Causes of Death, Right Ventricular Hypertrophy, and Congenital Heart Disease in Scoliosis

Jm, Shneerson; Gc, Sutton; Pa, Zorab

doi:10.1097/00003086-197809000-00012

Cited by 11 publications

(8 citation statements)

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“…In curvatures involving the thoracic spine, reduced chest wall mobility and impaired excursion occur as a secondary effect of reduced spinal flexibility [88][89][90]. Reduced chest excursion causes restrictive lung dysfunction which is proportional to magnitude of curvature and death by cardiac or respiratory failure can occur when Cobb angle is > 70 [78,[91][92][93][94][95]. Even mild or moderate cases that remain stable are associated with pulmonary dysfunctions including reduced vital capacity, reduced exercise capacity and recurrent respiratory infection [96][97][98][99][100][101][102][103][104][105][106][107].…”

Section: Historical Perspective On Scoliosis Treatment In Western Medmentioning

confidence: 99%

The use of exercises in the treatment of scoliosis: an evidence-based critical review of the literature

Hawes¹

2003

Pediatric Rehabilitation

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The loss of flexibility in a spinal curvature defines it as a structural spinal deformity; a curvature sufficiently mobile to resolve with a change in posture is a non-structural or 'functional' scoliosis which is within the normal limits of movement for a human spine. It, therefore, seems logical that exercise-based therapies designed to improve and/or maintain flexibility and range of motion of the spine and thorax would be useful in the treatment of scoliosis. Recognition of the importance of maintaining flexibility of the thoracic spinal column to avoid scoliosis-associated pulmonary dysfunction made the use of exercise-based therapies a topic of clinical interest in ancient Greece. In recent years, successful prevention of polio epidemics has resulted in a stable change in patient populations such that most individuals diagnosed with scoliosis do not suffer from irreversible central nervous system compromise. As a result, realistic opportunities to examine the role of exercise in treatment of scoliosis are available for the first time in history. A growing body of evidence from independent sources is consistent with the hypothesis that exercise-based approaches can be used effectively to reverse the signs and symptoms of spinal deformity and to prevent progression in children and adults.

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Section: Historical Perspective On Scoliosis Treatment In Western Medmentioning

confidence: 99%

The use of exercises in the treatment of scoliosis: an evidence-based critical review of the literature

Hawes¹

2003

Pediatric Rehabilitation

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“…Because the mechanism for impaired function is reduced, mobility of the chest wall deteriorates with age, pulmonary function deteriorates according to curvature magnitude even when the curvature itself does not progress [41-46]. In severe cases death occurs by respiratory failure [42-46].…”

Section: Introductionmentioning

confidence: 99%

Spinal deformities rehabilitation - state of the art review

Weiss¹

2010

Scoliosis

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BackgroundMedical rehabilitation aims at an improvement in function, capacity and participation. For the rehabilitation of spinal deformities, the goal is to maintain function and prevent secondary symptoms in the short- and long-term. In patients with scoliosis, predictable signs and symptoms include pain and reduced pulmonary function.Materials and methodsA Pub Med review was completed in order to reveal substantial evidence for inpatient rehabilitation as performed in Germany. No evidence has been found in general to support claims for actual inpatient rehabilitation programmes as used today. Nevertheless, as there is some evidence that inpatient rehabilitation may be beneficial to patients with spinal deformities complicated by certain additional conditions, the body of evidence there is for conservative treatment of spinal deformities has been reviewed in order to allow suggestions for outpatient conservative treatment and inpatient rehabilitation.DiscussionToday, for both children and adolescents, we are able to offer intensive rehabilitation programmes lasting three to five days, which enable the patients to acquire the skills necessary to prevent postures fostering scoliosis in everyday life without missing too much of school teaching subjects at home. The secondary functional impairments adult scoliosis patients might have, as in the opinion of the author, still today require the time of 3-4 weeks in the clinical in-patient setting. Time to address psychosocial as well as somatic limitations, namely chronic pains and cardiorespiratory malfunction is needed to preserve the patients working capability in the long-term.ConclusionOutpatient treatment/rehabilitation is sufficient for adolescents with spinal deformities.Inpatient rehabilitation is recommended for patients with spinal deformities and pain or severe restrictive ventilation disorder.

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“…Progressive untreated spinal curvature leads to loss of sitting ability, chronic skin breakdown, and causes difficulties with or thoses and ambulation in a high percentage of patients [9]. Furthermore, cardiopulmonary complications secondary to restrictive mechanical pulmonary deficit may lead to right heart hypertrophy, congestive heart failure, and pre mature death [10].…”

Section: Introductionmentioning

confidence: 99%

Change in Spinal Curvature following Release of Tethered Spinal Cord Associated with Spina bif ida

et al. 1994

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Changes in spinal curvature, scoliosis, kyphosis and lordosis are associated with the growth of patients with myelomenmgocele. Previous investigators have stated that progressive developmental scoliosis is related to tethered spinal cord. In order to investigate the relationship of tethered spinal cord release to progression of spinal curvature, we surveyed the medical records of 262 patients with a history of one or more tethered spinal cord release. For 216 of these patients, a total of 2,369 serial spine x-rays, obtained over a 20-year period, were reviewed by the standard Cobb method for progression of scoliosis, thoracic kyphosis and lordosis. In addition, the serial spine x-rays of 74 patients without clinical findings of tethered spinal cord were collected and reviewed for comparison of progressive scoliosis and kyphosis. One hundred and sixty normal lumbar x-rays were evaluated to compare the progression of the lordotic curve in patients with tethered cord release with a normal population. Progression of scoliosis plateaued or declined following release of tethered cord in patients with lumbar and sacral level lesions, however, tether release did not halt the progression of scoliosis in the thoracic level group. Tethered cord release altered the course of lordosis in L1 through L3 level lesions, but had little affect on the normal progression of lordosis in patients with L4, L5 or sacral level lesions. Finally, tethered spinal cord release appears to be associated with a decrease in the incidence and magnitude of kyphosis.

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Causes of Death, Right Ventricular Hypertrophy, and Congenital Heart Disease in Scoliosis

Cited by 11 publications

References 0 publications

The use of exercises in the treatment of scoliosis: an evidence-based critical review of the literature

The use of exercises in the treatment of scoliosis: an evidence-based critical review of the literature

Spinal deformities rehabilitation - state of the art review

Change in Spinal Curvature following Release of Tethered Spinal Cord Associated with Spina bif ida

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