Evaluation of the Woodward Procedure's Clinical Effectiveness for Treating Sprengel Deformity in Pediatric Patients - Summary - MDSpire

Evaluation of the Woodward Procedure's Clinical Effectiveness for Treating Sprengel Deformity in Pediatric Patients

  • By

  • Tao Li

  • Wusheng Miao

  • Yinghan Lei

  • Hai Jiang

  • April 28, 2026

  • 0 min

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Objective:

To evaluate the clinical efficacy of the Woodward procedure in children with Sprengel deformity, focusing on functional and cosmetic outcomes.

Key Findings:
  • Mean preoperative shoulder abduction was 114.2°.
  • 92.3% of patients achieved excellent cosmetic results (Cavendish grade 1) postoperatively.
  • 92.3% of patients improved to Rigault grade 1.
  • Mean improvement of 2.1 grades for Cavendish and 1.5 grades for Rigault.
  • Significant reduction in superior displacement from 32.68 mm to 11.33 mm postoperatively.
  • Mean rotational angle decreased from 23.35° to 6.43°.
  • Minimal complications with no brachial plexus injuries or reoperations reported.
Interpretation:

The Woodward procedure is a safe and effective surgical intervention for Sprengel deformity, leading to significant improvements in both cosmetic appearance and shoulder function in pediatric patients.

Limitations:
  • Small sample size of 13 patients.
  • Retrospective nature may introduce bias.
  • Lack of a control group for comparison.
Conclusion:

The Woodward procedure provides significant and sustained improvements in cosmetic and functional outcomes for pediatric patients with Sprengel deformity.

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