Document Detail


Radiological changes after Nuss operation for pectus excavatum.
MedLine Citation:
PMID:  19834306     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The objective of this study was to evaluate sternovertebral distance and the chest wall deformation after Nuss procedure. MATERIALS AND METHODS: Anteroposterior and lateral chest radiographs were performed before Nuss procedure, 1, 6, and 12 months after operation and finally 1 month after bar removal. Sternovertebral distance and transversal chest dimension were measured on radiographs, as well as Haller and vertebral indexes were calculated. RESULTS: A total of 84 children with funnel chest were operated on. Preoperative sternovertebral distance was 79.81+/-6.96 mm; 1 month after operation, 97.84+/-17.08 mm; 6 months, 110.55+/-13.85 mm; and 12 months, 113.6+/-14.61 mm. After removal of the bar, the distance was 105+/-11.95 mm. The mean increase in sternovertebral distance during the first month was 18 mm (P<0.0001); 1-6 months, 12.8 mm (P=0.0006); and 6-12 months, 3 mm (P=0.48). The mean decrease in sternovertebral distance after removal of the bar was 8.6 mm (P=0.47). The decrease in transversal chest dimension during the first month was significant (13.3+/-12.86 mm, P=0.012). CONCLUSIONS: The sternovertebral distance was significantly increased after Nuss operation. Restoration of deformation proceeds during all the first year after operation. The dynamics of deformation is better depicted by means of vertebral index rather than Haller index.
Authors:
Art??ras Kilda; Saulius Lukosevicius; Vidmantas Barauskas; Zivile Jankauskaite; Algidas Basevicius
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Publication Detail:
Type:  Evaluation Studies; Journal Article    
Journal Detail:
Title:  Medicina (Kaunas, Lithuania)     Volume:  45     ISSN:  1648-9144     ISO Abbreviation:  Medicina (Kaunas)     Publication Date:  2009  
Date Detail:
Created Date:  2009-10-16     Completed Date:  2010-01-15     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9425208     Medline TA:  Medicina (Kaunas)     Country:  Lithuania    
Other Details:
Languages:  eng     Pagination:  699-705     Citation Subset:  IM    
Affiliation:
Department of Pediatric Surgery, Kaunas University of Medicine, Eiveniu 2, 50009 Kaunas, Lithuania.
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MeSH Terms
Descriptor/Qualifier:
Child
Data Interpretation, Statistical
Follow-Up Studies
Funnel Chest / diagnosis,  radiography*,  surgery*
Humans
Informed Consent
Models, Theoretical
Radiography, Thoracic*
Sternum / surgery*
Surgical Procedures, Minimally Invasive*
Time Factors
Treatment Outcome

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


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