Cao Jun,Zhang Xuejun,Zeng Qi,et al. Clinical study of correcting scoliosis plus pectus excavatum with Nuss procedure in children.[J].Journal of Clinical Pediatric Surgery,,18():13-17.
Clinical study of correcting scoliosis plus pectus excavatum with Nuss procedure in children.
Journal of Clinical Pediatric Surgery[ISSN:1671-6353/CN:43-1380/R]
volume:
第18卷
Number:
2019 01
Page:
13-17
Column:
论著
Date of publication:
2019-01-20
- Keywords:
- ; Child; Funnel Chest; Nuss Procedure; Idiopathic Scoliosis
- Document code:
- A
- Abstract:
- ObjectiveTo evaluate the prevalence and progression of idiopathic scoliosis plus pectus excavatum after Nuss procedure.MethodsA total of 171 pectus excavatum cases were retrospectively reviewed.Chest and spinal radiographic films were taken before Nuss procedure and after bar removal.Several parameters including thoracic kyphosis,sternum rotation,thoracic rotation,thoracic asymmetric ratio and Haller index were compared between scoliosis and nonscoliosis groups.Also the changes of scoliosis were compared between symmetric and asymmetric chest groups.ResultsThe prevalence of scoliosis plus pectus excavatum was 21.1% (36/171) with an average Cobbs angle of 16.87°.In scoliosis group,there were higher values of sternal and thoracic rotation (P<0.05) and no difference existed between Haller index.The scoliosis patients were treated as observation/brace/surgery due to their curve angle.The followup period was 35.73 months.After bar removal,14 cases improved to normal while another 13 normal cases progressed to scoliosis.Scoliosis change occurred more likely in asymmetric chest patients (P<0.05).ConclusionThere is a high prevalence of idiopathic scoliosis in pectus excavatum patients.And scoliosis may change after Nuss procedure.Pediatric chest and orthopedic surgeons should cooperate closely.
Last Update:
2019-01-22