Pulmonary function and health-related quality of life in patients with early onset scoliosis after repeated traditional growing rod procedures

被引:7
作者
Chang, Wen-Chieh [1 ,2 ]
Hsu, Kuei-Hsiang [1 ,2 ]
Feng, Chi-Kuang [1 ,2 ]
机构
[1] Taipei Vet Gen Hosp, Dept Orthopaed & Traumatol, Taipei, Taiwan
[2] Natl Yang Ming Chiao Tung Univ, Sch Med, Dept Orthopaed, Taipei, Taiwan
关键词
growing rod; early onset scoliosis; pulmonary function; CHILDHOOD EXPOSURE; LUNG-FUNCTION; MANAGEMENT; ANESTHESIA; FUSION;
D O I
10.1302/1863-2548.15.210021
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Purpose The purpose of this study was to investigate pulmonary function and health-related quality of life after traditional growing rod (TGR) procedures. Methods Between January 2006 and December 2017, a retrospective observational study of 17 early onset scoliosis (EOS) patients with a mean follow-up of 6.2 years (2.3 to 10.4) was conducted. The forced expiratory volume in one second (FEV1), expiratory forced vital capacity (FVC) and 24-Item Early Onset Scoliosis Questionnaire (EOSQ-24) score before the index surgery and at last follow-up were investigated. Results The mean percentage of predicted FEV1 improved from 50% (20% to 86%) to 53% (15% to 80%; p = 0.08); and the mean percentage of predicted FVC improved from 51% (24% to 81%) to 55% (25% to 89%; p = 0.06). The mean EOSQ-24 score was 78.2 (58 to 90) preoperatively and 77.2 (55 to 88) at last follow-up, there was no statistical difference (p = 0.70). The subdomain scores of pulmonary function (p < 0.01) and daily living (p < 0.01) significantly improved, whereas the subdomain scores of pain (p < 0.01), emotion (p < 0.01) and satisfaction (p = 0.02) significantly declined at last follow-up. Conclusion The TGR procedure was associated with stable pulmonary function and decline in EOSQ-24 pain, emotion and satisfaction scores.
引用
收藏
页码:451 / 457
页数:7
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