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Tash
16-11-2011, 05:10 PM
Hi, I have a few questions regarding having a second costoplasty or thoracoplasty (not sure which is the correct procedure name) done to reduce my rib hump.

I had my correct surgery's when I was 13 and then had my rods removed along with a costoplasty procedure in 2005 when I was 19. I now have a thoracic curvature of 49 degrees and I am interested in having another costoplasty procedure to reduce the prominence of mainly two or three of my lower ribs for both cosmetic and pain related reasons.

I have briefly spoken with my surgeon about this and didn't get a straight answer back.

So if you could help me I would like to know the following:
1. Is it possible to have this procedure done for a second time?
2. What type of surgeon would do the surgery?
3. Would you recommend anyone in particular (in Melbourne) for me to get a referral to see, so I can look into this further.

Thanks so much for your time & look forward to hearing back from you.

Tash

Dr Scoliosis
23-11-2011, 04:11 PM
Thank you for your enquiry.

The terms costoplasty and thoracoplasty are more or less synonymous. In days long gone thoracoplasty was used to collapse a lung permanently in an attempt to control tuberculosis. Costoplasty is used to correct the rib prominence in scoliotic deformities and is most effective when there is a sharp angular deformation of the rib cage such as was seen in curvatures from poliomyelitis and severe idiopathic curves. I presume you have adolescent idiopathic scoliosis.

You state that your thoracic curve measures 49 degrees which is a level of curvature that, in itself, does not usually produce a significant outward deformity. I presume your pre-operative curvature was much greater than this and that is why a costoplasty was performed.

It would be most unusual for the lower two or three ribs on the convex side of the curvature to produce a major cosmetic blemish because they are primarily in the lumbar region. The higher in the spine the greater the cosmetic blemish with rib deformities.

It is suggested that you speak with your surgeon again and ask for a second opinion. This type of surgery is in the province of a scoliosis surgeon.

It is a strict rule for this website not to recommend any particular spinal surgeon. There is a directory of specialists (http://www.scoliosis-australia.org/scoliosis/scoliosis_specialists.html) on the website.

In view of your uncertainty I think the second opinion would be helpful to you.

Dr Scoliosis