Operative treatment of scoliosis in patients with a fontan circulation
A retrospective chart and radiographic review of patients with a Fontan physiology who underwent surgical correction of their scoliosis. To evaluate the operative and perioperative treatment of patients with a Fontan physiology and scoliosis. The survival rates in patients with complex congenital he...
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| Veröffentlicht in: | Spine (Philadelphia, Pa. 1976) Pa. 1976), 2006-01, Vol.31 (2), p.202-205 |
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| container_title | Spine (Philadelphia, Pa. 1976) |
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| creator | HEDEQUIST, Daniel J EMANS, John B HALL, John E |
| description | A retrospective chart and radiographic review of patients with a Fontan physiology who underwent surgical correction of their scoliosis.
To evaluate the operative and perioperative treatment of patients with a Fontan physiology and scoliosis.
The survival rates in patients with complex congenital heart disease are improving, thus creating a subset of patients with complex physiology who will require surgical treatment of their scoliosis. The Fontan physiology is created surgically in patients born with a single functioning ventricle. These patients represent a significant anesthetic risk during spinal surgery, given their physiologic need for a sustained systemic preload. Currently, to our knowledge, there are no published series in the literature regarding the operative treatment of scoliosis in these patients.
We reviewed our experience with the operative treatment of scoliosis in 7 patients with a Fontan circulation. There were 7 patients identified who were treated with correction and arthrodesis using modern segmental instrumentation. A radiographic and chart review was performed to assess the operative and perioperative treatment.
Mean age at surgery was 14 years 9 months, and mean Cobb angle was 75 degrees . There were no intraoperative complications; however, postoperative complications were frequent and significant: 1 delayed paralysis, 2 superior mesenteric artery syndromes, 1 renal tubular necrosis, 2 pulmonary complications, 1 Horner syndrome, and 1 urinary tract infection.
Operative treatment of scoliosis in these patients may be successful; however, complications are frequent and significant. |
| doi_str_mv | 10.1097/01.brs.0000195162.14945.91 |
| format | Article |
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To evaluate the operative and perioperative treatment of patients with a Fontan physiology and scoliosis.
The survival rates in patients with complex congenital heart disease are improving, thus creating a subset of patients with complex physiology who will require surgical treatment of their scoliosis. The Fontan physiology is created surgically in patients born with a single functioning ventricle. These patients represent a significant anesthetic risk during spinal surgery, given their physiologic need for a sustained systemic preload. Currently, to our knowledge, there are no published series in the literature regarding the operative treatment of scoliosis in these patients.
We reviewed our experience with the operative treatment of scoliosis in 7 patients with a Fontan circulation. There were 7 patients identified who were treated with correction and arthrodesis using modern segmental instrumentation. A radiographic and chart review was performed to assess the operative and perioperative treatment.
Mean age at surgery was 14 years 9 months, and mean Cobb angle was 75 degrees . There were no intraoperative complications; however, postoperative complications were frequent and significant: 1 delayed paralysis, 2 superior mesenteric artery syndromes, 1 renal tubular necrosis, 2 pulmonary complications, 1 Horner syndrome, and 1 urinary tract infection.
Operative treatment of scoliosis in these patients may be successful; however, complications are frequent and significant.</description><identifier>ISSN: 0362-2436</identifier><identifier>EISSN: 1528-1159</identifier><identifier>DOI: 10.1097/01.brs.0000195162.14945.91</identifier><identifier>PMID: 16418641</identifier><identifier>CODEN: SPINDD</identifier><language>eng</language><publisher>Philadelphia, PA: Lippincott</publisher><subject>Adolescent ; Adult ; Biological and medical sciences ; Cerebrospinal fluid. Meninges. Spinal cord ; Child ; Female ; Fontan Procedure - methods ; Heart Defects, Congenital - physiopathology ; Heart Defects, Congenital - surgery ; Humans ; Immunomodulators ; Intraoperative Complications - physiopathology ; Medical sciences ; Multiple sclerosis and variants. Guillain barré syndrome and other inflammatory polyneuropathies. Leukoencephalitis ; Nervous system (semeiology, syndromes) ; Neurology ; Pharmacology. Drug treatments ; Retrospective Studies ; Scoliosis - physiopathology ; Scoliosis - surgery ; Treatment Outcome</subject><ispartof>Spine (Philadelphia, Pa. 1976), 2006-01, Vol.31 (2), p.202-205</ispartof><rights>2006 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c376t-968d8da6233ad703ca48c1f1889abf656562bfc00bd7163d51ddf310221317743</citedby><cites>FETCH-LOGICAL-c376t-968d8da6233ad703ca48c1f1889abf656562bfc00bd7163d51ddf310221317743</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781,27905,27906</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=17446079$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16418641$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>HEDEQUIST, Daniel J</creatorcontrib><creatorcontrib>EMANS, John B</creatorcontrib><creatorcontrib>HALL, John E</creatorcontrib><title>Operative treatment of scoliosis in patients with a fontan circulation</title><title>Spine (Philadelphia, Pa. 1976)</title><addtitle>Spine (Phila Pa 1976)</addtitle><description>A retrospective chart and radiographic review of patients with a Fontan physiology who underwent surgical correction of their scoliosis.
To evaluate the operative and perioperative treatment of patients with a Fontan physiology and scoliosis.
The survival rates in patients with complex congenital heart disease are improving, thus creating a subset of patients with complex physiology who will require surgical treatment of their scoliosis. The Fontan physiology is created surgically in patients born with a single functioning ventricle. These patients represent a significant anesthetic risk during spinal surgery, given their physiologic need for a sustained systemic preload. Currently, to our knowledge, there are no published series in the literature regarding the operative treatment of scoliosis in these patients.
We reviewed our experience with the operative treatment of scoliosis in 7 patients with a Fontan circulation. There were 7 patients identified who were treated with correction and arthrodesis using modern segmental instrumentation. A radiographic and chart review was performed to assess the operative and perioperative treatment.
Mean age at surgery was 14 years 9 months, and mean Cobb angle was 75 degrees . There were no intraoperative complications; however, postoperative complications were frequent and significant: 1 delayed paralysis, 2 superior mesenteric artery syndromes, 1 renal tubular necrosis, 2 pulmonary complications, 1 Horner syndrome, and 1 urinary tract infection.
Operative treatment of scoliosis in these patients may be successful; however, complications are frequent and significant.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Cerebrospinal fluid. Meninges. Spinal cord</subject><subject>Child</subject><subject>Female</subject><subject>Fontan Procedure - methods</subject><subject>Heart Defects, Congenital - physiopathology</subject><subject>Heart Defects, Congenital - surgery</subject><subject>Humans</subject><subject>Immunomodulators</subject><subject>Intraoperative Complications - physiopathology</subject><subject>Medical sciences</subject><subject>Multiple sclerosis and variants. Guillain barré syndrome and other inflammatory polyneuropathies. Leukoencephalitis</subject><subject>Nervous system (semeiology, syndromes)</subject><subject>Neurology</subject><subject>Pharmacology. Drug treatments</subject><subject>Retrospective Studies</subject><subject>Scoliosis - physiopathology</subject><subject>Scoliosis - surgery</subject><subject>Treatment Outcome</subject><issn>0362-2436</issn><issn>1528-1159</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkF1LBCEUhiWKdtv6CyFB3c3k0Rkdu4ulrWBhb-paHEfJmK90pujfZ7WwRw4H9HmP8CB0BSQHIsUtgbwOMSepQJbAaQ6FLMpcwhFaQkmrDKCUx2hJGKcZLRhfoLMY3xPPGchTtABeQJV6iTa70QY9-U-Lp2D11Nl-woPD0QytH6KP2Pd4TEC6j_jLT29YYzf0k-6x8cHMbXob-nN04nQb7cV-rtDr5uFl_ZRtd4_P6_ttZpjgUyZ51VSN5pQx3QjCjC4qAw6qSura8TIdWjtDSN0I4KwpoWkcA0IpMBCiYCt08793DMPHbOOkOh-NbVvd22GOShBeAU2bV-juHzRhiDFYp8bgOx2-FRD1a1ERUMmiOlhUfxaVhBS-3P8y151tDtG9tgRc7wEdjW5d0L3x8cCJouBESPYDH2x7YQ</recordid><startdate>20060115</startdate><enddate>20060115</enddate><creator>HEDEQUIST, Daniel J</creator><creator>EMANS, John B</creator><creator>HALL, John E</creator><general>Lippincott</general><scope>IQODW</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>7X8</scope></search><sort><creationdate>20060115</creationdate><title>Operative treatment of scoliosis in patients with a fontan circulation</title><author>HEDEQUIST, Daniel J ; EMANS, John B ; HALL, John E</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c376t-968d8da6233ad703ca48c1f1889abf656562bfc00bd7163d51ddf310221317743</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Cerebrospinal fluid. Meninges. Spinal cord</topic><topic>Child</topic><topic>Female</topic><topic>Fontan Procedure - methods</topic><topic>Heart Defects, Congenital - physiopathology</topic><topic>Heart Defects, Congenital - surgery</topic><topic>Humans</topic><topic>Immunomodulators</topic><topic>Intraoperative Complications - physiopathology</topic><topic>Medical sciences</topic><topic>Multiple sclerosis and variants. Guillain barré syndrome and other inflammatory polyneuropathies. Leukoencephalitis</topic><topic>Nervous system (semeiology, syndromes)</topic><topic>Neurology</topic><topic>Pharmacology. Drug treatments</topic><topic>Retrospective Studies</topic><topic>Scoliosis - physiopathology</topic><topic>Scoliosis - surgery</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>HEDEQUIST, Daniel J</creatorcontrib><creatorcontrib>EMANS, John B</creatorcontrib><creatorcontrib>HALL, John E</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Spine (Philadelphia, Pa. 1976)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>HEDEQUIST, Daniel J</au><au>EMANS, John B</au><au>HALL, John E</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Operative treatment of scoliosis in patients with a fontan circulation</atitle><jtitle>Spine (Philadelphia, Pa. 1976)</jtitle><addtitle>Spine (Phila Pa 1976)</addtitle><date>2006-01-15</date><risdate>2006</risdate><volume>31</volume><issue>2</issue><spage>202</spage><epage>205</epage><pages>202-205</pages><issn>0362-2436</issn><eissn>1528-1159</eissn><coden>SPINDD</coden><abstract>A retrospective chart and radiographic review of patients with a Fontan physiology who underwent surgical correction of their scoliosis.
To evaluate the operative and perioperative treatment of patients with a Fontan physiology and scoliosis.
The survival rates in patients with complex congenital heart disease are improving, thus creating a subset of patients with complex physiology who will require surgical treatment of their scoliosis. The Fontan physiology is created surgically in patients born with a single functioning ventricle. These patients represent a significant anesthetic risk during spinal surgery, given their physiologic need for a sustained systemic preload. Currently, to our knowledge, there are no published series in the literature regarding the operative treatment of scoliosis in these patients.
We reviewed our experience with the operative treatment of scoliosis in 7 patients with a Fontan circulation. There were 7 patients identified who were treated with correction and arthrodesis using modern segmental instrumentation. A radiographic and chart review was performed to assess the operative and perioperative treatment.
Mean age at surgery was 14 years 9 months, and mean Cobb angle was 75 degrees . There were no intraoperative complications; however, postoperative complications were frequent and significant: 1 delayed paralysis, 2 superior mesenteric artery syndromes, 1 renal tubular necrosis, 2 pulmonary complications, 1 Horner syndrome, and 1 urinary tract infection.
Operative treatment of scoliosis in these patients may be successful; however, complications are frequent and significant.</abstract><cop>Philadelphia, PA</cop><cop>Hagerstown, MD</cop><pub>Lippincott</pub><pmid>16418641</pmid><doi>10.1097/01.brs.0000195162.14945.91</doi><tpages>4</tpages></addata></record> |
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| subjects | Adolescent Adult Biological and medical sciences Cerebrospinal fluid. Meninges. Spinal cord Child Female Fontan Procedure - methods Heart Defects, Congenital - physiopathology Heart Defects, Congenital - surgery Humans Immunomodulators Intraoperative Complications - physiopathology Medical sciences Multiple sclerosis and variants. Guillain barré syndrome and other inflammatory polyneuropathies. Leukoencephalitis Nervous system (semeiology, syndromes) Neurology Pharmacology. Drug treatments Retrospective Studies Scoliosis - physiopathology Scoliosis - surgery Treatment Outcome |
| title | Operative treatment of scoliosis in patients with a fontan circulation |
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