Pulmonary function in adolescent idiopathic scoliosis: a 25 year follow up after surgery or start of brace treatment

BACKGROUND Pulmonary function in patients with adolescent idiopathic scoliosis many years after posterior spinal surgery or brace treatment has not been documented. METHODS A consecutive group of patients treated by posterior fusion or a brace at least 20 years previously was investigated. 90% atten...

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Bibliographic Details
Published in:Thorax 2001-05, Vol.56 (5), p.388-393
Main Authors: Pehrsson, K, Danielsson, A, Nachemson, A
Format: Article
Language:English
Subjects:
Adolescent
adolescent idiopathic scoliosis
Age
Analysis
Back surgery
Biological and medical sciences
Braces
Child
Complications and side effects
Dyspnea
Dyspnea - etiology
etiology
Female
Follow-Up Studies
Forced Expiratory Volume
Forced Expiratory Volume - physiology
Humans
long term outcome
Lung
Lung - physiology
Male
Medical sciences
Original
Orthopedic surgery
Orthopedics
Ortopedi
Ostomy
Outcome and process assessment (Health Care)
Patients
Pediatric respiratory diseases
physiology
physiopathology
pulmonary function
Pulmonary function tests
Questionnaires
Respiratory failure
Respiratory insufficiency
Risk factors
Scoliosis
Scoliosis - physiopathology
Scoliosis - surgery
Smoking
Smoking - physiopathology
surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Vital Capacity
Vital Capacity - physiology
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Summary:BACKGROUND Pulmonary function in patients with adolescent idiopathic scoliosis many years after posterior spinal surgery or brace treatment has not been documented. METHODS A consecutive group of patients treated by posterior fusion or a brace at least 20 years previously was investigated. 90% attended a clinical follow up. Lung volumes were determined before treatment in 251 patients, 1.4 years after surgery in 141 patients, and 25 years after surgery or start of brace treatment in 110 patients. Vital capacity (VC) was calculated as percentage predicted according to height and age and the results were corrected for loss of height due to scoliosis. Scoliosis angles were measured and smoking habits were recorded. An age and sex matched control group was also examined with the same questionnaire and pulmonary function tests. RESULTS VC increased from 67% predicted immediately before surgery to 73% (p
ISSN:0040-6376
1468-3296
DOI:10.1136/thorax.56.5.388