{"id":13487,"date":"2023-10-05T12:31:25","date_gmt":"2023-10-05T12:31:25","guid":{"rendered":"https:\/\/ro.cvot.md\/deformarea-cutiei-toracice-in-forma-de-chiler-pectus-carinatum\/"},"modified":"2025-10-05T17:58:57","modified_gmt":"2025-10-05T17:58:57","slug":"keel-shaped-deformity-of-the-chest","status":"publish","type":"page","link":"https:\/\/ro.cvot.md\/en\/keel-shaped-deformity-of-the-chest\/","title":{"rendered":"Keel-shaped deformity of the chest"},"content":{"rendered":"\n

Watch the video on YouTube<\/a><\/p>\n\n\n\n

\n
\"\"<\/figure>\n\n\n\n
\"\"<\/figure>\n\n\n\n
\"\"<\/figure>\n\n\n\n
\"\"<\/figure>\n\n\n\n
\"\"<\/figure>\n\n\n\n
\"\"<\/figure>\n<\/figure>\n\n\n\n


Abramson method surgery (Keel-shaped chest) \u2013<\/strong> video<\/a><\/p>\n\n\n\n

Clinic and diagnosis of keel-shaped deformity (Pectus carinatum).<\/strong><\/h3>\n\n\n\n

This deformity occurs, unlike funnel chest (pectus excavatum), at an older age. The protruding sternum forward and the retraction along its edges of the ribs give the chest a characteristic keel-shaped deformity. It increases with growth; the keel-shaped deformity becomes more of a cosmetic defect, but functional impairments are also observed (shortness of breath, chest pain near the heart, and rapid fatigue).<\/p>\n\n\n

\n
\"\"<\/figure><\/div>\n\n\n

Considering the clinical picture of keel-shaped chest deformities and additional examinations, their diagnosis is straightforward. An important and necessary test is the analysis of pulmonary function indicators in children. Spirometric studies performed showed a decrease in the main volumetric parameters in 95% of the patients operated on in our clinic, especially vital lung capacity, respiratory rate, and tidal volume by 18% or more, sometimes exceeding 30%. Scintigraphy studies revealed significant changes in the microcirculatory blood flow of the lungs. Electrocardiographic studies showed ECG changes, including disturbances of the heart’s electrical axis and sinus arrhythmia in more than half of the cases, particularly in older children.<\/p>\n\n\n\n

Radiological examination, computed tomography, and, if necessary, magnetic resonance imaging of patients with chest deformities are important and mandatory diagnostic steps. They allow determination of the type and severity of the deformity, the nature of abnormalities of the sternum, ribs, and spine, and the assessment of changes in chest organs \u2014 the heart (including displacement), lungs, etc.<\/p>\n\n\n\n

At present, conservative treatment methods for keel-shaped deformities are completely rejected by most orthopedists and surgeons. Surgery is considered the only method for complete correction of the chest deformity, prevention, and treatment of secondary pathological changes in the chest organs, primarily the cardio-respiratory system.<\/p>\n\n\n\n

Indications for surgery:<\/strong><\/p>\n\n\n\n

    \n
  1. Direct and unconditional indication:<\/strong> surgery for a child with chest deformities at any age is indicated if there are functional impairments of the lungs and heart (subcompensated or decompensated stages). These indications most often arise in children aged 3-5 years with deformity of grade II-III.<\/li>\n\n\n\n
  2. Orthopedic indications:<\/strong> necessitated by the need to correct altered posture and spinal curvature.<\/li>\n\n\n\n
  3. Cosmetic indications:<\/strong> related to the presence of a physical defect; the older the child, the more distress and suffering the deformity causes.<\/li>\n<\/ol>\n\n\n\n

    It is advisable to operate on children aged 3 to 10 years, as their chest formation is not yet complete, and secondary spinal deformities are not pronounced. Preoperative preparation is similar to that for any major surgery involving thoracic organs.<\/p>\n\n\n\n

    Today, endoscopic thoracic surgery methods are successfully used for the operative correction of keel-shaped chest deformities. One such method is Abramson\u2019s operation (analogous to the Nuss procedure). It is also called minimally invasive correction of pigeon chest. It is called minimally invasive because it is performed through small incisions; however, its potential and trauma should not be underestimated. The surgery is performed under general anesthesia. Through the incisions, a metal plate is inserted into the patient\u2019s chest, which fixes the chest in the desired position. After the chest is fully stabilized (usually within 3-4 years), the plate is removed through the same incisions.i\u021bia dorit\u0103. Dup\u0103 ce cutia toracic\u0103 este stabilizat\u0103 definitiv (de obicei dup\u0103 3-4 ani), placa este \u00eendep\u0103rtat\u0103 prin acelea\u0219i incizii.<\/p>\n\n\n\n

    <\/a>Watch the video on YouTube<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

    Watch the video on YouTube Abramson method surgery (Keel-shaped chest) \u2013 video Clinic and diagnosis of keel-shaped deformity (Pectus carinatum). This deformity occurs, unlike funnel chest (pectus excavatum), at an older age. The protruding sternum forward and the retraction along its edges of the ribs give the chest a characteristic keel-shaped deformity. It increases with […]<\/p>\n","protected":false},"author":1,"featured_media":13489,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-13487","page","type-page","status-publish","has-post-thumbnail","hentry"],"yoast_head":"\nKeel-shaped deformity of the chest - Asocia\u0163ia Ob\u015fteasc\u0103 ''HEALTHY SPINE''<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/ro.cvot.md\/en\/keel-shaped-deformity-of-the-chest\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Keel-shaped deformity of the chest - Asocia\u0163ia Ob\u015fteasc\u0103 ''HEALTHY SPINE''\" \/>\n<meta property=\"og:description\" content=\"Watch the video on YouTube Abramson method surgery (Keel-shaped chest) \u2013 video Clinic and diagnosis of keel-shaped deformity (Pectus carinatum). This deformity occurs, unlike funnel chest (pectus excavatum), at an older age. The protruding sternum forward and the retraction along its edges of the ribs give the chest a characteristic keel-shaped deformity. It increases with […]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/ro.cvot.md\/en\/keel-shaped-deformity-of-the-chest\/\" \/>\n<meta property=\"og:site_name\" content=\"Asocia\u0163ia Ob\u015fteasc\u0103 ''HEALTHY SPINE''\" \/>\n<meta property=\"article:modified_time\" content=\"2025-10-05T17:58:57+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/ro.cvot.md\/wp-content\/uploads\/2023\/10\/operation1.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1944\" \/>\n\t<meta property=\"og:image:height\" content=\"905\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"5 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/ro.cvot.md\/en\/keel-shaped-deformity-of-the-chest\/\",\"url\":\"https:\/\/ro.cvot.md\/en\/keel-shaped-deformity-of-the-chest\/\",\"name\":\"Keel-shaped deformity of the chest - Asocia\u0163ia Ob\u015fteasc\u0103 ''HEALTHY SPINE''\",\"isPartOf\":{\"@id\":\"https:\/\/ro.cvot.md\/en\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/ro.cvot.md\/en\/keel-shaped-deformity-of-the-chest\/#primaryimage\"},\"image\":{\"@id\":\"https:\/\/ro.cvot.md\/en\/keel-shaped-deformity-of-the-chest\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/ro.cvot.md\/wp-content\/uploads\/2023\/10\/operation1.jpg\",\"datePublished\":\"2023-10-05T12:31:25+00:00\",\"dateModified\":\"2025-10-05T17:58:57+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/ro.cvot.md\/en\/keel-shaped-deformity-of-the-chest\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/ro.cvot.md\/en\/keel-shaped-deformity-of-the-chest\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/ro.cvot.md\/en\/keel-shaped-deformity-of-the-chest\/#primaryimage\",\"url\":\"https:\/\/ro.cvot.md\/wp-content\/uploads\/2023\/10\/operation1.jpg\",\"contentUrl\":\"https:\/\/ro.cvot.md\/wp-content\/uploads\/2023\/10\/operation1.jpg\",\"width\":1944,\"height\":905},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/ro.cvot.md\/en\/keel-shaped-deformity-of-the-chest\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"\u0413\u043b\u0430\u0432\u043d\u0430\u044f \u0441\u0442\u0440\u0430\u043d\u0438\u0446\u0430\",\"item\":\"https:\/\/ro.cvot.md\/en\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Keel-shaped deformity of the chest\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/ro.cvot.md\/en\/#website\",\"url\":\"https:\/\/ro.cvot.md\/en\/\",\"name\":\"Asocia\u0163ia Ob\u015fteasc\u0103 ''HEALTHY SPINE''\",\"description\":\"\",\"publisher\":{\"@id\":\"https:\/\/ro.cvot.md\/en\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/ro.cvot.md\/en\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":\"Organization\",\"@id\":\"https:\/\/ro.cvot.md\/en\/#organization\",\"name\":\"Asocia\u0163ia Ob\u015fteasc\u0103 ''HEALTHY SPINE''\",\"url\":\"https:\/\/ro.cvot.md\/en\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/ro.cvot.md\/en\/#\/schema\/logo\/image\/\",\"url\":\"https:\/\/ro.cvot.md\/wp-content\/uploads\/2025\/10\/cropped-hs-1.png\",\"contentUrl\":\"https:\/\/ro.cvot.md\/wp-content\/uploads\/2025\/10\/cropped-hs-1.png\",\"width\":1724,\"height\":842,\"caption\":\"Asocia\u0163ia Ob\u015fteasc\u0103 ''HEALTHY SPINE''\"},\"image\":{\"@id\":\"https:\/\/ro.cvot.md\/en\/#\/schema\/logo\/image\/\"}}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Keel-shaped deformity of the chest - Asocia\u0163ia Ob\u015fteasc\u0103 ''HEALTHY SPINE''","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/ro.cvot.md\/en\/keel-shaped-deformity-of-the-chest\/","og_locale":"en_US","og_type":"article","og_title":"Keel-shaped deformity of the chest - Asocia\u0163ia Ob\u015fteasc\u0103 ''HEALTHY SPINE''","og_description":"Watch the video on YouTube Abramson method surgery (Keel-shaped chest) \u2013 video Clinic and diagnosis of keel-shaped deformity (Pectus carinatum). This deformity occurs, unlike funnel chest (pectus excavatum), at an older age. The protruding sternum forward and the retraction along its edges of the ribs give the chest a characteristic keel-shaped deformity. It increases with […]","og_url":"https:\/\/ro.cvot.md\/en\/keel-shaped-deformity-of-the-chest\/","og_site_name":"Asocia\u0163ia Ob\u015fteasc\u0103 ''HEALTHY SPINE''","article_modified_time":"2025-10-05T17:58:57+00:00","og_image":[{"width":1944,"height":905,"url":"https:\/\/ro.cvot.md\/wp-content\/uploads\/2023\/10\/operation1.jpg","type":"image\/jpeg"}],"twitter_card":"summary_large_image","twitter_misc":{"Est. reading time":"5 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/ro.cvot.md\/en\/keel-shaped-deformity-of-the-chest\/","url":"https:\/\/ro.cvot.md\/en\/keel-shaped-deformity-of-the-chest\/","name":"Keel-shaped deformity of the chest - Asocia\u0163ia Ob\u015fteasc\u0103 ''HEALTHY SPINE''","isPartOf":{"@id":"https:\/\/ro.cvot.md\/en\/#website"},"primaryImageOfPage":{"@id":"https:\/\/ro.cvot.md\/en\/keel-shaped-deformity-of-the-chest\/#primaryimage"},"image":{"@id":"https:\/\/ro.cvot.md\/en\/keel-shaped-deformity-of-the-chest\/#primaryimage"},"thumbnailUrl":"https:\/\/ro.cvot.md\/wp-content\/uploads\/2023\/10\/operation1.jpg","datePublished":"2023-10-05T12:31:25+00:00","dateModified":"2025-10-05T17:58:57+00:00","breadcrumb":{"@id":"https:\/\/ro.cvot.md\/en\/keel-shaped-deformity-of-the-chest\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/ro.cvot.md\/en\/keel-shaped-deformity-of-the-chest\/"]}]},{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/ro.cvot.md\/en\/keel-shaped-deformity-of-the-chest\/#primaryimage","url":"https:\/\/ro.cvot.md\/wp-content\/uploads\/2023\/10\/operation1.jpg","contentUrl":"https:\/\/ro.cvot.md\/wp-content\/uploads\/2023\/10\/operation1.jpg","width":1944,"height":905},{"@type":"BreadcrumbList","@id":"https:\/\/ro.cvot.md\/en\/keel-shaped-deformity-of-the-chest\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"\u0413\u043b\u0430\u0432\u043d\u0430\u044f \u0441\u0442\u0440\u0430\u043d\u0438\u0446\u0430","item":"https:\/\/ro.cvot.md\/en\/"},{"@type":"ListItem","position":2,"name":"Keel-shaped deformity of the chest"}]},{"@type":"WebSite","@id":"https:\/\/ro.cvot.md\/en\/#website","url":"https:\/\/ro.cvot.md\/en\/","name":"Asocia\u0163ia Ob\u015fteasc\u0103 ''HEALTHY SPINE''","description":"","publisher":{"@id":"https:\/\/ro.cvot.md\/en\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/ro.cvot.md\/en\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"},{"@type":"Organization","@id":"https:\/\/ro.cvot.md\/en\/#organization","name":"Asocia\u0163ia Ob\u015fteasc\u0103 ''HEALTHY SPINE''","url":"https:\/\/ro.cvot.md\/en\/","logo":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/ro.cvot.md\/en\/#\/schema\/logo\/image\/","url":"https:\/\/ro.cvot.md\/wp-content\/uploads\/2025\/10\/cropped-hs-1.png","contentUrl":"https:\/\/ro.cvot.md\/wp-content\/uploads\/2025\/10\/cropped-hs-1.png","width":1724,"height":842,"caption":"Asocia\u0163ia Ob\u015fteasc\u0103 ''HEALTHY SPINE''"},"image":{"@id":"https:\/\/ro.cvot.md\/en\/#\/schema\/logo\/image\/"}}]}},"_links":{"self":[{"href":"https:\/\/ro.cvot.md\/en\/wp-json\/wp\/v2\/pages\/13487","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ro.cvot.md\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/ro.cvot.md\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/ro.cvot.md\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/ro.cvot.md\/en\/wp-json\/wp\/v2\/comments?post=13487"}],"version-history":[{"count":1,"href":"https:\/\/ro.cvot.md\/en\/wp-json\/wp\/v2\/pages\/13487\/revisions"}],"predecessor-version":[{"id":13602,"href":"https:\/\/ro.cvot.md\/en\/wp-json\/wp\/v2\/pages\/13487\/revisions\/13602"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ro.cvot.md\/en\/wp-json\/wp\/v2\/media\/13489"}],"wp:attachment":[{"href":"https:\/\/ro.cvot.md\/en\/wp-json\/wp\/v2\/media?parent=13487"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}