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. 1989 Oct;64(10):1427–1430. doi: 10.1136/adc.64.10.1427

Spinal deformity in patients born with oesophageal atresia and tracheo-oesophageal fistula.

P Chetcuti 1, D R Dickens 1, P D Phelan 1
PMCID: PMC1792800  PMID: 2817927

Abstract

Spinal deformity was present in 58 (19%) of 302 patients born with oesophageal atresia and fistula when examined at review. This was present in 24 (47%) of 51 patients with vertebral anomalies and 34 (14%) of 251 patients with normal vertebrae. Scoliosis was present in 21 patients with vertebral anomalies, torticollis in two, and lordosis in one. Two thirds of the patients with congenital scoliosis have had or are likely to require operation, compared with five patients with non-congenital scoliosis. Scoliosis associated with mixed vertebral anomalies in the lower thoracic spine had the worst prognosis. The medical records of a further 64 patients who had survived operation but who could not be traced were reviewed, and indicated that four had had congenital vertebral anomalies but none had a spinal deformity. We recommend early detection of vertebral anomalies in this group and careful follow up of patients with these abnormalities.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. BICK E. M., COPEL J. W. Longitudinal growth of the human vertebra; a contribution to human osteogeny. J Bone Joint Surg Am. 1950 Oct;32 A(4):803–814. [PubMed] [Google Scholar]
  2. Bond-Taylor W., Starer F., Atwell J. D. Vertebral anomalies associated with esophageal atresia and tracheoesophageal fistula with reference to the initial operative mortality. J Pediatr Surg. 1973 Feb;8(1):9–13. doi: 10.1016/0022-3468(73)90287-x. [DOI] [PubMed] [Google Scholar]
  3. Chetcuti P., Myers N. A., Phelan P. D., Beasley S. W., Dickens D. R. Chest wall deformity in patients with repaired esophageal atresia. J Pediatr Surg. 1989 Mar;24(3):244–247. doi: 10.1016/s0022-3468(89)80003-x. [DOI] [PubMed] [Google Scholar]
  4. Dudley N. E., Phelan P. D. Respiratory complications in long-term survivors of oesophageal atresia. Arch Dis Child. 1976 Apr;51(4):279–282. doi: 10.1136/adc.51.4.279. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Gilsanz V., Boechat I. M., Birnberg F. A., King J. D. Scoliosis after thoracotomy for esophageal atresia. AJR Am J Roentgenol. 1983 Sep;141(3):457–460. doi: 10.2214/ajr.141.3.457. [DOI] [PubMed] [Google Scholar]
  6. HOLDER T. M., CLOUD D. T., LEWIS J. E., Jr, PILLING G. P., 4th ESOPHAGEAL ATRESIA AND TRACHEOESOPHAGEAL FISTULA. A SURVEY OF ITS MEMBERS BY THE SURGICAL SECTION OF THE AMERICAN ACADEMY OF PEDIATRICS. Pediatrics. 1964 Oct;34:542–549. [PubMed] [Google Scholar]
  7. Knudson R. J., Slatin R. C., Lebowitz M. D., Burrows B. The maximal expiratory flow-volume curve. Normal standards, variability, and effects of age. Am Rev Respir Dis. 1976 May;113(5):587–600. doi: 10.1164/arrd.1976.113.5.587. [DOI] [PubMed] [Google Scholar]
  8. Louhimo I., Lindahl H. Esophageal atresia: primary results of 500 consecutively treated patients. J Pediatr Surg. 1983 Jun;18(3):217–229. doi: 10.1016/s0022-3468(83)80089-x. [DOI] [PubMed] [Google Scholar]
  9. Loynes R. D. Scoliosis after thoracoplasty. J Bone Joint Surg Br. 1972 Aug;54(3):484–498. [PubMed] [Google Scholar]
  10. MacEwen G. D., Winter R. B., Hardy J. H. Evaluation of kidney anomalies in congenital scoliosis. J Bone Joint Surg Am. 1972 Oct;54(7):1451–1454. [PubMed] [Google Scholar]
  11. Martin L. W. Management of esophageal anomalies. Pediatrics. 1965 Sep;36(3):342–350. [PubMed] [Google Scholar]
  12. McMaster M. J., Ohtsuka K. The natural history of congenital scoliosis. A study of two hundred and fifty-one patients. J Bone Joint Surg Am. 1982 Oct;64(8):1128–1147. [PubMed] [Google Scholar]
  13. Myers N. A. Oesophageal atresia and/or tracheo-oesophageal fistula ... a study of mortality. Prog Pediatr Surg. 1979;13:141–165. [PubMed] [Google Scholar]
  14. SCHNEIDER K. M., BECKER J. M. The "H-type" tracheoesophageal fistula in infants and children. Surgery. 1962 May;51:677–686. [PubMed] [Google Scholar]
  15. SHANDS A. R., Jr, EISBERG H. B. The incidence of scoliosis in the state of Delaware; a study of 50,000 minifilms of the chest made during a survey for tuberculosis. J Bone Joint Surg Am. 1955 Dec;37-A(6):1243–1249. [PubMed] [Google Scholar]
  16. SWENSON O., LIPMAN R., FISHER J. H., DELUCA F. G. Repair and complications of esophageal atresia and tracheoesophageal fistula. N Engl J Med. 1962 Nov 8;267:960–963. doi: 10.1056/NEJM196211082671904. [DOI] [PubMed] [Google Scholar]
  17. Shelton J. E., Julian R., Walburgh E., Schneider E. Functional scoliosis as a long-term complication of surgical ligation for patent ductus arteriosus in premature infants. J Pediatr Surg. 1986 Oct;21(10):855–857. doi: 10.1016/s0022-3468(86)80007-0. [DOI] [PubMed] [Google Scholar]
  18. Stauffer E. S., Mankin H. J. Scoliosis after thoracoplasty. A study of thirty patients. J Bone Joint Surg Am. 1966 Mar;48(2):339–348. [PubMed] [Google Scholar]
  19. Zapletal A., Paul T., Samánek M. Die Bedeutung heutiger Methoden der Lungenfunktionsdiagnostik zur Feststellung einer Obstruktion der Atemwege bei Kindern und Jugendlichen. Z Erkr Atmungsorgane. 1977 Aug;149(3):343–371. [PubMed] [Google Scholar]

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