The role of preoperative pulmonary function tests in the surgical treatment of extremely severe scoliosis
The patients with extremely severe spinal deformity are commonly considered high-risk candidates for surgical treatment because of their underlying lung disease. Currently, little has been reported about the postoperative pulmonary complication events in this population. This retrospective study sou...
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| Veröffentlicht in: | Journal of orthopaedic surgery and research 2013-09, Vol.8 (1), p.32-32, Article 32 |
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| creator | Lao, Lifeng Weng, Xisheng Qiu, Guixing Shen, Jianxiong |
| description | The patients with extremely severe spinal deformity are commonly considered high-risk candidates for surgical treatment because of their underlying lung disease. Currently, little has been reported about the postoperative pulmonary complication events in this population. This retrospective study sought to evaluate preoperative pulmonary function tests in the surgical treatment of extremely severe scoliosis.
Preoperative forced vital capacity (FVC), FVC ratio, forced expiratory volume at the end of the first second (FEV1), FEV1 ratio, peak expiratory flow (PEF), and PEF ratio were performed and evaluated on 60 patients with extremely severe scoliosis (coronary main Cobb angle ≥100°).
Among the 60 patients, 11 (18.3%), 13 (21.7%), and 22 (36.7%) had severe, moderate, and mild pulmonary dysfunction, respectively. Compared with the moderate and mild scoliosis groups, significant differences were observed in Cobb, FVC, FVC ratio, FEV1, FEV1 ratio, and PEF ratio in the extremely severe scoliosis group. Various postoperative pulmonary complications occurred in nine cases (15%). Patients with severe or moderate dysfunction as measured by the FVC ratio had a higher incidence of postoperative pulmonary complications. A transthoracic procedure was not related to postoperative pulmonary complications, but thoracoplasty significantly increased the incidence of postoperative pulmonary complications (P < 0.001, OR = 20, 95% CI = 3.45-115.97).
Pulmonary function was impaired in extremely severe scoliosis. Patients with severe restrictive pulmonary dysfunction had a higher incidence of postoperative pulmonary complications. Thoracoplasty was an important risk factor in the prediction of postoperative pulmonary complications. |
| doi_str_mv | 10.1186/1749-799X-8-32 |
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Preoperative forced vital capacity (FVC), FVC ratio, forced expiratory volume at the end of the first second (FEV1), FEV1 ratio, peak expiratory flow (PEF), and PEF ratio were performed and evaluated on 60 patients with extremely severe scoliosis (coronary main Cobb angle ≥100°).
Among the 60 patients, 11 (18.3%), 13 (21.7%), and 22 (36.7%) had severe, moderate, and mild pulmonary dysfunction, respectively. Compared with the moderate and mild scoliosis groups, significant differences were observed in Cobb, FVC, FVC ratio, FEV1, FEV1 ratio, and PEF ratio in the extremely severe scoliosis group. Various postoperative pulmonary complications occurred in nine cases (15%). Patients with severe or moderate dysfunction as measured by the FVC ratio had a higher incidence of postoperative pulmonary complications. A transthoracic procedure was not related to postoperative pulmonary complications, but thoracoplasty significantly increased the incidence of postoperative pulmonary complications (P < 0.001, OR = 20, 95% CI = 3.45-115.97).
Pulmonary function was impaired in extremely severe scoliosis. Patients with severe restrictive pulmonary dysfunction had a higher incidence of postoperative pulmonary complications. Thoracoplasty was an important risk factor in the prediction of postoperative pulmonary complications.</description><identifier>ISSN: 1749-799X</identifier><identifier>EISSN: 1749-799X</identifier><identifier>DOI: 10.1186/1749-799X-8-32</identifier><identifier>PMID: 24007407</identifier><language>eng</language><publisher>England: BioMed Central Ltd</publisher><subject>Adolescent ; Adult ; Bone surgery ; Child ; Confidence intervals ; Female ; Forced Expiratory Volume - physiology ; Hospitalization ; Hospitals ; Humans ; Intubation ; Lung - physiopathology ; Lungs ; Male ; Medical personnel ; Orthopedics ; Patient outcomes ; Peak Expiratory Flow Rate ; Pneumonia ; Postoperative Complications ; Preoperative Care - methods ; Pulmonary function tests ; Respiratory Function Tests - methods ; Respiratory tract diseases ; Respiratory Tract Diseases - etiology ; Retrospective Studies ; Risk Factors ; Scoliosis ; Scoliosis - physiopathology ; Scoliosis - surgery ; Severity of Illness Index ; Statistical analysis ; Studies ; Surgery ; Thoracoplasty - adverse effects ; Vital Capacity - physiology ; Young Adult</subject><ispartof>Journal of orthopaedic surgery and research, 2013-09, Vol.8 (1), p.32-32, Article 32</ispartof><rights>COPYRIGHT 2013 BioMed Central Ltd.</rights><rights>2013 Lao et al.; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</rights><rights>Copyright © 2013 Lao et al.; licensee BioMed Central Ltd. 2013 Lao et al.; licensee BioMed Central Ltd.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c551t-8c19bcd849b56b41b5a3607237e404c03c6fd2e8e933e81cde27911a569d0af23</citedby><cites>FETCH-LOGICAL-c551t-8c19bcd849b56b41b5a3607237e404c03c6fd2e8e933e81cde27911a569d0af23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3844393/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3844393/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24007407$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lao, Lifeng</creatorcontrib><creatorcontrib>Weng, Xisheng</creatorcontrib><creatorcontrib>Qiu, Guixing</creatorcontrib><creatorcontrib>Shen, Jianxiong</creatorcontrib><title>The role of preoperative pulmonary function tests in the surgical treatment of extremely severe scoliosis</title><title>Journal of orthopaedic surgery and research</title><addtitle>J Orthop Surg Res</addtitle><description>The patients with extremely severe spinal deformity are commonly considered high-risk candidates for surgical treatment because of their underlying lung disease. Currently, little has been reported about the postoperative pulmonary complication events in this population. This retrospective study sought to evaluate preoperative pulmonary function tests in the surgical treatment of extremely severe scoliosis.
Preoperative forced vital capacity (FVC), FVC ratio, forced expiratory volume at the end of the first second (FEV1), FEV1 ratio, peak expiratory flow (PEF), and PEF ratio were performed and evaluated on 60 patients with extremely severe scoliosis (coronary main Cobb angle ≥100°).
Among the 60 patients, 11 (18.3%), 13 (21.7%), and 22 (36.7%) had severe, moderate, and mild pulmonary dysfunction, respectively. Compared with the moderate and mild scoliosis groups, significant differences were observed in Cobb, FVC, FVC ratio, FEV1, FEV1 ratio, and PEF ratio in the extremely severe scoliosis group. Various postoperative pulmonary complications occurred in nine cases (15%). Patients with severe or moderate dysfunction as measured by the FVC ratio had a higher incidence of postoperative pulmonary complications. A transthoracic procedure was not related to postoperative pulmonary complications, but thoracoplasty significantly increased the incidence of postoperative pulmonary complications (P < 0.001, OR = 20, 95% CI = 3.45-115.97).
Pulmonary function was impaired in extremely severe scoliosis. Patients with severe restrictive pulmonary dysfunction had a higher incidence of postoperative pulmonary complications. Thoracoplasty was an important risk factor in the prediction of postoperative pulmonary complications.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Bone surgery</subject><subject>Child</subject><subject>Confidence intervals</subject><subject>Female</subject><subject>Forced Expiratory Volume - physiology</subject><subject>Hospitalization</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Intubation</subject><subject>Lung - physiopathology</subject><subject>Lungs</subject><subject>Male</subject><subject>Medical personnel</subject><subject>Orthopedics</subject><subject>Patient outcomes</subject><subject>Peak Expiratory Flow Rate</subject><subject>Pneumonia</subject><subject>Postoperative Complications</subject><subject>Preoperative Care - methods</subject><subject>Pulmonary function tests</subject><subject>Respiratory Function Tests - methods</subject><subject>Respiratory tract diseases</subject><subject>Respiratory Tract Diseases - etiology</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>Scoliosis</subject><subject>Scoliosis - physiopathology</subject><subject>Scoliosis - surgery</subject><subject>Severity of Illness Index</subject><subject>Statistical analysis</subject><subject>Studies</subject><subject>Surgery</subject><subject>Thoracoplasty - adverse effects</subject><subject>Vital Capacity - physiology</subject><subject>Young Adult</subject><issn>1749-799X</issn><issn>1749-799X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNptUs9PHSEQJsam2tdePRoSL72shQV24WJiTH8lJr3YpDfCsrNPDAsr7L7of182ta_aGA7MDN98wzczCJ1Qck6pbD7RlquqVepXJStWH6DjfeDwmX2E3uV8R4ggQvK36KjmhLSctMfI3dwCTtEDjgOeEsQJkpndDvC0-DEGkx7xsAQ7uxjwDHnO2BWjJOUlbZ01Hs8JzDxCmFcKeCjuCP4RZ9hBKjAbvYvZ5ffozWB8hg9P9wb9_PL55upbdf3j6_ery-vKCkHnSlqqOttLrjrRdJx2wrCGtDVrgRNuCbPN0NcgQTEGktoe6lZRakSjemKGmm3QxR_eaelG6G35WDJeT8mNRYyOxumXL8Hd6m3caSY5Z4V1gz4-EaR4vxTJenTZgvcmQFyyplwoypUiskDP_oPexSWFIq-gWBmQaKj4h9oaD9qFIZa6diXVl4LxlipC17Lnr6DK6WF0NgYYXIm_lmBTzDnBsNdIiV6XQ6_z1-v8tdRs7czp887s4X-3gf0Gn8212g</recordid><startdate>20130905</startdate><enddate>20130905</enddate><creator>Lao, Lifeng</creator><creator>Weng, Xisheng</creator><creator>Qiu, Guixing</creator><creator>Shen, Jianxiong</creator><general>BioMed Central Ltd</general><general>BioMed Central</general><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>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20130905</creationdate><title>The role of preoperative pulmonary function tests in the surgical treatment of extremely severe scoliosis</title><author>Lao, Lifeng ; Weng, Xisheng ; Qiu, Guixing ; Shen, Jianxiong</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c551t-8c19bcd849b56b41b5a3607237e404c03c6fd2e8e933e81cde27911a569d0af23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Bone surgery</topic><topic>Child</topic><topic>Confidence intervals</topic><topic>Female</topic><topic>Forced Expiratory Volume - physiology</topic><topic>Hospitalization</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Intubation</topic><topic>Lung - physiopathology</topic><topic>Lungs</topic><topic>Male</topic><topic>Medical personnel</topic><topic>Orthopedics</topic><topic>Patient outcomes</topic><topic>Peak Expiratory Flow Rate</topic><topic>Pneumonia</topic><topic>Postoperative Complications</topic><topic>Preoperative Care - methods</topic><topic>Pulmonary function tests</topic><topic>Respiratory Function Tests - methods</topic><topic>Respiratory tract diseases</topic><topic>Respiratory Tract Diseases - etiology</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>Scoliosis</topic><topic>Scoliosis - physiopathology</topic><topic>Scoliosis - surgery</topic><topic>Severity of Illness Index</topic><topic>Statistical analysis</topic><topic>Studies</topic><topic>Surgery</topic><topic>Thoracoplasty - adverse effects</topic><topic>Vital Capacity - physiology</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lao, Lifeng</creatorcontrib><creatorcontrib>Weng, Xisheng</creatorcontrib><creatorcontrib>Qiu, Guixing</creatorcontrib><creatorcontrib>Shen, Jianxiong</creatorcontrib><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>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 Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</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>Publicly Available Content 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><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of orthopaedic surgery and research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lao, Lifeng</au><au>Weng, Xisheng</au><au>Qiu, Guixing</au><au>Shen, Jianxiong</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The role of preoperative pulmonary function tests in the surgical treatment of extremely severe scoliosis</atitle><jtitle>Journal of orthopaedic surgery and research</jtitle><addtitle>J Orthop Surg Res</addtitle><date>2013-09-05</date><risdate>2013</risdate><volume>8</volume><issue>1</issue><spage>32</spage><epage>32</epage><pages>32-32</pages><artnum>32</artnum><issn>1749-799X</issn><eissn>1749-799X</eissn><abstract>The patients with extremely severe spinal deformity are commonly considered high-risk candidates for surgical treatment because of their underlying lung disease. Currently, little has been reported about the postoperative pulmonary complication events in this population. This retrospective study sought to evaluate preoperative pulmonary function tests in the surgical treatment of extremely severe scoliosis.
Preoperative forced vital capacity (FVC), FVC ratio, forced expiratory volume at the end of the first second (FEV1), FEV1 ratio, peak expiratory flow (PEF), and PEF ratio were performed and evaluated on 60 patients with extremely severe scoliosis (coronary main Cobb angle ≥100°).
Among the 60 patients, 11 (18.3%), 13 (21.7%), and 22 (36.7%) had severe, moderate, and mild pulmonary dysfunction, respectively. Compared with the moderate and mild scoliosis groups, significant differences were observed in Cobb, FVC, FVC ratio, FEV1, FEV1 ratio, and PEF ratio in the extremely severe scoliosis group. Various postoperative pulmonary complications occurred in nine cases (15%). Patients with severe or moderate dysfunction as measured by the FVC ratio had a higher incidence of postoperative pulmonary complications. A transthoracic procedure was not related to postoperative pulmonary complications, but thoracoplasty significantly increased the incidence of postoperative pulmonary complications (P < 0.001, OR = 20, 95% CI = 3.45-115.97).
Pulmonary function was impaired in extremely severe scoliosis. Patients with severe restrictive pulmonary dysfunction had a higher incidence of postoperative pulmonary complications. Thoracoplasty was an important risk factor in the prediction of postoperative pulmonary complications.</abstract><cop>England</cop><pub>BioMed Central Ltd</pub><pmid>24007407</pmid><doi>10.1186/1749-799X-8-32</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adolescent Adult Bone surgery Child Confidence intervals Female Forced Expiratory Volume - physiology Hospitalization Hospitals Humans Intubation Lung - physiopathology Lungs Male Medical personnel Orthopedics Patient outcomes Peak Expiratory Flow Rate Pneumonia Postoperative Complications Preoperative Care - methods Pulmonary function tests Respiratory Function Tests - methods Respiratory tract diseases Respiratory Tract Diseases - etiology Retrospective Studies Risk Factors Scoliosis Scoliosis - physiopathology Scoliosis - surgery Severity of Illness Index Statistical analysis Studies Surgery Thoracoplasty - adverse effects Vital Capacity - physiology Young Adult |
| title | The role of preoperative pulmonary function tests in the surgical treatment of extremely severe scoliosis |
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