- CConnexion
RééDOC
75 Boulevard Lobau 54042 NANCY cedex Christelle Grandidier Documentaliste 03 83 52 67 64 0
|
Prospective pulmonary function evaluation following open thoracotomy for anterior spinal fusion in adolescent idiopathic scoliosis
GRAHAM EJ; LENKE LG; LOWE TG
SPINE , 2000, vol. 25, n° 18, p. 2319-2325 Doc n°: 97482 Localisation : Bibliothèque Universitaire de Médecine de Nancy Descripteurs : CB222 - SCOLIOSE IDIOPATHIQUE Objectives. To prospectively evaluate sequential pulmonary function tests (PFTs) at a minimum 2-year follow-up after an open anterior spinal fusion (ASF) with instrumentation for thoracic AIS. Summary of Background Data. Anterior spinal fusion with instrumentation is currently undergoing evaluation as an alternative to posterior spinal fusion (PSF) for thoracic adolescent idiopathic scoliosis (AIS). However, the effect of an open thoracotomy on pulmonary function in these patients is unknown. Methods. Fifty-one patients with thoracic AIS with an average age of 15+0 (range 11+2 to 20+5) had PFTs consisting of volume (FVC), flow (FEV-1), and total lung capacity (TLC). Parameters were obtained preoperatively, and at 3 months, 1 year, and a minimum 2-year follow-up. All patients had a single or double open thoracotomy with the diaphragm kept intact. Fusion levels ranged from T4 (most proximal) to L1 (most distal). The average preoperative thoracic coronal Cobb measurement was 53°(range 38°to 80°), and the average postoperative coronal measurement was 24°(range 7°to 49°). The average preoperative thoracic sagittal kyphosis (T5-T12) averaged 22° (range 10°to 58°), and the average postoperative sagittal kyphosis measured 29°(range 7°to 67°). Results. There was a significant decline (P Langue : ANGLAIS Identifiant basis : 2000213408 |
0
|