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Journals / Journal of Turkish Spinal Surgery / 2017 / Cilt: 28 - Sayı: 2

PULMONARY FUNCTIONS IN PATIENTS WITH IDOPATHIC SCOLIOSIS

İDYOPATİK SKOLYOZ TANILI HASTALARDA SOLUNUM FONKSİYONLARI

Melahat BEKİR
Taha Bahadır ÜSKÜL
Pages
123–127
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Preoperative pulmonary function testing required, as well as the effects of various surgical approaches on respiratory function are also discussed

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Idiopathic scoliosis is most common during periods of rapid somativ growth.
📊
Key Findings & Data:Scoliosis results in a restrictive lung disease with a multifactorial decrease in lung volumes, displaces the intrathoracic organs, impedes on the movement of ribs and affects the mechanics of the respiratory muscles.
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Conclusion & Impact:Preoperative pulmonary function testing required, as well as the effects of various surgical approaches on respiratory function are also discussed
🔬Design:Review & Systematic Survey
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Idiopathic scoliosis is most common during periods of rapid somativ growth. It is caused by the lateral displacement and rotation of vertebral bodies and has many effects on respiratory function. Scoliosis results in a restrictive lung disease with a multifactorial decrease in lung volumes, displaces the intrathoracic organs, impedes on the movement of ribs and affects the mechanics of the respiratory muscles. Scoliosis decreases the chest wall as well as the lung compliance and results in increased work of breathing at rest, during exercise and sleep. Pulmonary hypertension and respiratory failure may develop in severe disease. In this review the epidemiological and anatomical aspects of idiopathic scoliosis are noted, the pathophysiology and effects of idiopathic scoliosis on respiratory function are described, the pulmonary function testing including lung volumes, respiratory flow rates and airway resistance, chest wall movements, regional ventilation and perfusion studies are presented. Preoperative pulmonary function testing required, as well as the effects of various surgical approaches on respiratory function are also discussed

Özet

İdyopatik skolyoz, omurların yana doğru eğilmesi ve kendi etrafında rotasyonundan kaynaklanır. En yaygın olarak büyüme çağında görülmekte olup solunum fonksiyonları üzerinde birçok etkiye sahiptir. Skolyoz intratorasik organların yerini değiştiren, kaburga hareketini engelleyen ve solunum kaslarının mekanik etkilerini etkileyen, kısıtlayıcı-restriktif akciğer hastalığına neden olur. Skolyoz, göğüs duvarını ve akciğer kompliyansını azaltırak dinlenme egzersiz ve uyku esnasında solunum yükünün artması ile sonuçlanır. İlerlemiş hastalıkta pulmoner hipertansiyon ve solunum yetmezliği gelişebilir. Bu derlemede idiyopatik skolyozun solunum fonksiyonları üzerindeki patofizyolojisi ve etkileri tanımlanarak, akciğer volümleri, hava yolu akım ve direnç oranları; göğüs duvarı hareketleri, ventilasyon ve perfüzyon çalışmaları sunulmaktadır. Ameliyat öncesi pulmoner fonksiyon testleri ve çeşitli cerrahi yaklaşımların solunum fonksiyonları üzerindeki etkileri de tartışılmıştır

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Cite This Article

BEKİR, M., ÜSKÜL, T. B. (2017). PULMONARY FUNCTIONS IN PATIENTS WITH IDOPATHIC SCOLIOSIS. Journal of Turkish Spinal Surgery, Cilt: 28 - Sayı: 2, 123–127. https://ajindex.com/articles/201780

References (14)

  1. Aaron SD, Dales RE, Cardinal P. How accurate is spirometry at predicting restrictive pulmonary impairment. Chest 1999, 115 (3): 869-873
  2. Boyer J, Amin N, Taddonio R, Dozor AJ. Evidence of airway obstruc- tion in children with idiopathic scoliosis. Chest 1996; 109: 1532– 1535
  3. Day GA, Upadhyay SS, Ho EK, Leong JC, Ip M. Pulmonary functions in congenital scoliosis. Spine 1994; 19: 1027-1031
  4. Dreimann M, Hoffmann M, Kossow K, Hitzl W, Meier O, Koller H. Scoliosis and chest cage deformity measures predicting impairments in pulmonary function: a crosssectional study of 492 patients with scoliosis to improve the early identification of patients at risk. Spine 2014; 39(24): 2024-2033
  5. Hadley Miller N. Spine update: genetics of familial idiopathic scoliosis. Spine 2000, 25 (18): 2416-2418
  6. Huh S, Eun LY, Kim NK, Jung JW, Choi JY, Kim HS. Cardiopulmonary function and scoliosis severity in idiopathic scoliosis children. Korean J Pediatr 2015; 58(6): 218-223
  7. Johari J, Sharifudin MA, Ab Rahman A, Omar AS, Abdullah AT, Nor S, Lam WC, Yusof MI. Relationship between pulmonary function and degree of spinal deformity, location of apical vertebrae and age among adolescent idiopathic sc 8. Kearon C, Viviani GR, Kirkley A, Killian KJ. Factors determining pulmonary function in adolescent idiopathic thoracic scoliosis. Am Rev Respir Dis 1993; 148: 288–294
  8. Koukourakis I, Giaourakis G, Kouvidis G, Kivernitakis E, Blazos J, Koukourakis M: Screening school children for scoliosis on the island of Crete. J Spinal Disord 1997, 10(6): 527-531
  9. Koumbourlis AC. Scoliosis and the respiratory system. Paediatr Respir Rev. 2006, 7 (2): 152-160. 10.1016/j. prrv.2006.04.009
  10. Lao L, Weng X, Qiu G, Shen JJ. The role of preoperative pulmonary function tests in the surgical treatment of extremely severe scoliosis. Orthop Surg Res 2013; 8: 32
  11. Ledonio CG, Rosenstein BE, Johnston CE, Regelmann WE, Nuckley DJ, Polly DW Jr. Pulmonary function tests correlated with thoracic volumes in adolescent idiopathic scoliosis. J Orthop Res 2017; 35(1): 175-182
  12. Lonstein JE. Adolescent idiopathic scoliosis. Lancet 1994, 344 (8934): 1407-1412
  13. Martinez-Llorens J, Ramirez M, Colomina MJ, Bago J, Molina A, Caceres E, Gea J. Muscle dysfunction and exercise limitation in adolescent idiopathic scoliosis. Eur Respir J 2010, 36 (2): 393-400
  14. Praud Jaen-Paul, Canet E. Chest wall function and dysfunction. In: Chernick V, Boat TF, Wilmott RW, Bush A (Eds.). Kendig’s Disorder