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Thorac Cardiovasc Surg 2015; 63(05): 437-442
DOI: 10.1055/s-0033-1361086
Original Thoracic
Georg Thieme Verlag KG Stuttgart · New York

Effect of Anterior Thoracoscopic Release Combined with the Posterior Correction Operation on the Pulmonary Function of Patients with Idiopathic Scoliosis

Bo Ran
1   Department of Orthopedics, The Affiliated Hospital of Xuzhou Medical College, Xuzhou, Jiangsu Province, China
2   Department of Orthopedics, Changhai Hospital Affiliated to Second Military Medical University, Shanghai, China
,
Quan Li
2   Department of Orthopedics, Changhai Hospital Affiliated to Second Military Medical University, Shanghai, China
,
Cheng Li
1   Department of Orthopedics, The Affiliated Hospital of Xuzhou Medical College, Xuzhou, Jiangsu Province, China
3   Department of Orthopedics, Xinhua Hospital Affiliated to Shanghai Jiaotong University School of Medicine, Chongming Branch, Shanghai, China
4   Department of Orthopedics, The Second People's Hospital of Lian-Yun-Gang, Lian-yun-gang, Jiangsu Province, China
,
Ming Li
2   Department of Orthopedics, Changhai Hospital Affiliated to Second Military Medical University, Shanghai, China
,
Jia-Yu Chen
2   Department of Orthopedics, Changhai Hospital Affiliated to Second Military Medical University, Shanghai, China
5   Department of Orthopedics, Kunming General Hospital of Chengdu Military Command, Kunming, China
,
Li-Xin Wang
3   Department of Orthopedics, Xinhua Hospital Affiliated to Shanghai Jiaotong University School of Medicine, Chongming Branch, Shanghai, China
4   Department of Orthopedics, The Second People's Hospital of Lian-Yun-Gang, Lian-yun-gang, Jiangsu Province, China
,
Yue-Hua Qiao
6   Department of Otorhinolaryngology, The Affiliated Hospital of Xuzhou Medical College, Xuzhou, Jiangsu Province, China
,
Jun-Hui Guan
7   Department of Orthopedics, Taizhou Municipal Hospital, Taizhou, Zhejiang Province, China
,
Zhi-Wei Wang
2   Department of Orthopedics, Changhai Hospital Affiliated to Second Military Medical University, Shanghai, China
› Author Affiliations
Further Information

Publication History

15 July 2013

01 October 2013

Publication Date:
04 July 2014 (online)

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Abstract

Background Anterior thoracoscopic release combined with posterior correction is a common surgery to treat idiopathic scoliosis (IS). However, whether it has detrimental effects on pulmonary function is still unknown.

Aim The aim of the study is to evaluate the effect of anterior thoracoscopic release combined with posterior correction on the pulmonary function.

Materials and Methods A retrospective study of 28 (12 male, 16 female) patients with IS undergoing anterior thoracoscopic release combined with posterior correction from 2009 to 2011 was performed. The radiographic and pulmonary function evaluations were performed preoperatively and at 24 months postoperatively.

Results The average coronal Cobb angle was corrected from 88.36 ± 25.6 degrees to 49.8 ± 11.8 degrees, and average sagittal Cobb angle was corrected from 57.5 ± 17.2 degrees to 26.3 ± 4.7 degrees. The measured forced vital capacity (FVC) and total lung capacity (TLC) were significantly increased at 2 years postoperatively (3.21 ± 1.18 versus 2.47 ± 0.33; 4.32 ± 1.41 versus 3.68 ± 0.36; p < 0.01). However, no significant difference in the FVC% and TLC% was observed. The functional residual capacity percentage was 109.87 ± 14.87 preoperatively and increased to 118.56 ± 34.34 at 2 years postoperatively (p < 0.05). Both the measured residual volume (RV) and RV% were reduced postoperatively (p < 0.05). The maximum ventilatory volume percentage improved significantly (107.38 ± 39.22 versus 77.46 ± 12.37, p < 0.05). In addition, total airway resistance, inhaled airway resistance, and exhaled airway resistance were all decreased significantly.

Conclusion Anterior thoracoscopic release combined with posterior correction has proved to be a safe surgical technique that results in minor pulmonary function impairment.

Keywords

idiopathic scoliosis - pulmonary function - thoracoscopic release operation - posterior correction operation
 

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