Pulmonary Function in Adolescent Idiopathic Scoliosis Relative to the Surgical Procedure

Kim, Yongjung J.; Lenke, Lawrence G.; KIM, KYOUNGNAM L.; Steger-May, Karen

doi:10.2106/00004623-200507000-00016

Cited by 19 publications

(27 citation statements)

References 30 publications

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“…However, APVCR had fallen out of favor for several factors. Anterior transthoracic procedures were challenging for most orthopedists and proved to have detrimental effects on pulmonary function [33][34][35][36][37]. And it was difficult to approach the concavity of the angular kyphosis in deformities greater than 60° [25].…”

Section: Discussionmentioning

confidence: 99%

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Posterior vertebral column resection in spinal deformity: a systematic review

Yang

Zheng²,

Liu³

et al. 2015

Eur Spine J

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Section: Discussionmentioning

confidence: 99%

“…In fact, PVCR often needs bilateral costotransversectomies and removal of medial ribs. And it had been reported that any disruption of chest cage might have a negative effect on pulmonary function [33,35,36,38]. So preservation of pulmonary function with PVCR was suspectable.…”

Section: Discussionmentioning

confidence: 99%

Posterior vertebral column resection in spinal deformity: a systematic review

Yang

Zheng²,

Liu³

et al. 2015

Eur Spine J

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“…Kim et al [27] found that there were deleterious effects on pulmonary function when open anterior approach was added to posterior spinal fusion. Posterior approach can receive similar outcomes comparing to anterior and posterior approach.…”

Section: Discussionmentioning

confidence: 99%

Comparison of combined anterior–posterior approach versus posterior-only approach in treating adolescent idiopathic scoliosis: a meta-analysis

Chen

Rong

2015

Eur Spine J

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Posterior-only approach can achieve similar coronal plane correction and percent-predicted FEV1 compared to combined anterior-posterior approach. The posterior approach even does better in sagittal correction in severe AIS patients. Significantly less complication rate, blood loss, operative time, length of hospital stay and better percent-predicted FVC are also achieved by posterior-only approach. Posterior-only approach seems to be effective and safe in treating AIS for experienced surgeons.

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“…19 No patient was lost during a minimum two-year follow-up. In our experience, posterior VCR is most suitable for patients with a pure kyphosis or kyphoscoliosis, as in these patients the exposure of the vertebral column is easier than with hypokyphotic or lordotic scoliosis.…”

Section: Discussionmentioning

confidence: 97%

The incidence and outcomes of vertebral column resection in paediatric patients

Helenius

Serlo

Pajulo

2012

The Journal of Bone and Joint Surgery. British volume

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We report the results of vertebral column resection (VCR) for paediatric patients with spinal deformity. A total of 49 VCRs in paediatric patients from four university hospitals between 2005 and 2009 with a minimum two-year follow-up were retrospectively identified. After excluding single hemivertebral resections (n = 25) and VCRs performed for patients with myelomeningocele (n = 6), as well as spondylectomies performed for tumour (n = 4), there were 14 patients who had undergone full VCR at a mean age of 12.3 years (6.5 to 17.9). The aetiology was congenital scoliosis in five, neuromuscular scoliosis in three, congenital kyphosis in two, global kyphosis in two, adolescent idiopathic scoliosis in one and secondary scoliosis in one. A total of seven anteroposterior and seven posterolateral approaches were used. The mean major curve deformity was 86° (67° to 120°) pre-operatively and 37° (17° to 80°) at the two-year follow-up; correction was a mean of 54% (18% to 86%) in the anteroposterior and 60% (41% to 70%) in the posterolateral group at the two-year follow-up (p = 0.53). The mean Scoliosis Research Society-24 total scores were 100 (92 to 108) for the anteroposterior and 102 (95 to 105) for the posterolateral group. There was one paraparesis in the anteroposterior group necessitating urgent re-decompression, with a full recovery. Patients undergoing VCR are highly satisfied after a successful procedure.

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Pulmonary Function in Adolescent Idiopathic Scoliosis Relative to the Surgical Procedure

Abstract: Kim, Yongjung J.; Lenke, Lawrence G.; Bridwell, Keith H.; Kim, Kyoungnam L.; and Steger-May, Karen, ,"Pulmonary function in adolescent idiopathic scoliosis relative to the surgical procedure

Cited by 19 publications

References 30 publications

Posterior vertebral column resection in spinal deformity: a systematic review

Posterior vertebral column resection in spinal deformity: a systematic review

Comparison of combined anterior–posterior approach versus posterior-only approach in treating adolescent idiopathic scoliosis: a meta-analysis

The incidence and outcomes of vertebral column resection in paediatric patients

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