脊柱融合术对先天性脊柱侧凸患者肺功能的影响。

IF 0.6 4区医学 Q4 ORTHOPEDICS

Acta Ortopedica Brasileira Pub Date : 2025-06-02 eCollection Date: 2025-01-01 DOI:10.1590/1413-785220253302e284920

José Alberto Alves Oliveira, Rogério Dos Reis Visconti, Antônio Eulálio Pedrosa Araújo, Paulo Goberlânio de Barros Silva, Luis Eduardo Carelli, José Roberto Lapa E Silva

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引用次数: 0

摘要

目的：评价在术后长期随访（15年以上）中，前后路联合脊柱融合术和单纯后路融合对先天性脊柱侧凸患者肺功能的影响。方法：1997年3月~ 2009年12月手术的5例患者，分组：双入路经开胸前路关节融合术与单纯后路关节融合术。数据在SPSS 20.0中处理。均值比较（学生t检验和方差分析，或Mann-Whitney和Kruskal-Wallis/Dunn）， p = 0.05。结果：两组患者术前与末次随访时肺功能FVC（用力肺活量）、FEV1（用力呼气量1秒）、胸主曲线Cobb、胸后凸的绝对百分比和预测百分比比较，差异均无统计学意义（p < 0.05）。结论：平均随访17年，两组患者术前、术后肺功能参数无显著差异，影像学指标也无显著差异。证据等级IV；联赛情况。

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IMPACT ON PULMONARY FUNCTION AFTER SPINAL FUSION IN CONGENITAL SCOLIOSIS.

Purpose: To evaluate the effect, in long-term postoperative follow-up (more than 15 years), of combined spinal fusion (anterior and posterior) and only posterior on the pulmonary function of patients with congenital scoliosis.

Methods: Case series with five patients, operated on from 03/1997 to 12/2009, groups: dual approach with anterior arthrodesis through thoracotomy versus only posterior arthrodesis. Data processed in SPSS 20.0. Comparison of means (Student's t-test and Anova, or Mann-Whitney and Kruskal-Wallis/Dunn) with p = 0.05.

Results: There was no difference in the absolute and predicted percentage values of pulmonary function FVC (Forced Vital Capacity) and FEV1 (Forced Expiratory Volume in 1 Second), Cobb of the main thoracic curve and thoracic kyphosis between the groups, in the preoperative and last follow-up (p>0.05).

Conclusion: There were no significant differences in preoperative and postoperative pulmonary function parameters between the groups, after an average follow-up of 17 years, and there were also no significant differences in relation to the radiographic variables evaluated. Level of evidence IV; Serie Cases.

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来源期刊

Acta Ortopedica Brasileira Orthopedics-

CiteScore

0.90

自引率

14.30%

发文量

审稿时长

25 weeks

期刊介绍： A Revista Acta Ortopédica Brasileira, órgão oficial do Departamento de Ortopedia e Traumatologia da Faculdade de Medicina da Universidade de São Paulo (DOT/FMUSP), é publicada bimestralmente em seis edições ao ano (jan/fev, mar/abr, maio/jun, jul/ago, set/out e nov/dez) com versão em inglês disponível nos principais indexadores nacionais e internacionais e instituições de ensino do Brasil. Sendo hoje reconhecidamente uma importante contribuição para os especialistas da área com sua seriedade e árduo trabalho para as indexações já conquistadas.