ArticleInternational orthopaedics2020
Surgical correction of Sprengel's deformity by modified Woodward procedure: outcomes in twenty eight patients.
Article in International orthopaedics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed, 8 citations in OpenAlex.
- Clinical efficacy analysis of Woodward's procedure for Sprengel deformity in children.Frontiers in pediatrics · 2026Article
- Morphological analysis of the omovertebral bone and scapula in children with sprengel deformity using three-dimensional computed tomography.Frontiers in pediatrics · 2025Article
- Transfers of the sternal head of pectoralis major and latissimus dorsi to treat Sprengel's syndrome.JSES international · 2024Article
- Surgical Treatment of Sprengel's Deformity: A Systematic Review and Meta-Analysis.Children (Basel, Switzerland) · 2021Review
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeSprengel's deformity is a congenital failure of the descent of the scapula with main concerns regarding cosmetic deformity and restricted function of the affected shoulder. The purpose of this study was to present the results of Modified Woodward procedure in 28 patients with Sprengel's shoulder.
methodsTwenty-eight patients (9 males, 19 females) of Sprengel's shoulder treated with modified Woodward procedure from 2010 to 2016 were retrospectively studied. Clinical assessment was done using Cavendish grading and Rigault's classification for radiographic evaluation.
resultsMean age at the time of surgery was six years and three months. Mean follow-up was 20 months. We found a mean increase in abduction of 34.2° (15-50) and flexion of 20.6° (10-25), mean scapular lowering of 2.3 cm (0.5-4.5 cm), and a Cavendish grade I in 18 (65%), grade II in 10 (35%). Thus, we had 65% satisfactory results in terms of cosmesis and 85% with the function of the affected limb. Rigault grading improved by one grade in 16 children and by two grades in 12 children. Subjectively, all parents were satisfied with the cosmetic appearance of the achieved scapular lowering. We had one case of delayed superficial wound healing which resolved spontaneously.
conclusionModified Woodward procedure for Sprengel's shoulder deformity gives good cosmetic correction and improvement in shoulder function with minimal complications. This procedure is good for selective cases of Cavendish grade II with cosmetic concerns and all cases of Cavendish grade III and IV.
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