To evaluate the outcomes of a Modified Woodward Procedure via a Limited Incision (MWP-LI) for Sprengel deformity, focusing on minimizing tissue trauma and enhancing functional and cosmetic results.
Key Findings:
Mean active shoulder abduction improved significantly by 58.0° (from 96.5° ± 11.8° to 154.5° ± 10.6°, p < 0.001).
Mean Cavendish grade improved by 1.8 grades.
All parents reported high satisfaction with the outcomes.
No instances of scapular winging, neurovascular injury, or other major complications were observed.
Interpretation:
The MWP-LI is a reliable, less invasive, and cosmetically superior alternative for correcting Sprengel deformity.
Limitations:
Follow-up duration is insufficient to assess long-term growth-related recurrence.
Conclusion:
The MWP-LI offers a promising approach for treating Sprengel deformity with positive functional and aesthetic outcomes.
