Preoperative predictors of postoperative pulmonary complications in neuromuscular scoliosis
DC Field | Value | Language |
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dc.contributor.author | Kang, Gi-Run | - |
dc.contributor.author | Suh, Seung-Woo | - |
dc.contributor.author | Lee, Il-Ok | - |
dc.date.accessioned | 2021-09-07T14:29:51Z | - |
dc.date.available | 2021-09-07T14:29:51Z | - |
dc.date.created | 2021-06-14 | - |
dc.date.issued | 2011-03 | - |
dc.identifier.issn | 0949-2658 | - |
dc.identifier.uri | https://scholar.korea.ac.kr/handle/2021.sw.korea/112919 | - |
dc.description.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. | - |
dc.language | English | - |
dc.language.iso | en | - |
dc.publisher | ELSEVIER | - |
dc.subject | ADOLESCENT IDIOPATHIC SCOLIOSIS | - |
dc.subject | SPINAL-FUSION SURGERY | - |
dc.subject | FUNCTION TESTS | - |
dc.subject | POSTERIOR | - |
dc.subject | TRANSFUSION | - |
dc.subject | CHILDREN | - |
dc.title | Preoperative predictors of postoperative pulmonary complications in neuromuscular scoliosis | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Suh, Seung-Woo | - |
dc.contributor.affiliatedAuthor | Lee, Il-Ok | - |
dc.identifier.doi | 10.1007/s00776-011-0028-4 | - |
dc.identifier.scopusid | 2-s2.0-80051633344 | - |
dc.identifier.wosid | 000289849800002 | - |
dc.identifier.bibliographicCitation | JOURNAL OF ORTHOPAEDIC SCIENCE, v.16, no.2, pp.139 - 147 | - |
dc.relation.isPartOf | JOURNAL OF ORTHOPAEDIC SCIENCE | - |
dc.citation.title | JOURNAL OF ORTHOPAEDIC SCIENCE | - |
dc.citation.volume | 16 | - |
dc.citation.number | 2 | - |
dc.citation.startPage | 139 | - |
dc.citation.endPage | 147 | - |
dc.type.rims | ART | - |
dc.type.docType | Article | - |
dc.description.journalClass | 1 | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Orthopedics | - |
dc.relation.journalWebOfScienceCategory | Orthopedics | - |
dc.subject.keywordPlus | ADOLESCENT IDIOPATHIC SCOLIOSIS | - |
dc.subject.keywordPlus | SPINAL-FUSION SURGERY | - |
dc.subject.keywordPlus | FUNCTION TESTS | - |
dc.subject.keywordPlus | POSTERIOR | - |
dc.subject.keywordPlus | TRANSFUSION | - |
dc.subject.keywordPlus | CHILDREN | - |
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