Document Detail


Lung function in congenital kyphosis and kyphoscoliosis.
MedLine Citation:
PMID:  17473639     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To quantify the respiratory compromise in patients with a congenital kyphosis or kyphoscoliosis in whom the major deformity is the kyphosis. METHODS: Forty-one patients with congenital vertebral anomalies resulting in a kyphosis or kyphoscoliosis, in which the kyphosis was the major deformity, and requiring spine surgery were studied retrospectively. The preoperative respiratory function and radiographic spinal assessments were compared. RESULTS: Twenty-two patients (54%) had an impairment of respiratory function: 2 patients (5%) were severely affected, 8 patients (20%) were moderately affected, and 12 patients (29%) were mildly affected. CONCLUSIONS: An increasing severity of kyphosis was associated with a significant increase in respiratory impairment (P<0.005). A more cranial level of the kyphosis, especially above T10, had a significantly greater effect on respiratory impairment (P<0.001). One untreated patient with a severe kyphosis (128 degrees) died from cor pulmonale.
Authors:
Michael J McMaster; Michael A Glasby; Harwant Singh; Steve Cunningham
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of spinal disorders & techniques     Volume:  20     ISSN:  1536-0652     ISO Abbreviation:  J Spinal Disord Tech     Publication Date:  2007 May 
Date Detail:
Created Date:  2007-05-02     Completed Date:  2007-07-12     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101140323     Medline TA:  J Spinal Disord Tech     Country:  United States    
Other Details:
Languages:  eng     Pagination:  203-8     Citation Subset:  IM    
Affiliation:
The Scottish National Paediatric Spinal Deformity Centre, The Royal Hospital for Sick Children, Edinburgh, Scotland. m.mcmaster1@btinternet.com
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Age Factors
Child
Diaphragm / physiopathology
Early Diagnosis
Female
Humans
Kyphosis / congenital,  physiopathology*,  radiography
Lung / physiopathology*,  radiography
Male
Respiratory Function Tests
Respiratory Insufficiency / etiology*,  physiopathology*,  radiography
Retrospective Studies
Ribs / pathology,  physiopathology,  radiography
Scoliosis / congenital,  physiopathology*,  radiography
Spinal Fusion / standards
Spine / pathology,  physiopathology*,  radiography
Thoracic Cavity / pathology,  physiopathology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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