Pulmonary function after thoracoplasty in adolescent idiopathic scoliosis

Shih Hao Chen, Tsung Jen Huang, Yan Yaw Lee, Robert Wen Wei Hsu

Research output: Contribution to journalArticle

57 Citations (Scopus)

Abstract

The current study evaluated sequential pulmonary function tests prospectively at a minimum of 2 years after thoracoplasty in adolescent patients with idiopathic scoliosis. Twenty patients were divided into two groups: Group I (n=12) was comprised of patients who had posterior instrumented fusion with external thoracoplasty, and Group II (n=8) was comprised of patients who in addition to a posterior instrumented fusion, had an anterior release and fusion via video-assisted thoracoscopic surgery (n=4) or open thoracotomy (n=4) because of rigid severity. Forced vital capacity and forced expiratory volume in 1 second of percent predicted values in Group I declined 9% at 3 months postoperatively and returned to the preoperative baseline at 1 year. However, forced vital capacity and forced expiratory volume in 1 second of percent predicted values in Group II declined 11% to 18% postoperatively and did not return to the preoperative baseline at 2 years. Posterior instrumented fusion with thoracoplasty in adolescent patients with idiopathic scoliosis significantly decreased pulmonary function at 3 months, but returned to the preoperative baseline at 1 year. The addition of an anterior releasing procedure resulted in poorer pulmonary function, which did not return to the preoperative baseline by the 2-year followup.

Original languageEnglish
Pages (from-to)152-161
Number of pages10
JournalClinical Orthopaedics and Related Research
Issue number399
Publication statusPublished - 2002
Externally publishedYes

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Thoracoplasty
Scoliosis
Lung
Vital Capacity
Forced Expiratory Volume
Video-Assisted Thoracic Surgery
Respiratory Function Tests
Thoracotomy

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

Pulmonary function after thoracoplasty in adolescent idiopathic scoliosis. / Chen, Shih Hao; Huang, Tsung Jen; Lee, Yan Yaw; Hsu, Robert Wen Wei.

In: Clinical Orthopaedics and Related Research, No. 399, 2002, p. 152-161.

Research output: Contribution to journalArticle

Chen, Shih Hao ; Huang, Tsung Jen ; Lee, Yan Yaw ; Hsu, Robert Wen Wei. / Pulmonary function after thoracoplasty in adolescent idiopathic scoliosis. In: Clinical Orthopaedics and Related Research. 2002 ; No. 399. pp. 152-161.
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