先天性脊柱侧弯脊柱融合术后对肺功能的影响
IMPACT ON PULMONARY FUNCTION AFTER SPINAL FUSION IN CONGENITAL SCOLIOSIS.
作者信息
Oliveira José Alberto Alves, Visconti Rogério Dos Reis, Pedrosa Araújo Antônio Eulálio, de Barros Silva Paulo Goberlânio, Carelli Luis Eduardo, Lapa E Silva José Roberto
机构信息
Universidade Federal do Rio de Janeiro, Faculdade de Medicina, Programa de Pós-graduação em Medicina Clínica, Rio de Janeiro, RJ, Brazil.
Instituto Nacional de Ortopedia e Traumatologia Jamil Haddad, Serviço de Cirurgia da Coluna Vertebral, Rio de Janeiro, RJ, Brazil.
出版信息
Acta Ortop Bras. 2025 Jun 2;33(2):e284920. doi: 10.1590/1413-785220253302e284920. eCollection 2025.
PURPOSE
To evaluate the effect, in long-term postoperative follow-up (more than 15 years), of combined spinal fusion (anterior and posterior) and only posterior on the pulmonary function of patients with congenital scoliosis.
METHODS
Case series with five patients, operated on from 03/1997 to 12/2009, groups: dual approach with anterior arthrodesis through thoracotomy versus only posterior arthrodesis. Data processed in SPSS 20.0. Comparison of means (Student's t-test and Anova, or Mann-Whitney and Kruskal-Wallis/Dunn) with p = 0.05.
RESULTS
There was no difference in the absolute and predicted percentage values of pulmonary function FVC (Forced Vital Capacity) and FEV1 (Forced Expiratory Volume in 1 Second), Cobb of the main thoracic curve and thoracic kyphosis between the groups, in the preoperative and last follow-up (p>0.05).
CONCLUSION
There were no significant differences in preoperative and postoperative pulmonary function parameters between the groups, after an average follow-up of 17 years, and there were also no significant differences in relation to the radiographic variables evaluated.
目的
评估先天性脊柱侧弯患者长期术后随访（超过15年）时，前路与后路联合脊柱融合术及单纯后路脊柱融合术对肺功能的影响。
方法
对1997年3月至2009年12月期间接受手术的5例患者进行病例系列研究，分组：经胸廓切开前路融合术与单纯后路融合术。数据采用SPSS 20.0处理。采用均值比较（学生t检验和方差分析，或曼-惠特尼检验和克鲁斯卡尔-沃利斯/邓恩检验），p = 0.05。
结果
两组患者术前及末次随访时，肺功能用力肺活量（FVC）和第1秒用力呼气量（FEV1）的绝对值及预测百分比值、主胸弯Cobb角和胸椎后凸角均无差异（p>0.05）。
结论
平均随访17年后，两组患者术前和术后肺功能参数无显著差异，评估的影像学变量也无显著差异。
Zotero 插件