Department of Spine Surgery; Guangdong Provincial Key Laboratory of Orthopaedics and Traumatology, Orthopaedic Research Institute, First Affiliated Hospital of Sun Yat-Sen University, No. 58 Zhongshan Second Road, Guangzhou, 510080, China.
Department of Musculoskeletal Oncology, First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China.
Eur Spine J. 2018 Sep;27(9):2072-2075. doi: 10.1007/s00586-017-5441-8. Epub 2018 Jan 16.
A rare case of a 15-year-old male patient with neuromuscular scoliosis with forced vital capacity (FVC) below 30%, who went through a successful surgery without any pulmonary complications, is reported herein. The patient had obvious asymmetric shoulders and poor exercise tolerance. The Cobb's angle of the main thoracic curve was 62.8°, and FVC in sitting position was 18% of predictive value. After skull traction and pulmonary rehabilitation, the FVC was still below 30%, and he finally went through surgery under this serious condition. By early pulmonary rehabilitation using home ventilator, he successfully recovered without any pulmonary complications. The patient had complete symptom remission and no deterioration of Cobb's angle was found during follow-up.
现报道 1 例罕见的神经肌肉型脊柱侧凸 15 岁男性患者，其用力肺活量（FVC）低于 30%，但手术顺利，无肺部并发症。该患者有明显的双肩不对称和运动耐量差。主胸弯 Cobb 角为 62.8°，坐位 FVC 为预计值的 18%。经颅骨牵引和肺康复治疗后，FVC 仍低于 30%，最终在这种严重的情况下接受了手术。通过早期在家用呼吸机进行肺康复治疗，他成功地康复了，没有出现任何肺部并发症。患者症状完全缓解，随访时 Cobb 角无恶化。
