Scoliosis in children after thoracotomy for aortic coarctation.

Biezen, F. C. van; Bakx, Pieter A. G. M.; Villeneuve, V. H. de; Hop, W. C. J.

doi:10.2106/00004623-199304000-00006

Cited by 91 publications

(52 citation statements)

References 18 publications

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“…The incidence of scoliosis has been reported as 22% in patients who had a left posterolateral incision in the 4th intercostal space for the correction of AC. Although most of the spinal curves in scoliosis are mild (between 10°and 20°) and hardly progress during follow-up period, more rapid progression of scoliosis can be expected in young patients [8]. In our patients, the incidence of scoliosis is 16% on a follow-up of approximately 1.5 years.…”

Section: Discussionmentioning

confidence: 57%

Muscle sparing thoracotomy in pediatric age: a comparative study with standard posterolateral thoracotomy

et al. 2006

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Alternative approaches to the standard posterolateral incision for thoracotomy have been developed to minimize its postoperative pain and wound related side effects. Muscle-sparing (MS) thoracotomy has been a well-known substitution to the standard posterolateral thoracotomy for this purpose; however it has not been studied in the pediatric age group in detail. We studied retrospectively the patients with thoracotomy for non-cardiac, thoracic surgical procedures. Group 1 included the patients with standard posterolateral thoracotomy for the surgery. The patients with MS thoracotomy composed group 2. The related data were collected retrospectively. The early postoperative morbidities (time requiring for regaining shoulder girdle movement, extubation, intensive care unit stay, and hospital stay) and late musculoskeletal anomalies (scoliosis, elevation of the shoulder, winged scapula, asymmetry of the nipples) were compared between groups. A total of 90 patients were included in the study. Group 1 constituted 50 patients with an average age of 4.24 +/- 2.91 years. Group 2 included 40 patients with an average age of 4.20 +/- 2.92 years. Comparison of the demographics and the baseline characteristics of the patients were not different between groups. In comparison of operative characteristics, there was lesser morbidity in group 2 as re-exploration for bleeding, wound infection, wound healing and fewer intensive care unit and hospital stay days. Late follow-up revealed a significant increase in musculoskeletal deformities in group 1. We conclude that muscle-sparing incision should be preferred to the standard posterolateral thoracotomy in pediatric age.

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Section: Discussionmentioning

confidence: 57%

Muscle sparing thoracotomy in pediatric age: a comparative study with standard posterolateral thoracotomy

et al. 2006

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“…Chest wall-related complications after posterolateral thoracotomy in children are common with postoperative scoliosis seen in up to 30% of patients [8,9]. These complications are significantly increased in comparison to a muscle-sparing thoracotomy, including scoliosis (16%-30% vs 2.5%), shoulder elevation (30% vs 7.5%), winged scapula (38% vs 12.5%), and asymmetric nipples (40% vs 12.5%) [10].…”

Section: Discussionmentioning

confidence: 99%

Thoracic neuroblastoma: a retrospective review of our institutional experience with comparison of the thoracoscopic and open approaches to resection

Malek

Mollen

Kane

et al. 2010

Journal of Pediatric Surgery

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“…With advances in endoscopic instruments for children [7,8], thoracoscopy takes the place of thoracotomy in many diagnostic and therapeutic procedures [9]. Moreover, thoracotomy in a neonate is associated with the development of scoliosis in more than 30% of patients [10,11]. Resection of neurogenic tumors located in the posterior mediastinum required wide exposure via a posterolateral thoracotomy.…”

Section: Discussionmentioning

confidence: 99%