Abstract
Fifty patients aged 11 to 78 years with untreated idiopathic scoliosis were studied. An increased frequency of respiratory impairment was found, especially in patients with a severe degree of scoliosis. Seven patients under 60 years were unable to work and all had thoracic curves exceeding 100°. None of the patients between 20 and 65 years of age was engaged in hard work and 22% had a disability pension, all because of respiratory impairment. A tendency to increased shortness of breath was noted with increasing curves as well as age.
Dynamic and static spirometry was performed and airway closure was studied with the xenon-133 bolus technique. With increasing degrees of scoliosis there was a reduction in all lung volumes. Seventeen of 40 patients showed evidence of airway closure at lung volumes greater than functional residual capacity; 6 of these patients were under 40 years of age, and all had thoracic scoliosis exceeding 90°.
Full text
PDFSelected References
These references are in PubMed. This may not be the complete list of references from this article.
- BERGLUND E., BIRATH G., BJURE J., GRIMBY G., KJELLMER I., SANDQVIST L., SODERHOLM B. Spirometric studies in normal subjects. I. Forced expirograms in subjects between 7 and 70 years of age. Acta Med Scand. 1963 Feb;173:185–192. [PubMed] [Google Scholar]
- BERGOFSKY E. H., TURINO G. M., FISHMAN A. P. Cardiorespiratory failure in kyphoscoliosis. Medicine (Baltimore) 1959 Sep;38:263–317. doi: 10.1097/00005792-195909000-00004. [DOI] [PubMed] [Google Scholar]
- BJURE J. Spirometric studies on normal subjects. IV. Ventilatory capacities in healthy children 7-17 years of age. Acta Paediatr. 1963 May;52:232–240. doi: 10.1111/j.1651-2227.1963.tb03775.x. [DOI] [PubMed] [Google Scholar]
- Bake B., Bjure J., Grimby G., Milic-Emili J., Nilsson N. J. Regional distribution of inspired gas in supine man. Scand J Respir Dis. 1967;48(3):189–196. [PubMed] [Google Scholar]
- COOK C. D., HAMANN J. F. Relation of lung volumes to height in healthy persons between the ages of 5 and 38 years. J Pediatr. 1961 Nov;59:710–714. doi: 10.1016/s0022-3476(61)80007-3. [DOI] [PubMed] [Google Scholar]
- Cauchoix J., Duriez J., Ghosez J. P. L'arthrodèse vertébrale pour scoliose par avivement et apposition de greffons cortico-spongieux autogènes. Remarques à propos de l'ostéogenèse de réparation et étude microscopique des pertes de correction post-opératoire. Rev Chir Orthop Reparatrice Appar Mot. 1966 Apr-May;52(3):241–259. [PubMed] [Google Scholar]
- DOLLERY C. T., GILLAM P. M., HUGH-JONEP, ZORAB P. A. REGIONAL LUNG FUNCTION IN KYPHOSCOLIOSIS. Thorax. 1965 Mar;20:175–181. doi: 10.1136/thx.20.2.175. [DOI] [PMC free article] [PubMed] [Google Scholar]
- De Coster A., Remacle P. La fonction pulmonaire des cyphoscoliotiques. Acta Orthop Belg. 1967 Jul-Oct;33(4):551–563. [PubMed] [Google Scholar]
- DeWald R. L., Lambert C. N., Ray R. D. Internal instrumentation in the treatment of scoliosis. Surg Clin North Am. 1966 Feb;46(1):55–67. doi: 10.1016/s0039-6109(16)37781-7. [DOI] [PubMed] [Google Scholar]
- HARRINGTON P. R. THE MANAGEMENT OF SCOLIOSIS BY SPINE INSTRUMENTATION: AN EVALUATION OF MORE THAN 200 CASES. South Med J. 1963 Dec;56:1367–1377. doi: 10.1097/00007611-196312000-00007. [DOI] [PubMed] [Google Scholar]
- Holland J., Milic-Emili J., Macklem P. T., Bates D. V. Regional distribution of pulmonary ventilation and perfusion in elderly subjects. J Clin Invest. 1968 Jan;47(1):81–92. doi: 10.1172/JCI105717. [DOI] [PMC free article] [PubMed] [Google Scholar]
- MANKIN H. J., GRAHAM J. J., SCHACK J. CARDIOPULMONARY FUNCTION IN MILD AND MODERATE IDIOPATHIC SCOLIOSIS. J Bone Joint Surg Am. 1964 Jan;46:53–62. [PubMed] [Google Scholar]
- MOE J. H., GUSTILO R. B. TREATMENT OF SCOLIOSIS. RESULTS IN 196 PATIENTS TREATED BY CAST CORRECTION AND FUSION. J Bone Joint Surg Am. 1964 Mar;46:293–312. [PubMed] [Google Scholar]
- Nachemson A. A long term follow-up study of non-treated scoliosis. Acta Orthop Scand. 1968;39(4):466–476. doi: 10.3109/17453676808989664. [DOI] [PubMed] [Google Scholar]
- Nilsonne U., Lundgren K. D. Long-term prognosis in idiopathic scoliosis. Acta Orthop Scand. 1968;39(4):456–465. doi: 10.3109/17453676808989663. [DOI] [PubMed] [Google Scholar]