Pulmonary Implications of Pediatric Spinal Deformities

Sheehan, Diane Dudas; Grayhack, John J.

doi:10.1016/j.pcl.2020.09.012

Cited by 6 publications

(7 citation statements)

References 38 publications

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“…Up to 25% of paediatric patients with thoracic AIS demonstrated significant lung function impairment preoperatively [ 71 ]. Restrictive lung disease may occur with thoracic AIS greater than 70°, and significant predisposition to cardio-respiratory dysfunction with curves greater than 90° [ 72 ].…”

Section: Postoperative Complicationsmentioning

confidence: 99%

Paediatric Spinal Deformity Surgery: Complications and Their Management

Roberts

2022

Healthcare

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Surgical correction of paediatric spinal deformity is associated with risks, adverse events, and complications that must be preoperatively discussed with patients and their families to inform treatment decisions, expectations, and long-term outcomes. The incidence of complications varies in relation to the underlying aetiology of spinal deformity and surgical procedure. Intraoperative complications include bleeding, neurological injury, and those related to positioning. Postoperative complications include persistent pain, surgical site infection, venous thromboembolism, pulmonary complications, superior mesenteric artery syndrome, and also pseudarthrosis and implant failure, proximal junctional kyphosis, crankshaft phenomenon, and adding-on deformity, which may necessitate revision surgery. Interventions included in enhanced recovery after surgery protocols may reduce the incidence of complications. Complications must be diagnosed, investigated and managed expeditiously to prevent further deterioration and to ensure optimal outcomes. This review summarises the complications associated with paediatric spinal deformity surgery and their management.

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Section: Postoperative Complicationsmentioning

confidence: 99%

Paediatric Spinal Deformity Surgery: Complications and Their Management

Roberts

2022

Healthcare

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“…On the other hand, TIS leads to an imbalance in the muscle groups, which has an impact on the normal growth and development of the spine, leading to EOS [ 4 , 5 ]. Notably, pulmonary hypoplasia, a primary characteristic of patients with the EOS + TIS, induces respiratory failure, which is the main cause of dying prematurely in patients [ 5 , 6 ]. Consequently, there is a pressing necessity to devise secure and effective interventions to ameliorate scoliosis and pulmonary hypoplasia in children with the EOS + TIS.…”

Section: Introductionmentioning

confidence: 99%

A novel growth-friendly system alleviates pulmonary dysplasia in early-onset scoliosis combined with thoracic insufficiency syndrome: Radiological, pathological, and transcriptomic assessments

Zhang,

Li,

Shi

et al. 2024

Heliyon

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“…The pathophysiological effect of scoliosis is complex and multiorgan. Besides musculoskeletal disturbances, cardiovascular, pulmonary, or psychosocial effects are described [1][2][3][4]. Scoliosis is categorized according to the etiology.…”

Section: Introductionmentioning

confidence: 99%

Anesthesia and Perioperative Management for Surgical Correction of Neuromuscular Scoliosis in Children: A Narrative Review

Hudec

Prokopová

Kosinová

et al. 2023

JCM

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Scoliosis is the most frequent spinal deformity in children. It is defined as a spine deviation of more than 10° in the frontal plane. Neuromuscular scoliosis is associated with a heterogeneous spectrum of muscular or neurological symptoms. Anesthesia and surgery for neuromuscular scoliosis have a higher risk of perioperative complications than for idiopathic scoliosis. However, patients and their relatives report improved quality of life after the surgery. The challenges for the anesthetic team result from the specifics of the anesthesia, the scoliosis surgery itself, or factors associated with neuromuscular disorders. This article includes details of preanesthetic evaluation, intraoperative management, and postoperative care in the intensive care unit from an anesthetic view. In summary, adequate care for patients who have neuromuscular scoliosis requires interdisciplinary cooperation. This comprehensive review covers information about the perioperative management of neuromuscular scoliosis for all healthcare providers who take care of these patients during the perioperative period, with an emphasis on anesthesia management.

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Pulmonary Implications of Pediatric Spinal Deformities

Cited by 6 publications

References 38 publications

Paediatric Spinal Deformity Surgery: Complications and Their Management

Paediatric Spinal Deformity Surgery: Complications and Their Management

A novel growth-friendly system alleviates pulmonary dysplasia in early-onset scoliosis combined with thoracic insufficiency syndrome: Radiological, pathological, and transcriptomic assessments

Anesthesia and Perioperative Management for Surgical Correction of Neuromuscular Scoliosis in Children: A Narrative Review

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