SCOLIOSIS PREVALENCE IN CONGENITAL HEART DISEASE PATIENTS.
Journal Title: Journal of Turkish Spinal Surgery - Year 2013, Vol 24, Issue 1
Abstract
The association between scoliosis and congenital heart disease has been well known for many years. The incidence of scoliosis in patients with congenital heart disease has been reported as 4.2%. This rate is higher for patients who are indicated for surgical corrections. There are theories advocating that thoracotomy also leads to developmental scoliosis. In this study, in order to test the accuracy of these views for both surgical and non-surgical cases of patients with congenital heart disease (both from the ages of 0–10 and adult patients), we aimed to investigate the prevalence of scoliosis. 356 patients with a diagnosis of congenital heart disease were enrolled in this study. 226 of them were between the ages of 0 and 10, with a mean age of 3.6 ± 5.1 years and a male/female ratio of 111/115. The remaining 130 patients were 26 to 76 years of age, with a mean age of 48.9 ± 22.8 years and a female/male ratio of 49/81. The patients were retrospectively evaluated with chest X-rays, and the cervicothoracic and thoracic regions included in the X-rays were examined for spinal deformities. The prevalence of scoliosis in both groups was calculated separately. In addition, the effect of receiving surgery or not on the prevalence was also studied. In this study, the prevalence of scoliosis was found to be 7.30% when all patients were included. This rate was found to be 6.64% for children between 0–10 years of age, and 8.46% for adults. This study shows that patients who received surgery for congenital heart disease in childhood had an increased prevalence of scoliosis as adults. This result suggests that thoracotomy can have an effect on the development of scoliosis, especially after the age of 10. In the light of these results, it is important to obtain scoliosis X-rays for patients who are diagnosed with any congenital heart disease, and to follow up these patients. Also, for patients with scoliosis, if there are any surgical indications, a detailed cardiac examination and all necessary investigations must be performed before surgery.
Authors and Affiliations
Bülent ÇAPAR, Serhat BÜLBÜL, İ. Teoman BENLİ, Mustafa GÜLER, Selçuk ÇAMUŞCU
Keywords
Related Articles
- EP ID EP676745
- DOI -
- Views 134
- Downloads 0
FACET CYSTS
Objective: The aim of the study is to investigate the facet cysts from MRI of patients from Neurosurgery outpatient clinic even if they are symptomatic or not, levels, numbers and side. Materials and Method: Two-h...
COMPREHENSIVE MANAGEMENT OF TRAUMATIC THORACOLUMBAR VERTEBRAL FRACTURE
The middle section of the vertebral spine is composed of three-dimensional trabecular networks of rods and plates. This trabecular structure ensures 90% of the compressive strength, particularly in the lumbar vertebrae....
POSTOPERATIVE PAIN MANAGEMENT IN SPINAL SURGERY
Postoperative pain is common problem after surgicat procedures. Spinal surgery is a group of majör surgical procedures in which patients may experience postoperative pain more likely than other minör surgical procedures....
GLUTEAL ATONY AS A DIAGNOSTIC SIGN OF A PROTRUDED LOWER LUMBAR INTERVERTEBRAL DISC
The protruded and nerve encroaching lower lumbar intervertebral disc is the most common cause of lumbar pain and work disability, an it is important to obtain an as accurate a diagnosis as soon as possible, so as to trea...
PERCUTANEOUS SACROPLASTY FOR THE TREATMENT OF SACRAL PEDICLE SCREW LOOSENING IN AN OSTEOPOROTIC PATIENT
Pedicle screw loosening is a major concern especially in the osteoporotic spine. It results from the loss of metal-bone interface integrity. Once a screw pullout occurs, the surgeon should revise the implant. Different s...