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J Pediatr. 2015 Apr;166(4):1018-21. doi: 10.1016/j.jpeds.2014.12.070. Epub 2015 Feb 12.

Obstructive lung disease in children with idiopathic scoliosis.

Author information

1
Division of Pulmonary Medicine, University of Cincinnati, Cincinnati Children's Hospital Medical Center, Cincinnati, OH. Electronic address: gary.mcphail@cchmc.org.
2
Division of Pulmonary Medicine, University of Cincinnati, Cincinnati Children's Hospital Medical Center, Cincinnati, OH.
3
WordCraft, Medical Writing Consultants, Los Angeles, CA.
4
Division of Pulmonary Medicine, Mayo Children's Hospital, Mayo Medical School, Rochester, MN.
5
Division of Orthopedic Surgery, University of Cincinnati, Cincinnati Children's Hospital Medical Center, Cincinnati, OH.
6
Division of Pulmonary Medicine, University of Washington, Seattle Children's Hospital, Seattle, WA.

Abstract

OBJECTIVE:

To measure the prevalence of obstructive lung disease (OLD) among patients undergoing preoperative pulmonary assessment for idiopathic scoliosis.

STUDY DESIGN:

This was a retrospective, descriptive review from clinical data in a tertiary care pediatric hospital in the US. Patients (n = 176) with idiopathic scoliosis with Cobb angles of ≥ 40 degrees who performed acceptable and repeatable preoperative pulmonary function testing were included. The primary outcome measure was the forced expiratory volume in the first second (FEV1)/forced vital capacity (FVC) ratio.

RESULTS:

The prevalence of OLD (low FEV1/FVC ratio) was 39% (68/176 patients). In multivariate modeling, radiographic measures were poor predictors of pulmonary function outcomes of FVC (r(2) 0.06), FEV1 (r(2) 0.05), FEV1/FVC ratio (r(2) 0.08), and total lung capacity (r(2) 0.06).

CONCLUSIONS:

OLD is common in patients with idiopathic scoliosis. We recommend preoperative pulmonary function testing for patients with idiopathic scoliosis under consideration for spinal fusion surgery.

PMID:
25684085
DOI:
10.1016/j.jpeds.2014.12.070
[Indexed for MEDLINE]

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