Long-term pulmonary function after posterior spinal fusion in main thoracic adolescent idiopathic scoliosis
| العنوان: | Long-term pulmonary function after posterior spinal fusion in main thoracic adolescent idiopathic scoliosis |
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| المؤلفون: | Norimasa Iwasaki, Hideki Sudo, Terufumi Kokabu, Young Man Byun, Akira Iwata, Katsuhisa Yamada, Kuniyoshi Abumi, Takahiro Iida |
| المصدر: | PLoS ONE PLoS ONE, Vol 15, Iss 6, p e0235123 (2020) |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | Male, Vital capacity, Vertebrae, Pulmonology, medicine.medical_treatment, Radiography, Vital Capacity, Pulmonary Function, Pathology and Laboratory Medicine, Adolescents, Pulmonary function testing, Nervous System Procedures, Families, 0302 clinical medicine, Forced Expiratory Volume, Medicine and Health Sciences, 030212 general & internal medicine, Child, Lung, Instrumentation, Musculoskeletal System, Children, Multidisciplinary, Scoliosis, Spinal fusion, Medicine, Engineering and Technology, Female, Anatomy, Research Article, Adult, medicine.medical_specialty, Adolescent, Science, Idiopathic scoliosis, Surgical and Invasive Medical Procedures, Thoracic Vertebrae, 03 medical and health sciences, FEV1/FVC ratio, Signs and Symptoms, Rheumatology, Diagnostic Medicine, medicine, Humans, In patient, Kyphosis, Retrospective Studies, business.industry, Biology and Life Sciences, Surgical correction, Spine, Surgery, Spinal Fusion, Age Groups, People and Places, Lesions, Population Groupings, business, 030217 neurology & neurosurgery, Follow-Up Studies |
| الوصف: | BackgroundAdolescent idiopathic scoliosis (AIS) patients typically undergo surgical treatment as teenagers, follow-ups of >5 years are necessary to evaluate effects on peak pulmonary reserves. However, limited data is available regarding the long-term (>10 years) effects of surgical intervention on pulmonary function (PF) in patients with thoracic AIS.ObjectiveTo provide long-term (>10 years) information on the PF after posterior spinal fusion for treating main thoracic AIS. We especially investigated whether surgical correction for AIS led to impairment of the PF.MethodsA total of 35 patients with main thoracic AIS treated with posterior spinal fusion were included. Radiographs and PF tests, which included measurements of absolute and percent-predicted values of forced vital capacity (FVC) and forced expiratory volume in 1 second (FEV1), were evaluated.ResultsMean age at surgery was 14.9 years (12-19 years). Mean follow-up period was 15.1 years (10-24 years). Although the final postoperative FVC and FEV1 absolute values were higher than the preoperative values, the differences were not statistically significant (p = 0.22 and p = 0.08, respectively). Percent-predicted FVC and FEV1 values between preoperative and final postoperative measurements were not statistically different (p = 0.63 and p = 0.29, respectively). However, for the patients who presented with pulmonary impairment preoperatively, both the FVC and FEV1 significantly increased at the final follow-up (p = 0.01 and p = 0.01, respectively).ConclusionsLong-term results of AIS patients who underwent posterior spinal fusion in main thoracic curves demonstrated absolute and percent-predicted PF test values similar to preoperative measurements; thus, indicating that posterior spinal fusion did not decrease PF 15 years after the initial surgery. Instead, patients with severe preoperative pulmonary impairment might show some degree of improvement after surgery. |
| تدمد: | 1932-6203 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::c0f6bfdc1c5ef48e71c72464b5533b1d https://pubmed.ncbi.nlm.nih.gov/32584916 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....c0f6bfdc1c5ef48e71c72464b5533b1d |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 19326203 |
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