SCOLIOSIS PREVALENCE IN CONGENITAL HEART DISEASE PATIENTS
Journal Title: Journal of Turkish Spinal Surgery - Year 2012, Vol 23, 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 EP676708
- DOI -
- Views 138
- Downloads 0
TREATMENT OF PRESSURE SORES İN PARAPLEGIC PATIENTS WITH GLUTEAL PERFORATOR BASED FLAP
Between 1993 and 1995, eleven paraplegic patients with sacral pressure sores were operated in Ege University Medical Faculty, Department of Orthopaedics. Avarage age during the operation was 34 (min. 18-max. 46) years. N...
COMPARISON OF ANTERIOR PLATE VS. ROD SYSTEMS IN TREATMENT OF TUBERCULOSIS SPONDYLITIS
Anterior debridement, strut grafting and instrumentation have an increasing popularity in the treatment of tuberculosis of spine. Anterior fixation can be done either by a plate or a rod system. In this study, 73 pat...
METHODS OF SURGİCAL TREATMENT FOR THE PRIMARY TUMORS OF THE SPINE
Primary tumors of the spine are rarely seen. When they are located on the body or posterior elements, the patient first complains of back ache. After an appropriate diagnostic evaluation, the next step would be preoperat...
POSTOPERATIVE CERVICAL SPINAL EPIDURAL HEMATOMAS; TWO CASE REPORTS AND LITERATURE REVIEW
Postoperative spinal epidural hematomas are rarely seen and mostly asymptomatic. Urgent surgery is advised in case of the occurrence of neurologic deterioration. Here, we presented two cervical spinal surgery case repor...
SPINAL STENOSIS-MECHANICS
Intial Symptoms Patients with spinal stenosis always commence with sensory problems long before motor symptoms appear. They feel unnatural heaviness or deadness of the limbs and a sense that their legs are going to giv...