Abstract

Journal of Paediatrics and Child HealthVolume 51, Issue 3 p. 350-350 Heads UpFree Access Lung function after spinal fusion for adolescent idiopathic scoliosis First published: 11 March 2015 https://doi.org/10.1111/jpc.12858_4AboutSectionsPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinked InRedditWechat Progressive adolescent idiopathic scoliosis has a deleterious effect on lung function and quality of life. There is controversy regarding the benefits of surgical correction and the long-term effect on lung function. A prospective cohort study from a single centre in Edinburgh followed 12 patients (nine women) for a mean of 5.8 years (range 4.1–6.8 years) after combined anterior and posterior spinal fusion.1 Mean thoracic scoliosis was 101 (standard deviation (SD) 15)o pre- and 29 (SD 11)o post-operatively; lumbar scoliosis improved from 79 (range 60–115)o to 29 (SD 18–40)o. The mean forced expiratory volume in 1 s (FEV1) increased from 2.0 to 2.4 L, and the forced vital capacity (FVC) increased from 2.4 to 2.8 L. Both increases were statistically significant, but the children also grew by a mean of 6 cm, and the SD z-scores for FEV1 and FVC were virtually identical before and after surgery. Quality of life measured by questionnaire improved significantly at 2 years and even further at long-term follow-up, irrespective of lung function. This uncontrolled study showed that lung function was preserved following spinal surgery while quality of life improved. Reference 1Urquhart DS et al. Arch. Dis. Child. 2014; 99: 922– 926. CrossrefCASPubMedWeb of Science®Google Scholar Reviewer: David Isaacs, david.isaacs@health.nsw.gov.au Volume51, Issue3March 2015Pages 350-350 ReferencesRelatedInformation

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