Abstract / Description of output
OBJECTIVE: To quantify the respiratory compromise in patients with a congenital kyphosis or kyphoscoliosis in whom the major deformity is the kyphosis.
METHODS: Forty-one patients with congenital vertebral anomalies resulting in a kyphosis or kyphoscoliosis, in which the kyphosis was the major deformity, and requiring spine surgery were studied retrospectively. The preoperative respiratory function and radiographic spinal assessments were compared.
RESULTS: Twenty-two patients (54%) had an impairment of respiratory function: 2 patients (5%) were severely affected, 8 patients (20%) were moderately affected, and 12 patients (29%) were mildly affected.
CONCLUSIONS: An increasing severity of kyphosis was associated with a significant increase in respiratory impairment (P<0.005). A more cranial level of the kyphosis, especially above T10, had a significantly greater effect on respiratory impairment (P<0.001). One untreated patient with a severe kyphosis (128 degrees) died from cor pulmonale.
Original language | English |
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Pages (from-to) | 203-8 |
Number of pages | 6 |
Journal | Journal of Spinal Disorders and Techniques |
Volume | 20 |
Issue number | 3 |
DOIs | |
Publication status | Published - May 2007 |
Keywords / Materials (for Non-textual outputs)
- Adolescent
- Adult
- Age Factors
- Child
- Diaphragm
- Early Diagnosis
- Female
- Humans
- Kyphosis
- Lung
- Male
- Respiratory Function Tests
- Respiratory Insufficiency
- Retrospective Studies
- Ribs
- Scoliosis
- Spinal Fusion
- Spine
- Thoracic Cavity