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 110
- Downloads 0
POSTER‹OR SP‹NAL ENSTRÜMANTASYONDA FASET F‹KSASYONU
Omurgan›n metal aparatlar fiksasyonu, spinal füzyon ve korreksiyonun önemli bir bileßenidir. Günümüzde kulland›¤›m›z spinal fiksasyon yöntemleri, geçti¤imiz yüzy›la ait onlarca bulu- ßun neticesinde gelißmiß ve son hal...
PROF. ALİ FAHİR ÖZER, M.D.
Ali Fahir Özer was born in 1953 in Gumushane. He gratuated from Erzurum Ataturk University in 1976. He completed his residency at Hacettepe University. In 1989 he became an associate professor and in 1994 he became a ful...
THE EVALUATION OF STABILITY OF POSTERIOR FIXATION İN THE EXPERIMENTAL MODEL OF DISCOLIGAMENTOUS INJURY
The aim of the experimental study was to assess stabilizatiorı of the spinal cotumn provided by posterior fixa-îion using triple wlre in total discoligamentous injury of the cervical vertebrae. To achieve this, functiona...
DRUMMOND INSTRUMENTATION IN THE SURGICAL TREATMENT OF IDIOPATHIC SCOLIOSIS
Harrington instrumentation has been extensively employed world-wide in the surgical treatment of idiopathic scoliosis for 25 years. This procedure seems to be disadvantageous in that it has no corrective effect on tho...
BROWN-SÉQUARD SYNDROME DUE TO A CERVICAL GANGLION CYST AFTER LUMBAR SURGERY
Symptomatic ganglion cysts of the cervical spine usually cause progressive neurological deterioration. A 67-year-old female patient presented with acute hemiparesis due to a C3–4 ganglion cyst after lumbar surgery. The...