Department of Thoracic Surgery, University College London Hospitals (UCLH), London, UK.
Department of Medicine, Faculty of Health Sciences, University of Thessaly, Biopolis, 41500, Larissa, Greece.
Gen Thorac Cardiovasc Surg. 2020 Nov;68(11):1225-1233. doi: 10.1007/s11748-020-01496-y. Epub 2020 Sep 29.
Although Nuss procedure is performed with satisfactory results, there has been a controversy in the literature regarding the effect of a Nuss procedure on the spine. This review article aims to perform an updated overview of the literature about the effect of pectus excavatum correction at the spine and the management of patients with both pectus excavatum and scoliosis. Although acquired scoliosis has been rarely reported after a Nuss procedure, studies show that the Nuss procedure can have a beneficial effect in mild coexisting scoliosis especially when it is performed during the adolescence. The management of cases presented with both pectus excavatum and scoliosis depends on the severity of pre-operative scoliosis and demands detailed evaluation of the spine pre and postoperatively. In the rare condition of post-operative scoliosis following a Nuss procedure, the removal of the metallic bar and conservative measures may have satisfactory results on the spine.
虽然 Nuss 手术的效果令人满意，但文献中仍存在关于 Nuss 手术对脊柱影响的争议。本文旨在对有关脊柱凹陷矫正和同时患有脊柱凹陷和脊柱侧凸患者管理的文献进行更新综述。尽管 Nuss 手术后很少发生获得性脊柱侧凸，但研究表明，Nuss 手术对轻度共存性脊柱侧凸有有益的影响，尤其是在青春期进行时。同时患有脊柱凹陷和脊柱侧凸的病例的处理取决于术前脊柱侧凸的严重程度，并需要对脊柱进行术前和术后的详细评估。在 Nuss 手术后出现罕见的术后脊柱侧凸的情况下，移除金属棒和保守治疗可能对脊柱有满意的效果。
