surgery: a systematic review. Spine (Phila Pa 1976). 2012;37:S144-64 pubmed publisher
    ..Surgery-related risk factors were fusions to the sacrum, combined anterior/posterior surgery, thoracoplasty, and upper instrumented vertebra at T1-T3...
  23. Massard G. [Thoracic aspergillosis: indications for surgery for a multifaceted disease!]. Rev Pneumol Clin. 2004;60:73-7 pubmed
    ..b>Thoracoplasty is often required due to the Volume of parenchyma removed...
  24. Vedantam R, Lenke L, Bridwell K, Haas J, Linville D. A prospective evaluation of pulmonary function in patients with adolescent idiopathic scoliosis relative to the surgical approach used for spinal arthrodesis. Spine (Phila Pa 1976). 2000;25:82-90 pubmed
    ..fusion with iliac crest bone graft; Group 2 (n = 33) underwent a posterior spinal fusion with rib resection thoracoplasty; Group 3 (n = 7) underwent an anterior spinal fusion with a rib resection thoracotomy; and Group 4 (n = 11) ..
  25. Marshall M, Cooper C, Carter Y. Modified Tikhoff-Linberg procedure for posterior chest wall sarcoma. Ann Thorac Surg. 2012;94:1328-30 pubmed publisher
    ..The modified procedure offers an excellent functional result, leaving the patient with a fully functional arm and hand. ..
  26. Dingeldein M, Lu C, Kim A, Ostric S, Liptay M, Holterman M. Simultaneous costal cartilage-sparing modified Ravitch procedure and latissimus dorsi transfer for chest wall deformity repair in Poland's syndrome. J Pediatr Surg. 2009;44:e29-32 pubmed publisher
    ..In this report, we describe their combined use in an adolescent with severe pectus excavatum associated with Poland's syndrome. This combination of established operations resulted in a successful outcome...
  27. Lasso J, Uceda M, Peñalver R, Moreno N, Casteleiro R, Cano R. Large posterior chest wall defect reconstructed with a de-epithelised trans-thoracic TRAM flap. J Plast Reconstr Aesthet Surg. 2010;63:e458-62 pubmed publisher
    ..We describe the use of an intra-thoracic TRAM flap to reach the posterior chest wall defects, and we propose its specific indication for reconstruction of extensive posterior chest wall defects when other options are unavailable. ..
  28. Kamerlink J, Engel I, Patwardhan A, Valdevit A, Lowery G, Brayda Bruno M, et al. The treatment of vertebral and chest wall deformities with expandable thoracoplasty and a prosthetic expandable implant. J Pediatr Orthop. 2010;30:90-8 pubmed publisher
    Expansion thoracoplasty is a temporary solution to allow complete pulomonary development in the setting of vertebral and rib cage deformities. After thoracoplasty, an expandable implant is needed to maintain the correction...
  29. LUCAS G, Bollini G, Jouve J, de Gauzy J, Accadbled F, Lascombes P, et al. Complications in pediatric spine surgery using the vertical expandable prosthetic titanium rib: the French experience. Spine (Phila Pa 1976). 2013;38:E1589-99 pubmed publisher
    ..These patients are good candidates for VEPTR expansion thoracoplasty. The aim of this study was to evaluate the potential complications of VEPTR surgery...
  30. Miyata R, Sonobe M, Yamawaki S, Date H. External fistulous wound with Pseudomonas aeruginosa infection and massive bleeding following rupture of pulmonary suppuration. Interact Cardiovasc Thorac Surg. 2012;14:903-5 pubmed publisher
    ..He had then undergone thoracoplasty with the plombage of the cavity using left pectoralis major muscle...
  31. El Husseiny M, Karam L, Haddad F, Tabet G. Perforation of the aorta by a rib edge: an unusual complication after chest wall resection. Ann Vasc Surg. 2012;26:574.e15-7 pubmed publisher
    ..The postoperative course was uneventful. This case illustrates the importance of applying a solid fixation to the rib stumps when performing a chest wall resection, irrespective of the size of the wall defect. ..
  32. Uchikov A, Uchikov P, Shipkov K, Prisadov G, Paskalev G. [Surgical treatment of chronic nonspecific empyemas]. Khirurgiia (Sofiia). 2002;58:22-3 pubmed
    ..Twenty eight were treated by thoracotomy and decortication, 7 underwent video-assisted thoracoscopy and decortication, and 3 thoracoplasty. In one of the patients a latissimus dorsi muscle flap was used.
  33. Trigui W, Le Pimpec Barthes F, Shaker W, Lang Lazdunski L, Riquet M. Simultaneous bronchopleural and esophagopleural fistulas after pneumonectomy. Ann Thorac Surg. 2002;74:923-4 pubmed by feeding jejunostomy both BPF and EPF were repaired by subscapular muscle myoplasty and extensive thoracoplasty through a right thoracotomy...
  34. Safran D, Sullivan W. Necrotizing fasciitis of the chest wall. Ann Thorac Surg. 2001;72:1362-4 pubmed
    ..This represents the second reported case of a patient surviving necrotizing fasciitis of the chest wall requiring rib resection and chest wall reconstruction. ..
  35. Hedequist D. Surgical treatment of congenital scoliosis. Orthop Clin North Am. 2007;38:497-509, vi pubmed
    ..This article reviews the general surgical principles that need to be followed to treat these patients safely. The numerous surgical procedures available for treating these patients also are reviewed. ..
  36. Asner S, Chapuis Taillard C, Ris H, Gonzalez M. Pneumocephalus and pneumococcal meningitis after thoracic surgery. Asian Cardiovasc Thorac Ann. 2011;19:346-8 pubmed publisher
    ..The neurological status normalized after thoracoplasty and ceftriaxone treatment.
  37. Hasumi T, Yamanaka S, Yamanaka H, Endoh C, Suda H. [Clinical experience of gelatin-resorcin-formal (GRF) glue for acute empyema with bronchopleural fistula]. Kyobu Geka. 2003;56:82-5 pubmed
    ..b>Thoracoplasty and muscular plombage were performed for filling up the cavity and closure of bronchial fistula...
  38. Zhou C, Liu L, Song Y, Gong Q, Li T, Kong Q, et al. [Pulmonary function changes after operation in patients with severe scoliosis]. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2010;24:23-6 pubmed
    ..with severe scoliosis undergoing anterior release, posterior segmental fixation and fusion, and convex thoracoplasty by resecting a short length of rib...
  39. van Vendeloo S, Olthof K, Timmerman J, Mostert A. Esophageal rupture in a child after vertical expandable prosthetic titanium rib expansion thoracoplasty: first report of a rare complication. Spine (Phila Pa 1976). 2011;36:E669-72 pubmed publisher
    ..To illustrate the significance of esophageal rupture as a rare complication after expansion thoracoplasty with implementation of a vertical expandable prosthetic titanium rib (VEPTR)...
  40. Torre Healy A, Samdani A. Newer technologies for the treatment of scoliosis in the growing spine. Neurosurg Clin N Am. 2007;18:697-705 pubmed
    ..Each of these offers unique advantages and disadvantages. In this article, the authors review these newer technologies for treatment of the growing spine. ..
  41. Bischoff G, Muehling B, Orend K, Bischoff M, Sunder Plassmann L. A new treatment concept for bronchial stump insufficiency. Thorac Cardiovasc Surg. 2010;58:169-74 pubmed publisher
    ..In 6 patients (group B), only VT (a combination of bronchial suture, thoracoplasty, latissimus muscle transposition and VT) was performed...
  42. Jasiewicz B, Potaczek T, Szcześniak A, Tesiorowski M. Retrospective study of two-stage surgery in the treatment of scoliosis exceeding 100 degrees - assessment including spinal balance evaluation. Ortop Traumatol Rehabil. 2009;11:495-500 pubmed
    ..There were no neurological complications. Two-stage treatment of very severe scoliosis enables stable correction with some improvement of spinal balance in both the coronal and sagittal plane. ..
  43. Caidi M, Kabiri H, Al Aziz S, El Maslout A, Benosman A. [Surgical treatment of pulmonary aspergilloma. 278 cases]. Presse Med. 2006;35:1819-24 pubmed
    ..12 patients had further surgery: 3 for hemothorax, 2 for empyema and 4 for secondary thoracoplasty. The postoperative course was uneventful for 54.1% of cases...
  44. Hell A, Campbell R, Hefti F. [New treatment concept for children with thoracic insufficiency syndrome due to congenital spine deformity]. Klin Padiatr. 2005;217:268-73 pubmed
    ..Expansion thoracoplasty and VEPTR implantation is a new treatment concept for children with thoracic insufficiency syndrome due to ..
  45. Okubo K, Ueno Y, Isobe J, Kato T. Emergent pneumonectomy for hemoptysis in a patient with previous thoracoplasty. J Cardiovasc Surg (Torino). 2004;45:515-7 pubmed
    ..We describe an emergent pneumonectomy for massive hemoptysis from destroyed lung in a patient with previous thoracoplasty. After prolonged ventilation support postoperatively, the patient with compromised lung function recovered ..
  46. Politi L, Scanagatta P, Salani A, Montinaro F, Turini A, Crisci C. [Intrathoracic omentoplasty in the treatment of pleural cavity secondary to stabilized bronchial fistula]. Minerva Chir. 2004;59:495-9 pubmed
    ..In the combined plasties it was then covered by chest wall (thoracoplasty), muscles (mioplasty) or mammary gland (mammoplasty); in the single omentoplasty omentum was also sutured to ..
  47. Cunningham M, Frelinghuysen P, Roh J, Boachie Adjei O, Green D. Fusionless scoliosis surgery. Curr Opin Pediatr. 2005;17:48-53 pubmed
    ..Preliminary outcomes from the different techniques are promising, but further investigation, including long-term follow-up, is necessary. ..
  48. Alifano M, Gaucher S, Rabbat A, Brandolini J, Guinet C, Damotte D, et al. Alternatives to resectional surgery for infectious disease of the lung: from embolization to thoracoplasty. Thorac Surg Clin. 2012;22:413-29 pubmed publisher
    ..This article focuses exclusively on nonresectional surgery and other alternatives to lung resection and addresses bacterial infection and fungal disease of the lung. ..
  49. O Connor T, O Riordan D, Stack M, Bredin C. Airways obstruction in survivors of thoracoplasty: reversibility is greater in non-smokers. Respirology. 2004;9:130-3 pubmed
    Before the advent of antituberculous chemotherapy, thoracoplasty (TPL) was the definitive form of therapy for cavitary pulmonary tuberculosis...
  50. Thourani V, Lancaster R, Mansour K, Miller J. Twenty-six years of experience with the modified eloesser flap. Ann Thorac Surg. 2003;76:401-5; discussion 405-6 pubmed
    ..We demonstrate that MEF can be performed as a safe, definitive surgical procedure for the treatment of chronic empyema thoracis. The MEF remains an important option in the surgical treatment of chronic, complicated empyema thoracis. ..
  51. Lim M, Wazeka A, Boachie Adjei O. Ventilator weaning after staged anteroposterior spine fusion in a ventilator-dependent patient with congenital scoliosis: a case report. Spine (Phila Pa 1976). 2003;28:E256-9 pubmed
    ..Surgical correction of a severe thoracic spinal deformity in the setting of severe restrictive lung disease can be performed successfully with stabilization of pulmonary volumes and improvement in pulmonary performance. ..
  52. Asai K, Suzuki K, Takahashi T, Ito Y, Kazui T, Kita Y. Pulmonary resection with chest wall removal and reconstruction for invasive pulmonary mucormycosis during antileukemia chemotherapy. Jpn J Thorac Cardiovasc Surg. 2003;51:163-6 pubmed
    ..In selected cases of leukemia-associated pulmonary mucormycosis refractory to Amphotericin B therapy, aggressive surgical intervention may facilitate anti-leukemia chemotherapy and prolong survival. ..
  53. Long L, Fu L, Jing Z, Qiang Z. Modified Nuss procedure is a safe choice for recurrent pectus excavatum after previous open repair experience of 26 cases. Pediatr Surg Int. 2013;29:597-600 pubmed publisher
    ..In a 3-month follow-up, no bar displacement or rejection happened and pleural effusion was completely absorbed. Although technically challenging, Nuss procedure is feasible and good for recurrent PE after open repair. ..