Obstructive Lung Disease in Children with Idiopathic Scoliosis

Objective To measure the prevalence of obstructive lung disease (OLD) among patients undergoing preoperative pulmonary assessment for idiopathic scoliosis. Study design This was a retrospective, descriptive review from clinical data in a tertiary care pediatric hospital in the US. Patients (n = 176)...

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Bibliographic Details
Published in:The Journal of pediatrics 2015-04, Vol.166 (4), p.1018-1021
Main Authors: McPhail, Gary L., MD, Ehsan, Zarmina, MD, Howells, Sacha A., BA, Boesch, R. Paul, DO, MS, Fenchel, Matthew C., MS, Szczesniak, Rhonda, PhD, Jain, Viral, MD, Agabegi, Steven, MD, Sturm, Peter, MD, Wall, Eric, MD, Redding, Greg J., MD
Format: Article
Language:English
Subjects:
Adolescent
Child
Female
Follow-Up Studies
Forced Expiratory Volume
Humans
Lung Diseases, Obstructive - epidemiology
Lung Diseases, Obstructive - etiology
Lung Diseases, Obstructive - physiopathology
Male
Orthopedic Procedures - methods
Pediatrics
Predictive Value of Tests
Preoperative Period
Prevalence
Prognosis
Respiratory Function Tests - methods
Retrospective Studies
Risk Factors
Scoliosis - complications
Scoliosis - epidemiology
Scoliosis - surgery
United States - epidemiology
Vital Capacity
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Summary:Objective To measure the prevalence of obstructive lung disease (OLD) among patients undergoing preoperative pulmonary assessment for idiopathic scoliosis. Study design This was a retrospective, descriptive review from clinical data in a tertiary care pediatric hospital in the US. Patients (n = 176) with idiopathic scoliosis with Cobb angles of ≥40 degrees who performed acceptable and repeatable preoperative pulmonary function testing were included. The primary outcome measure was the forced expiratory volume in the first second (FEV1 )/forced vital capacity (FVC) ratio. Results The prevalence of OLD (low FEV1 /FVC ratio) was 39% (68/176 patients). In multivariate modeling, radiographic measures were poor predictors of pulmonary function outcomes of FVC (r2 0.06), FEV1 (r2 0.05), FEV1 /FVC ratio (r2 0.08), and total lung capacity (r2 0.06). Conclusions OLD is common in patients with idiopathic scoliosis. We recommend preoperative pulmonary function testing for patients with idiopathic scoliosis under consideration for spinal fusion surgery.
ISSN:0022-3476
1097-6833
DOI:10.1016/j.jpeds.2014.12.070