Is impaired lung function related to spinal deformities in patients with adolescent idiopathic scoliosis? A systematic review and meta-analysis—SOSORT 2019 award paper
Purpose Some teenagers with adolescent idiopathic scoliosis (AIS) display compromised lung function. However, the evidence regarding the relations between pulmonary impairments and various spinal deformity parameters in these patients remains unclear, which affects clinical management. This systemat...
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| Veröffentlicht in: | European spine journal 2023, Vol.32 (1), p.118-139 |
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| creator | Kan, Mandy M. P. Negrini, Stefano Di Felice, Francesca Cheung, Jason P. Y. Donzelli, Sabrina Zaina, Fabio Samartzis, Dino Cheung, Esther T. C. Wong, Arnold Y. L. |
| description | Purpose
Some teenagers with adolescent idiopathic scoliosis (AIS) display compromised lung function. However, the evidence regarding the relations between pulmonary impairments and various spinal deformity parameters in these patients remains unclear, which affects clinical management. This systematic review and meta-analysis aimed to summarize the associations between various lung function parameters and radiographic features in teenagers with AIS.
Methods
A search of PubMed, Embase, PEDro, SPORTDiscus, CINAHL, Cochrane Library, and PsycINFO (from inception to March 14, 2022) without language restriction. Original studies reporting the associations between lung function and spinal deformity in patients with AIS were selected. Independent reviewers extracted data and evaluated the methodological quality of the included studies according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Pearson correlation and 95% confidence intervals were calculated using random-effects meta-analysis.
Results
Twenty-seven studies involving 3162 participants were included. Limited-quality evidence supported that several spinal parameters were significantly related to lung function parameters (e.g., absolute value and percent of the predicted forced vital capacity (FVC; %FVC), forced expiratory volume in one second (FEV
1
; %FEV
1
), and total lung capacity (TLC; %TLC)) in AIS patients. Specifically, meta-analyses showed that main thoracic Cobb angles in the coronal plane were significantly and negatively related to FVC (
r
= − 0.245), %FVC (
r
= − 0.302), FEV
1
(
r
= − 0.232), %FEV
1
(
r
= − 0.348), FEV
1
/FVC ratio (
r
= − 0.166), TLC (
r
= − 0.302), %TLC (
r
= − 0.183), and percent predicted vital capacity (
r
= − 0.272) (
p
|
| doi_str_mv | 10.1007/s00586-022-07371-z |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2754048852</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2770179452</sourcerecordid><originalsourceid>FETCH-LOGICAL-c419t-c6ed36b2b68d81c336171c12deec0467a6b401fd9f7f7b165f58dddd7d21c5993</originalsourceid><addsrcrecordid>eNp9kUFu1TAQhi0Eoo-2F2CBLLFhkzJ2EjteoaqiUKnSk2hZR47ttK6SONgOT68rDtFLcC1OwrSvBYkF3tgef_8_Gv-EvGZwxADk-wRQN6IAzguQpWTF7TOyYlWJV1Xy52QFqoJCSKb2yKuUbgBYrUC8JHulqEE1Tb0iP88S9eOsfXSWDst0RftlMtmHiUY36IzVHGia_aQHal0f4uizdyia6KzxNOVENz5fU23D4JLBAvXWB3y89oYmEwYfkk8f6DFN25TdiCqD5t-921A9WTq6rAuN_lvEfv24u1hfrL9cUg5MUb3R0WKj2cUD8qLXQ3KHj_s--Xr68fLkc3G-_nR2cnxemIqpXBjhbCk63onGNsyUpWCSGcatcwYqIbXoKmC9Vb3sZcdE3deNxSUtZ6ZWqtwn73a-cwzfFpdyO3ocaxj05MKSWi7rCir8PI7o23_Qm7BEnOSeksCkqh4ovqNMDClF17dz9KOO25ZBex9kuwuyxSDbhyDbWxS9ebReutHZP5Kn5BAod0DCp-nKxb-9_2P7G3hKrTE</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2770179452</pqid></control><display><type>article</type><title>Is impaired lung function related to spinal deformities in patients with adolescent idiopathic scoliosis? A systematic review and meta-analysis—SOSORT 2019 award paper</title><source>MEDLINE</source><source>Springer Nature - Complete Springer Journals</source><creator>Kan, Mandy M. P. ; Negrini, Stefano ; Di Felice, Francesca ; Cheung, Jason P. Y. ; Donzelli, Sabrina ; Zaina, Fabio ; Samartzis, Dino ; Cheung, Esther T. C. ; Wong, Arnold Y. L.</creator><creatorcontrib>Kan, Mandy M. P. ; Negrini, Stefano ; Di Felice, Francesca ; Cheung, Jason P. Y. ; Donzelli, Sabrina ; Zaina, Fabio ; Samartzis, Dino ; Cheung, Esther T. C. ; Wong, Arnold Y. L.</creatorcontrib><description>Purpose
Some teenagers with adolescent idiopathic scoliosis (AIS) display compromised lung function. However, the evidence regarding the relations between pulmonary impairments and various spinal deformity parameters in these patients remains unclear, which affects clinical management. This systematic review and meta-analysis aimed to summarize the associations between various lung function parameters and radiographic features in teenagers with AIS.
Methods
A search of PubMed, Embase, PEDro, SPORTDiscus, CINAHL, Cochrane Library, and PsycINFO (from inception to March 14, 2022) without language restriction. Original studies reporting the associations between lung function and spinal deformity in patients with AIS were selected. Independent reviewers extracted data and evaluated the methodological quality of the included studies according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Pearson correlation and 95% confidence intervals were calculated using random-effects meta-analysis.
Results
Twenty-seven studies involving 3162 participants were included. Limited-quality evidence supported that several spinal parameters were significantly related to lung function parameters (e.g., absolute value and percent of the predicted forced vital capacity (FVC; %FVC), forced expiratory volume in one second (FEV
1
; %FEV
1
), and total lung capacity (TLC; %TLC)) in AIS patients. Specifically, meta-analyses showed that main thoracic Cobb angles in the coronal plane were significantly and negatively related to FVC (
r
= − 0.245), %FVC (
r
= − 0.302), FEV
1
(
r
= − 0.232), %FEV
1
(
r
= − 0.348), FEV
1
/FVC ratio (
r
= − 0.166), TLC (
r
= − 0.302), %TLC (
r
= − 0.183), and percent predicted vital capacity (
r
= − 0.272) (
p
< 0.001). Similarly, thoracic apical vertebral rotation was negatively associated with %FVC (
r
= − 0.215) and %TLC (
r
= − 0.126) (
p
< 0.05). Conversely, thoracic kyphosis angles were positively related to %FVC (
r
= 0.180) and %FEV
1
(
r
= 0.193) (
p
< 0.05).
Conclusion
Larger thoracic Cobb angles, greater apical vertebral rotation angle, or hypokyphosis were significantly associated with greater pulmonary impairments in patients with AIS, although the evidence was limited. From a clinical perspective, the results highlight the importance of minimizing the three-dimensional spinal deformity in preserving lung function in these patients. More research is warranted to confirm these results.</description><identifier>ISSN: 0940-6719</identifier><identifier>EISSN: 1432-0932</identifier><identifier>DOI: 10.1007/s00586-022-07371-z</identifier><identifier>PMID: 36509885</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adolescent ; Forced Expiratory Volume ; Humans ; Kyphosis ; Kyphosis - diagnostic imaging ; Lung - diagnostic imaging ; Lungs ; Medicine ; Medicine & Public Health ; Meta-analysis ; Neurosurgery ; Respiratory function ; Review Article ; Scoliosis ; Scoliosis - diagnostic imaging ; Surgical Orthopedics ; Systematic review ; Thoracic Vertebrae ; Thorax ; Vertebrae</subject><ispartof>European spine journal, 2023, Vol.32 (1), p.118-139</ispartof><rights>The Author(s) 2022</rights><rights>2022. The Author(s).</rights><rights>The Author(s) 2022. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c419t-c6ed36b2b68d81c336171c12deec0467a6b401fd9f7f7b165f58dddd7d21c5993</citedby><cites>FETCH-LOGICAL-c419t-c6ed36b2b68d81c336171c12deec0467a6b401fd9f7f7b165f58dddd7d21c5993</cites><orcidid>0000-0002-9553-4499 ; 0000-0002-5911-5756 ; 0000-0002-6637-7797 ; 0000-0002-1256-5362 ; 0000-0003-4134-7951 ; 0000-0002-8136-2956 ; 0000-0002-7052-0875 ; 0000-0002-1878-2747 ; 0000-0002-7473-1311</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00586-022-07371-z$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00586-022-07371-z$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36509885$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kan, Mandy M. P.</creatorcontrib><creatorcontrib>Negrini, Stefano</creatorcontrib><creatorcontrib>Di Felice, Francesca</creatorcontrib><creatorcontrib>Cheung, Jason P. Y.</creatorcontrib><creatorcontrib>Donzelli, Sabrina</creatorcontrib><creatorcontrib>Zaina, Fabio</creatorcontrib><creatorcontrib>Samartzis, Dino</creatorcontrib><creatorcontrib>Cheung, Esther T. C.</creatorcontrib><creatorcontrib>Wong, Arnold Y. L.</creatorcontrib><title>Is impaired lung function related to spinal deformities in patients with adolescent idiopathic scoliosis? A systematic review and meta-analysis—SOSORT 2019 award paper</title><title>European spine journal</title><addtitle>Eur Spine J</addtitle><addtitle>Eur Spine J</addtitle><description>Purpose
Some teenagers with adolescent idiopathic scoliosis (AIS) display compromised lung function. However, the evidence regarding the relations between pulmonary impairments and various spinal deformity parameters in these patients remains unclear, which affects clinical management. This systematic review and meta-analysis aimed to summarize the associations between various lung function parameters and radiographic features in teenagers with AIS.
Methods
A search of PubMed, Embase, PEDro, SPORTDiscus, CINAHL, Cochrane Library, and PsycINFO (from inception to March 14, 2022) without language restriction. Original studies reporting the associations between lung function and spinal deformity in patients with AIS were selected. Independent reviewers extracted data and evaluated the methodological quality of the included studies according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Pearson correlation and 95% confidence intervals were calculated using random-effects meta-analysis.
Results
Twenty-seven studies involving 3162 participants were included. Limited-quality evidence supported that several spinal parameters were significantly related to lung function parameters (e.g., absolute value and percent of the predicted forced vital capacity (FVC; %FVC), forced expiratory volume in one second (FEV
1
; %FEV
1
), and total lung capacity (TLC; %TLC)) in AIS patients. Specifically, meta-analyses showed that main thoracic Cobb angles in the coronal plane were significantly and negatively related to FVC (
r
= − 0.245), %FVC (
r
= − 0.302), FEV
1
(
r
= − 0.232), %FEV
1
(
r
= − 0.348), FEV
1
/FVC ratio (
r
= − 0.166), TLC (
r
= − 0.302), %TLC (
r
= − 0.183), and percent predicted vital capacity (
r
= − 0.272) (
p
< 0.001). Similarly, thoracic apical vertebral rotation was negatively associated with %FVC (
r
= − 0.215) and %TLC (
r
= − 0.126) (
p
< 0.05). Conversely, thoracic kyphosis angles were positively related to %FVC (
r
= 0.180) and %FEV
1
(
r
= 0.193) (
p
< 0.05).
Conclusion
Larger thoracic Cobb angles, greater apical vertebral rotation angle, or hypokyphosis were significantly associated with greater pulmonary impairments in patients with AIS, although the evidence was limited. From a clinical perspective, the results highlight the importance of minimizing the three-dimensional spinal deformity in preserving lung function in these patients. More research is warranted to confirm these results.</description><subject>Adolescent</subject><subject>Forced Expiratory Volume</subject><subject>Humans</subject><subject>Kyphosis</subject><subject>Kyphosis - diagnostic imaging</subject><subject>Lung - diagnostic imaging</subject><subject>Lungs</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Meta-analysis</subject><subject>Neurosurgery</subject><subject>Respiratory function</subject><subject>Review Article</subject><subject>Scoliosis</subject><subject>Scoliosis - diagnostic imaging</subject><subject>Surgical Orthopedics</subject><subject>Systematic review</subject><subject>Thoracic Vertebrae</subject><subject>Thorax</subject><subject>Vertebrae</subject><issn>0940-6719</issn><issn>1432-0932</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp9kUFu1TAQhi0Eoo-2F2CBLLFhkzJ2EjteoaqiUKnSk2hZR47ttK6SONgOT68rDtFLcC1OwrSvBYkF3tgef_8_Gv-EvGZwxADk-wRQN6IAzguQpWTF7TOyYlWJV1Xy52QFqoJCSKb2yKuUbgBYrUC8JHulqEE1Tb0iP88S9eOsfXSWDst0RftlMtmHiUY36IzVHGia_aQHal0f4uizdyia6KzxNOVENz5fU23D4JLBAvXWB3y89oYmEwYfkk8f6DFN25TdiCqD5t-921A9WTq6rAuN_lvEfv24u1hfrL9cUg5MUb3R0WKj2cUD8qLXQ3KHj_s--Xr68fLkc3G-_nR2cnxemIqpXBjhbCk63onGNsyUpWCSGcatcwYqIbXoKmC9Vb3sZcdE3deNxSUtZ6ZWqtwn73a-cwzfFpdyO3ocaxj05MKSWi7rCir8PI7o23_Qm7BEnOSeksCkqh4ovqNMDClF17dz9KOO25ZBex9kuwuyxSDbhyDbWxS9ebReutHZP5Kn5BAod0DCp-nKxb-9_2P7G3hKrTE</recordid><startdate>2023</startdate><enddate>2023</enddate><creator>Kan, Mandy M. P.</creator><creator>Negrini, Stefano</creator><creator>Di Felice, Francesca</creator><creator>Cheung, Jason P. Y.</creator><creator>Donzelli, Sabrina</creator><creator>Zaina, Fabio</creator><creator>Samartzis, Dino</creator><creator>Cheung, Esther T. C.</creator><creator>Wong, Arnold Y. L.</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>C6C</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-9553-4499</orcidid><orcidid>https://orcid.org/0000-0002-5911-5756</orcidid><orcidid>https://orcid.org/0000-0002-6637-7797</orcidid><orcidid>https://orcid.org/0000-0002-1256-5362</orcidid><orcidid>https://orcid.org/0000-0003-4134-7951</orcidid><orcidid>https://orcid.org/0000-0002-8136-2956</orcidid><orcidid>https://orcid.org/0000-0002-7052-0875</orcidid><orcidid>https://orcid.org/0000-0002-1878-2747</orcidid><orcidid>https://orcid.org/0000-0002-7473-1311</orcidid></search><sort><creationdate>2023</creationdate><title>Is impaired lung function related to spinal deformities in patients with adolescent idiopathic scoliosis? A systematic review and meta-analysis—SOSORT 2019 award paper</title><author>Kan, Mandy M. P. ; Negrini, Stefano ; Di Felice, Francesca ; Cheung, Jason P. Y. ; Donzelli, Sabrina ; Zaina, Fabio ; Samartzis, Dino ; Cheung, Esther T. C. ; Wong, Arnold Y. L.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c419t-c6ed36b2b68d81c336171c12deec0467a6b401fd9f7f7b165f58dddd7d21c5993</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Adolescent</topic><topic>Forced Expiratory Volume</topic><topic>Humans</topic><topic>Kyphosis</topic><topic>Kyphosis - diagnostic imaging</topic><topic>Lung - diagnostic imaging</topic><topic>Lungs</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Meta-analysis</topic><topic>Neurosurgery</topic><topic>Respiratory function</topic><topic>Review Article</topic><topic>Scoliosis</topic><topic>Scoliosis - diagnostic imaging</topic><topic>Surgical Orthopedics</topic><topic>Systematic review</topic><topic>Thoracic Vertebrae</topic><topic>Thorax</topic><topic>Vertebrae</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kan, Mandy M. P.</creatorcontrib><creatorcontrib>Negrini, Stefano</creatorcontrib><creatorcontrib>Di Felice, Francesca</creatorcontrib><creatorcontrib>Cheung, Jason P. Y.</creatorcontrib><creatorcontrib>Donzelli, Sabrina</creatorcontrib><creatorcontrib>Zaina, Fabio</creatorcontrib><creatorcontrib>Samartzis, Dino</creatorcontrib><creatorcontrib>Cheung, Esther T. C.</creatorcontrib><creatorcontrib>Wong, Arnold Y. L.</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>European spine journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kan, Mandy M. P.</au><au>Negrini, Stefano</au><au>Di Felice, Francesca</au><au>Cheung, Jason P. Y.</au><au>Donzelli, Sabrina</au><au>Zaina, Fabio</au><au>Samartzis, Dino</au><au>Cheung, Esther T. C.</au><au>Wong, Arnold Y. L.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Is impaired lung function related to spinal deformities in patients with adolescent idiopathic scoliosis? A systematic review and meta-analysis—SOSORT 2019 award paper</atitle><jtitle>European spine journal</jtitle><stitle>Eur Spine J</stitle><addtitle>Eur Spine J</addtitle><date>2023</date><risdate>2023</risdate><volume>32</volume><issue>1</issue><spage>118</spage><epage>139</epage><pages>118-139</pages><issn>0940-6719</issn><eissn>1432-0932</eissn><abstract>Purpose
Some teenagers with adolescent idiopathic scoliosis (AIS) display compromised lung function. However, the evidence regarding the relations between pulmonary impairments and various spinal deformity parameters in these patients remains unclear, which affects clinical management. This systematic review and meta-analysis aimed to summarize the associations between various lung function parameters and radiographic features in teenagers with AIS.
Methods
A search of PubMed, Embase, PEDro, SPORTDiscus, CINAHL, Cochrane Library, and PsycINFO (from inception to March 14, 2022) without language restriction. Original studies reporting the associations between lung function and spinal deformity in patients with AIS were selected. Independent reviewers extracted data and evaluated the methodological quality of the included studies according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Pearson correlation and 95% confidence intervals were calculated using random-effects meta-analysis.
Results
Twenty-seven studies involving 3162 participants were included. Limited-quality evidence supported that several spinal parameters were significantly related to lung function parameters (e.g., absolute value and percent of the predicted forced vital capacity (FVC; %FVC), forced expiratory volume in one second (FEV
1
; %FEV
1
), and total lung capacity (TLC; %TLC)) in AIS patients. Specifically, meta-analyses showed that main thoracic Cobb angles in the coronal plane were significantly and negatively related to FVC (
r
= − 0.245), %FVC (
r
= − 0.302), FEV
1
(
r
= − 0.232), %FEV
1
(
r
= − 0.348), FEV
1
/FVC ratio (
r
= − 0.166), TLC (
r
= − 0.302), %TLC (
r
= − 0.183), and percent predicted vital capacity (
r
= − 0.272) (
p
< 0.001). Similarly, thoracic apical vertebral rotation was negatively associated with %FVC (
r
= − 0.215) and %TLC (
r
= − 0.126) (
p
< 0.05). Conversely, thoracic kyphosis angles were positively related to %FVC (
r
= 0.180) and %FEV
1
(
r
= 0.193) (
p
< 0.05).
Conclusion
Larger thoracic Cobb angles, greater apical vertebral rotation angle, or hypokyphosis were significantly associated with greater pulmonary impairments in patients with AIS, although the evidence was limited. From a clinical perspective, the results highlight the importance of minimizing the three-dimensional spinal deformity in preserving lung function in these patients. More research is warranted to confirm these results.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>36509885</pmid><doi>10.1007/s00586-022-07371-z</doi><tpages>22</tpages><orcidid>https://orcid.org/0000-0002-9553-4499</orcidid><orcidid>https://orcid.org/0000-0002-5911-5756</orcidid><orcidid>https://orcid.org/0000-0002-6637-7797</orcidid><orcidid>https://orcid.org/0000-0002-1256-5362</orcidid><orcidid>https://orcid.org/0000-0003-4134-7951</orcidid><orcidid>https://orcid.org/0000-0002-8136-2956</orcidid><orcidid>https://orcid.org/0000-0002-7052-0875</orcidid><orcidid>https://orcid.org/0000-0002-1878-2747</orcidid><orcidid>https://orcid.org/0000-0002-7473-1311</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
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| ispartof | European spine journal, 2023, Vol.32 (1), p.118-139 |
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| language | eng |
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| source | MEDLINE; Springer Nature - Complete Springer Journals |
| subjects | Adolescent Forced Expiratory Volume Humans Kyphosis Kyphosis - diagnostic imaging Lung - diagnostic imaging Lungs Medicine Medicine & Public Health Meta-analysis Neurosurgery Respiratory function Review Article Scoliosis Scoliosis - diagnostic imaging Surgical Orthopedics Systematic review Thoracic Vertebrae Thorax Vertebrae |
| title | Is impaired lung function related to spinal deformities in patients with adolescent idiopathic scoliosis? A systematic review and meta-analysis—SOSORT 2019 award paper |
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