Abstract:
STUDY DESIGN:A retrospective study on the correlation between preoperative pulmonary function tests, preoperative pulmonary symptoms, and postoperative pulmonary complications. OBJECTIVE:To evaluate the incidence of immediate postoperative pulmonary complications and their correlation to pulmonary function tests, preoperative pulmonary symptoms, and surgical approaches. SUMMARY OF BACKGROUND DATA:The pulmonary function of patients with scoliosis is likely to be abnormal, whereas surgical procedures may lead to further deterioration and postoperative pulmonary complications. Evaluation of the pulmonary symptoms and pulmonary function before surgery is helpful to predict and avoid postoperative pulmonary complications by selecting the appropriate surgical approach. METHODS:This study reviewed 298 scoliosis patients (107 male, 191 female) who underwent anterior and/or posterior operation. The mean age of the patients was 16.4 years (range 6-62 years). The average coronal Cobb angle was 73.26 degrees (range 45-141 degrees). Preoperative pulmonary function tests of 115 cases were normal, whereas the other 183 cases were abnormal. Seventeen cases had preoperative pulmonary symptoms and 3 of them had normal preoperative pulmonary function tests. Seventy-nine cases received transthoracic surgery, and 19 cases had postoperative pulmonary complications, including postoperative ventilation support in 6 cases, atelectasis in 4 cases, hydrothorax in 2 cases, pneumothorax in 3 cases, pneumonia in 3 cases, and hypoxemia in 1 case. Of these 19 patients, 12 patients received anterior transthoracic procedure. When the patients with abnormal pulmonary function tests were divided into 3 groups: 1) 60% < or = forced vital capacity ratio < 80%; 2) 40% < or = forced vital capacity ratio < 60%; and 3) forced vital capacity ratio < 40%, the incidence of postoperative pulmonary complications were 2.72% (3 out of 110), 7.40% (4 out of 54) and 31.60% (6 out of 19), respectively. RESULTS:There was significant correlation between abnormal preoperative pulmonary function tests and preoperative pulmonary symptoms (P = 0.0086). No significant correlation was found between preoperative pulmonary symptoms and postoperative pulmonary complications (P = 0.5164). There was a trend that the postoperative complications increased with the deterioration of pulmonary function. The correlation between postoperative pulmonary complications and the surgical approach was statistically significant (P = 0.0000); the incidence of postoperative pulmonary complication of transthoracic procedure was 18 times as that of posterior approach. No significant difference was noted regarding ages, preoperative coronal Cobb angles, and preoperative pulmonary function between these 2 groups. There was no significant correlation between preoperative pulmonary symptoms and postoperative complications. CONCLUSIONS:The incidence of postoperative pulmonary complications increased with the deterioration of pulmonary function tests. The posterior procedure had a very low incidence of postoperative pulmonary complications, but a transthoracic procedure increased the complications significantly. Preoperative pulmonary symptoms usually predicted abnormal results of pulmonary function tests but had no correlation with postoperative pulmonary complication.
journal_name
Spine (Phila Pa 1976)journal_title
Spineauthors
Zhang JG,Wang W,Qiu GX,Wang YP,Weng XS,Xu HGdoi
10.1097/01.brs.0000150486.60895.a1keywords:
subject
Has Abstractpub_date
2005-01-15 00:00:00pages
218-21issue
2eissn
0362-2436issn
1528-1159pii
00007632-200501150-00011journal_volume
30pub_type
杂志文章相关文献
SPINE文献大全abstract:STUDY DESIGN:Case report. OBJECTIVE:To report a case of false-negative intraoperative motor-evoked potentials (MEP) that developed paraplegia after surgery. SUMMARY OF BACKGROUND DATA:Although several false-negative results have been reported with somatosensory-evoked potentials, there is no report noted with MEP. Th...
journal_title:Spine
pub_type: 杂志文章,评审
doi:10.1097/BRS.0b013e3181b40d4f
更新日期:2009-11-15 00:00:00
abstract:STUDY DESIGN:Prospective observational study. OBJECTIVE:This study aims to quantify the incidence of intraoperative waste in spine surgery and to examine the efficacy of an educational program directed at surgeons to induce a reduction in the intraoperative waste. SUMMARY OF BACKGROUND DATA:Spine procedures are assoc...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e31822a58c1
更新日期:2011-09-01 00:00:00
abstract::The influences of age, sex, disc level, and degree of degenration on the mechanical behavior of 42 fresh cadaver lumbar motion segments are reported. The motions and intradiscal pressure changes that result from the application of flexion, extension, lateral bending, and torsional moments; compression; and anterior, p...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-197901000-00001
更新日期:1979-01-01 00:00:00
abstract:STUDY DESIGN:Prospective, multicenter, observational study. OBJECTIVE:The aim of this study was to investigate the efficacy of intervention after an alert in intraoperative neurophysiological monitoring (IONM) using transcranial motor-evoked potentials (Tc-MEPs) during surgery for thoracic ossification of the posterio...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000003774
更新日期:2021-02-15 00:00:00
abstract:STUDY DESIGN:A systematic review within the Cochrane Collaboration Back Review Group. OBJECTIVES:To assess the effectiveness of back schools for patients with nonspecific low back pain (LBP). SUMMARY OF BACKGROUND DATA:Since the introduction of the Swedish back school in 1969, back schools have frequently been used f...
journal_title:Spine
pub_type: 杂志文章,评审
doi:10.1097/01.brs.0000182227.33627.15
更新日期:2005-10-01 00:00:00
abstract:STUDY DESIGN:Retrospective longitudinal cohort. OBJECTIVE:We investigated opioid prescribing patterns amongst adults in the United States diagnosed with low back or lower extremity pain (LBP/LEP) who underwent spine surgery. SUMMARY OF BACKGROUND DATA:Opioid-based treatment of LBP/LEP and postsurgical pain has separa...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000003663
更新日期:2020-12-15 00:00:00
abstract:STUDY DESIGN:Prospective validation of the Scoliosis Research Society Outcomes Questionnaire French-Canadian version (SRS-22fv) in adolescent patients with spondylolisthesis. OBJECTIVE:To determine the measurement properties of the SRS-22fv. SUMMARY OF BACKGROUND DATA:The SRS-22 is widely used for the assessment of h...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000002091
更新日期:2017-09-01 00:00:00
abstract:STUDY DESIGN:A retrospective study. OBJECTIVE:To compare the mid-term outcomes of hybrid surgery (HS) and anterior cervical discectomy and fusion (ACDF) for the treatment of contiguous two-segment cervical degenerative disc diseases. SUMMARY OF BACKGROUND DATA:HS has become one of the most controversial subjects in s...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000002639
更新日期:2018-10-15 00:00:00
abstract:STUDY DESIGN:During vertebroplasty (VP), polymethylmethacrylate (PMMA) may leak into the posterior epidural venus plexus, provoking symptoms ranging from radicular pain to medullar compression. OBJECTIVES:To propose and test the feasibility of a procedure (cooling system) to prevent radicular irritation caused by fora...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-200307150-00027
更新日期:2003-07-15 00:00:00
abstract:STUDY DESIGN:Prospective, longitudinal cohort study. OBJECTIVE:To examine the incidence of bone morphogenetic protein (BMP)-2 antibody formation in lumbar spine applications and to determine the clinical significance of an antibody response. SUMMARY OF BACKGROUND DATA:Immune responses can affect the safety and effica...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3182059a8c
更新日期:2011-12-01 00:00:00
abstract:STUDY DESIGN:A cross-sectional study. OBJECTIVE:The aim of this study was to investigate the prevalence of ossification of posterior longitudinal ligament (OPLL) in patients with degenerative cervical myelopathy (DCM). SUMMARY OF BACKGROUND DATA:OPLL of the cervical spine is one of the main entities of DCM in Asian p...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000003526
更新日期:2020-10-01 00:00:00
abstract:STUDY DESIGN:An immunohistochemical examination of the presence of inflammatory cells in routinely processed resection specimens of the lumbar disc, and a comparison of the histologic results with clinical data collected prospectively before and after surgery. OBJECTIVES:To assess the influence of inflammatory reactio...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-200004010-00017
更新日期:2000-04-01 00:00:00
abstract:STUDY DESIGN:A radiographic comparison of the mechanical efficacy of the Hartshill rectangle and that of the AO internal spinal skeletal fixation systems in the management of unstable burst fractures of the thoracic and lumbar spine. OBJECTIVES:To study the restoration and maintenance of normal spinal anatomy after op...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199801010-00022
更新日期:1998-01-01 00:00:00
abstract:STUDY DESIGN:A genetic association study of estrogen receptor 2 gene (ESR2) polymorphisms in idiopathic scoliosis (IS). OBJECTIVE:To investigate association of the ESR2 polymorphisms with either predisposition to or progression of IS in Central European population. SUMMARY OF BACKGROUND DATA:In ESR2 the rs1256120 pol...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000000643
更新日期:2014-12-15 00:00:00
abstract:STUDY DESIGN:Subgroup analysis of a prospective multicenter study. OBJECTIVE:Outcome analysis of nonoperatively treated elderly patients with type II odontoid fractures, including assessment of consequence of a fracture nonunion. SUMMARY OF BACKGROUND DATA:Odontoid fractures are among the most common fractures in the...
journal_title:Spine
pub_type: 临床试验,杂志文章,多中心研究
doi:10.1097/BRS.0000000000000009
更新日期:2013-12-15 00:00:00
abstract:STUDY DESIGN:This study assessed the value of using lateral radiographs in evaluating the optimal screw length in transarticular C1-C2 screw fixation. OBJECTIVES:To assess the reliability of the lateral radiograph in determining the optimal transarticular C1-C2 screw length. SUMMARY OF BACKGROUND DATA:Transarticular ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199810150-00009
更新日期:1998-10-15 00:00:00
abstract::Computer tomography (CT) presents a method of determining longitudinal axis vertebral rotation and vertebral, spinal, and rib case deformity. Different rotation angles, distances, and indexes are defined and discussed. Radiation risks were evaluated and considered exceedingly small when compared to the ordinary spinal...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-198109000-00007
更新日期:1981-09-01 00:00:00
abstract:STUDY DESIGN:A retrospective study to analyze the effect of decompressive extent on the posterior shift of spinal cord after expansive open-door laminoplasty (ELAP). OBJECTIVE:To investigate the effect of decompressive extent on cord shift distance after ELAP, and determine the morphologic limitations of posterior app...
journal_title:Spine
pub_type: 杂志文章,多中心研究
doi:10.1097/BRS.0b013e3181e80507
更新日期:2011-06-01 00:00:00
abstract:STUDY DESIGN:Radiologic study for patients with athetoid cerebral palsy (CP), and a biomechanical study using the finite-element model (FEM). OBJECTIVES:To understand the lumbar disorders of athetoid CP patients and the etiology based on the results from the FEM study. SUMMARY OF BACKGROUND DATA:Cervical spondylotic ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000197650.77751.80
更新日期:2006-02-01 00:00:00
abstract:STUDY DESIGN:A cross-sectional comparison of vertebral morphology and lumbar lordosis (LL) in adolescents with and without spondylolysis. OBJECTIVE:To test the hypothesis that in addition to LL, vertebral cross-sectional area (CSA) is also associated with spondylolysis. SUMMARY OF BACKGROUND DATA:Recent data indicate...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000002480
更新日期:2018-06-15 00:00:00
abstract:STUDY DESIGN:Trunk list was measured using three different techniques to compare accuracy, precision, and ease of use. OBJECTIVE:To obtain a reproducible technique for further studies of the nature, cause, and clinical relevance of trunk list. SUMMARY OF BACKGROUND DATA:Gravity-induced trunk list is a clinical sign t...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199607150-00011
更新日期:1996-07-15 00:00:00
abstract:STUDY DESIGN:Case-control study from a continuous series. OBJECTIVES:To study the impact of perioperative sitting radiographs in adult spinal deformity (ASD) patients and determine whether proximal junctional kyphosis (PJK) can be prevented using preoperative sitting radiograph. SUMMARY OF BACKGROUND DATA:Radiographi...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000003452
更新日期:2020-08-01 00:00:00
abstract:STUDY DESIGN:We present a descriptive case series outlining the surgical technique and outcome in six patients managed with a combined anterior neck and sternal splitting approach. OBJECTIVES:To describe a surgical approach used in the management of severe cervicothoracic kyphosis and/or scoliosis in pediatric patient...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000164267.30422.a9
更新日期:2005-06-01 00:00:00
abstract:STUDY DESIGN:Cadaver and preliminary clinical study. OBJECTIVES:To enhance the precision of screw positions for posterior transarticular fixations according to Magerl at C1-C2. SUMMARY OF BACKGROUND DATA:The vertebral arteries are at risk during the Magerl operation and may be damaged in up to 4.1% of cases. Even int...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-200106150-00017
更新日期:2001-06-15 00:00:00
abstract:STUDY DESIGN:Prospective, longitudinal cohort (nonrandomized). OBJECTIVE:To compare thoracoplasty (Th), direct vertebral body derotation (DVBD), and Th and DVBD with respect to correction of the rib prominence and Scoliosis Research Society (SRS) self-image scores in patients undergoing surgery for adolescent idiopath...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e31824a4911
更新日期:2012-06-15 00:00:00
abstract:STUDY DESIGN:Human lumbar functional spinal units (FSUs) were moved throughout their range of motion in sagittal and lateral bending while the dynamics of this movement were computed in vitro. Functional spinal units were tested intact and after subsequent discectomy and unilateral facetectomy. OBJECTIVE:To establish ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199712150-00007
更新日期:1997-12-15 00:00:00
abstract::A reproducible experimental model of cervical spondylosis in mice was established by means of detachment of the posterior paravertebral muscles from the vertebrae and resection of the spinous processes along with the supraspinous and interspinous ligaments. Mechanical instability in the cervical spine elicited by this...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199110001-00008
更新日期:1991-10-01 00:00:00
abstract::It has been argued that a clarification of the mechanical causes of low-back pain requires a knowledge of the states of stress and strain throughout the lumbo-sacral spine. Since a purely experimental approach cannot provide this information, analytical model studies, to supplement measurements, are called for. In the...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-198403000-00003
更新日期:1984-03-01 00:00:00
abstract:STUDY DESIGN:Retrospective single center analysis. OBJECTIVE:The purpose of our study is to quantify the development of a postoperative radiculitis in our minimally invasive transforaminal lumbar interbody fusion patient population. SUMMARY OF BACKGROUND DATA:The application of recombinant human Bone Morphogenetic Pr...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3181a396a1
更新日期:2009-06-15 00:00:00
abstract:STUDY DESIGN:Retrospective. OBJECTIVES:To document sagittal translation (ST) of the vertebral column in opening wedge osteotomy (OWO) for ankylosing spondylitis (AS) kyphosis. SUMMARY OF BACKGROUND DATA:Surgeons recognize displacement at the hinge of correction in OWO as an accidental event between the vertebrae on t...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000216479.09250.96
更新日期:2006-05-01 00:00:00