Preoperative predictors of postoperative pulmonary complications in neuromuscular scoliosis
- Authors
- Kang, Gi-Run; Suh, Seung-Woo; Lee, Il-Ok
- Issue Date
- 3월-2011
- Publisher
- ELSEVIER
- Citation
- JOURNAL OF ORTHOPAEDIC SCIENCE, v.16, no.2, pp.139 - 147
- Indexed
- SCIE
SCOPUS
- Journal Title
- JOURNAL OF ORTHOPAEDIC SCIENCE
- Volume
- 16
- Number
- 2
- Start Page
- 139
- End Page
- 147
- URI
- https://scholar.korea.ac.kr/handle/2021.sw.korea/112919
- DOI
- 10.1007/s00776-011-0028-4
- ISSN
- 0949-2658
- Abstract
- Background Neuromuscular scoliosis (NMS) is associated with progressive restrictive lung disease and an increased risk of prolonged ventilation following surgery. This study reports the experiences of a single institution and evaluates whether preoperative pulmonary function tests (PFT) can predict the development of postoperative pulmonary complications. Methods Correlations between preoperative PFT (forced expired volume in 1 s, FEV1; forced vital capacity, FVC) findings and postoperative pulmonary complications were searched for among 74 NMS patients who underwent surgical correction at our medical center from 2002 to 2008. Results Thirty-seven patients (50%) developed a pulmonary complication. The independent factors found to contribute to the development of a pulmonary complication were: FEV1 < 40% of the predicted value (P = 0.007), FVC < 39.5% of the predicted value (P = 0.005), a larger Cobb angle (> 69 degrees) (P = 0.002), and older age (> 16.5 years) (P = 0.027). Of these 37 patients, 6 needed postoperative ventilation. PFT findings found to be independently associated with the need for postoperative ventilation were: FEV1 < 40% of the predicted value (P = 0.017) and FVC < 39.5% of the predicted value (P = 0.015). Conclusions NMS patients with a preoperative FVC of < 39.5% of the predicted value, an FEV1 < 40% of the predicted value, a Cobb angle of > 69 degrees, or age > 16.5 years were found to be more likely to develop a postoperative pulmonary complication.
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Collections - Graduate School > Department of Biomedical Sciences > 1. Journal Articles
- College of Medicine > Department of Medical Science > 1. Journal Articles
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