Lung function in congenital kyphosis and kyphoscoliosis

Michael J McMaster, Michael A Glasby, Harwant Singh, Steve Cunningham

Research output: Contribution to journalArticlepeer-review

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 languageEnglish
Pages (from-to)203-8
Number of pages6
JournalJournal of Spinal Disorders and Techniques
Volume20
Issue number3
DOIs
Publication statusPublished - 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

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