Monitoring Sleep-Breathing Disorders in Patients with Idiopathic Scoliosis.

IF 4.4 1区医学 Q1 ORTHOPEDICS

Journal of Bone and Joint Surgery, American Volume Pub Date : 2025-03-27 DOI:10.2106/JBJS.24.00867

Erwei Feng, Junduo Zhao, Wenhao Cao, Yang Jiao, Haoyu Cai, Zhen Wang, Xu'an Huang, Yi Xiao, Jianxiong Shen

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引用次数: 0

Abstract

Background: Idiopathic scoliosis (IS) is the most common spinal deformity and is often accompanied by abnormal respiratory function.

Methods: This study investigated the correlations among radiographic parameters, pulmonary function tests, and sleep-breathing monitoring in patients with IS. The clinical data of patients with IS admitted to our hospital for scoliosis surgery between January 2020 and March 2022 were retrospectively collected. Radiographic measurements, including scoliosis and thoracic malformation parameters, were performed. Pulmonary function measurements and sleep-breathing monitoring results were collected for correlation analysis.

Results: Overall, 19.8% of the 81 participants were diagnosed with obstructive sleep apnea. The sleep-breathing monitoring results showed a significant correlation between the main thoracic curvature and the lowest oxygen saturation (SpO2) (r = -0.233; p = 0.036). The degree of thoracic kyphosis significantly correlated with FEV1/FVC (forced expiratory volume in 1 second/forced vital capacity) and FEV1. FEV1 was significantly correlated with the oxygen desaturation index (ODI) (r = -0.242; p = 0.03), as was FVC.

Conclusions: In this study, 19.8% of the patients with thoracic IS had obstructive sleep apnea. In patients with IS, the severity of pulmonary function decline and SpO2 during sleep-breathing correlated with the severity of thoracic scoliosis, whereas the decline in pulmonary function correlated with the ODI during sleep-breathing.

Level of evidence: Prognostic Level IV. See Instructions for Authors for a complete description of levels of evidence.

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特发性脊柱侧凸患者睡眠呼吸障碍的监测。

背景：特发性脊柱侧凸（Idiopathic scoliosis， IS）是最常见的脊柱畸形，常伴有呼吸功能异常。方法：本研究探讨IS患者的影像学参数、肺功能检查和睡眠呼吸监测之间的相关性。回顾性收集2020年1月至2022年3月在我院行脊柱侧凸手术的IS患者的临床资料。影像学测量包括脊柱侧凸和胸部畸形参数。收集肺功能测量和睡眠呼吸监测结果进行相关性分析。结果：总体而言，81名参与者中有19.8%被诊断为阻塞性睡眠呼吸暂停。睡眠-呼吸监测结果显示，主胸曲度与最低血氧饱和度（SpO2）有显著相关性(r = -0.233；P = 0.036)。胸后凸程度与FEV1/FVC（1秒用力呼气量/用力肺活量）和FEV1显著相关。FEV1与氧去饱和指数（ODI）显著相关(r = -0.242；p = 0.03)， FVC也是如此。结论：在本研究中，19.8%的胸腔IS患者存在阻塞性睡眠呼吸暂停。IS患者睡眠呼吸时肺功能下降严重程度和SpO2与胸侧凸严重程度相关，而肺功能下降与睡眠呼吸时ODI相关。证据等级：预后四级。参见《作者说明》获得证据等级的完整描述。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Bone and Joint Surgery, American Volume 医学-外科

CiteScore

8.90

自引率

7.50%

发文量

660

审稿时长

1 months

期刊介绍： The Journal of Bone & Joint Surgery (JBJS) has been the most valued source of information for orthopaedic surgeons and researchers for over 125 years and is the gold standard in peer-reviewed scientific information in the field. A core journal and essential reading for general as well as specialist orthopaedic surgeons worldwide, The Journal publishes evidence-based research to enhance the quality of care for orthopaedic patients. Standards of excellence and high quality are maintained in everything we do, from the science of the content published to the customer service we provide. JBJS is an independent, non-profit journal.