Quality of Life During Pregnancy, Caesarean Section Rate, and Anesthesia in Women with a History of Anterior Correction Surgery for Lumbar Scoliosis: A Case-Control Study

Cao, Yun; Shu, Shibin; Jing, Wenting; Zhu, Zezhang; Qiu, Yong; Bao, Hongda

doi:10.12659/msm.926960

Cited by 6 publications

(15 citation statements)

References 21 publications

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“…While more than half of the studies were published prior to 2010 (N.=30), 10 - 12 , 14 , 16 , 17 , 20 - 23 , 25 , 28 , 31 , 33 , 34 , 36 - 38 , 45 - 49 , 51 - 54 , 56 - 58 some were published in the last decade (2011-2023) (N.=20) 6 , 15 , 18 , 19 , 24 , 26 , 27 , 29 , 30 , 32 , 35 , 39 , 41 - 44 , 50 , 55 , 59 , 60 including 14 published post-2015. 6 , 15 , 18 , 19 , 26 , 27 , 32 , 35 , 39 , 41 - 44 , 59 The mean age of participants was difficult to estimate as some studies provided the mean age of the entire population, which included both male and female participants. In contrast, others reported the mean age at the end of the scoliosis treatment, whether conservative or surgical.…”

Section: Evidence Synthesismentioning

confidence: 99%

“…Twenty-seven studies examined pregnancy-related outcomes explicitly looking at the success and number of pregnancies. 10 - 12 , 15 , 17 , 18 , 20 , 21 , 24 , 25 , 27 - 30 , 32 , 33 , 35 , 36 , 38 , 39 , 42 - 44 , 55 , 56 , 58 , 60 From these studies, seven reported outcomes in the conservatively managed patients, 10 , 15 , 21 , 28 , 29 , 32 , 43 11 in surgically managed patients, 18 , 20 , 24 , 27 , 33 , 36 , 39 , 42 , 55 , 56 , 60 and nine in mixed patient groups ( i.e. , managed conservatively (brace) or surgically).…”

Section: Evidence Synthesismentioning

confidence: 99%

See 1 more Smart Citation

The impact of pregnancy on women with adolescent idiopathic scoliosis: a scoping review

THEROUX,

BROWN,

MARCHESE

et al. 2023

Eur J Phys Rehabil Med

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INTRODUCTION Adolescent idiopathic scoliosis is the most common spinal deformity encountered in adolescents and larger curves are more prevalent in girls. For females with scoliosis, women’s health issues are of particular concern, especially pregnancy. The aim of this review was to summarise the best available evidence to determine the influence of pregnancy on scoliosis-related outcomes in women with scoliosis and whether scoliosis affects maternal-health outcomes, differentiating between patients who have been managed conservatively and/or surgically. EVIDENCE ACQUISITION A search was conducted using CINAHL, Scopus, Cochrane Database, MEDLINE, and EMBASE from inception to May 2023 to identify relevant articles in any language. The scoping review followed the PRISMA-ScR guidelines. Studies were eligible if they included pregnant women (primiparous or multiparous) with a diagnosis of scoliosis of unknown aetiology. The results were summarized by outcomes, including pregnancy and scoliosis-related outcomes and type of management. EVIDENCE SYNTHESIS Our comprehensive search strategy identified 6872 articles, of which 50 articles were eligible for this review. Back pain appears to be more prevalent in this population during pregnancy and associated with the major curve and the decrease of lumbar lordosis. There have been reports of failed attempted spinal anaesthesia among patients with instrumented scoliosis correction and minor complications related to epidural anaesthesia at a higher rate compared to non-instrumented patients and healthy controls, however successful spinal analgesia can be achieved in patients with instrumented scoliosis correction. Overall, the caesarean section rate was similar in scoliosis patients compared to controls without scoliosis and to national averages. Curve progression occurs in some but not all patients during pregnancy, and this phenomenon occurs irrespective of the treatment received. CONCLUSIONS Higher-quality prospective longitudinal research is needed to understand the relationship between pregnancy and adolescent idiopathic scoliosis. Further, the patient’s perspective, concerns and fears surrounding pregnancy with scoliosis are yet to be explored. Exploring the impact of pregnancy on women with adolescent idiopathic scoliosis would have clinically relevant outcomes and could help provide pertinent answers to patients and healthcare workers and help guide future research.

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Section: Evidence Synthesismentioning

confidence: 99%

Section: Evidence Synthesismentioning

confidence: 99%

The impact of pregnancy on women with adolescent idiopathic scoliosis: a scoping review

THEROUX,

BROWN,

MARCHESE

et al. 2023

Eur J Phys Rehabil Med

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“…1 Namely, rigid anterior scoliosis correction has a number of significant advantages compared to posterior interventions: it allows to reduce the number of instrumented segments, 15 allows for correction comparable to posterior instrumentation, 16 , 17 , 18 , 19 diminishes the risks of neurological complications, 20 , 21 as well as the rate of complications associated with wound healing. 19 Additionally, female patients experience less difficulties during pregnancy and childbirth (pregnancy proceeds as in healthy individuals) 22 and the long-term outcomes have proven to be excellent (more than 15 years follow-up). 23 In general, there is little difference in radiological or clinical outcomes in patients with Lenke type 5 scoliosis treated through anterior or posterior approaches.…”

Section: Introductionmentioning

confidence: 99%

Comparison of long-term results of anterior surgical correction of Lenke type 5 idiopathic scoliosis using dynamic and rigid fixation in patients with complete or near-complete skeletal maturity

Pereverzev,

Kolesov,

Kazmin

et al. 2024

World Neurosurgery: X

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“…Although some studies have suggested that females with a history of IS have higher rates of CSs,7–9 other studies have disputed these results 10–16. Similarly, IS has been associated with lower rates of perinatal neuraxial anesthesia use in some studies,2,14,15,17 with other studies showing no significant influence of IS on regional anesthesia decision making or success of the epidural placement 18,19. These prior studies were relatively small, with fewer than 300 subjects in total, except for one meta-analysis of these small studies 20.…”

mentioning

confidence: 99%

“…It remains unclear whether IS, with or without posterior spine instrumentation and fusion (PSIF), influences rates of cesarean section (CS) or EA at the time of delivery. Although some studies have suggested that females with a history of IS have higher rates of CSs,7–9 other studies have disputed these results 10–16. Similarly, IS has been associated with lower rates of perinatal neuraxial anesthesia use in some studies,2,14,15,17 with other studies showing no significant influence of IS on regional anesthesia decision making or success of the epidural placement 18,19.…”

mentioning

confidence: 99%

The Effect of Adolescent Idiopathic Scoliosis on Natural Delivery and Epidural Use in Pregnant Females: A Matched Cohort Study

Chapek

Kessler

Poon

et al. 2023

Spine

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Study Design. Retrospective matched cohort study. Objective. The aim of this study was to determine whether females with idiopathic scoliosis (IS), both with and without spine fusion, experience different rates of cesarean section (CS) and epidural anesthesia (EA) than females without scoliosis. Summary of Background Data. IS is a common spine condition with a higher prevalence in females. It is unclear whether females with scoliosis, treated nonoperatively or operatively, have different rates of cesarean delivery or EA. Materials and Methods. Patients with IS who delivered in our integrated health care system during a 6-year period were identified (N = 1810). They were matched with a group without scoliosis who delivered during the same period (N = 1810). Rates and relative risk (RR) of CS and EA between cohorts and subgroups were calculated. Results. The scoliosis cohort had significantly higher rates and RR of EA (P = 0.002 and P = 0.004, respectively). Scoliosis patients treated nonoperatively had an 8% greater RR of EA (P = 0.004) and had a significantly lower rate of CS (23.2% vs. 26%, P = 0.048) compared with the control group. Among only scoliosis patients, those treated with spine fusion had a 38% decreased RR of EA (P < 0.001). Distal fusion level did not seem to influence the RR of EA or CS. Conclusions. Females with scoliosis were significantly more likely to receive EA at delivery compared with females without scoliosis. Rates and RR of cesarean delivery were not significantly lower among women with scoliosis, but females treated nonoperatively for scoliosis had a significantly lower CS rate than those without scoliosis. Females treated with spine fusion for scoliosis were far less likely to receive EA than both females without scoliosis and females with scoliosis treated nonoperatively.

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Quality of Life During Pregnancy, Caesarean Section Rate, and Anesthesia in Women with a History of Anterior Correction Surgery for Lumbar Scoliosis: A Case-Control Study

Cited by 6 publications

References 21 publications

The impact of pregnancy on women with adolescent idiopathic scoliosis: a scoping review

The impact of pregnancy on women with adolescent idiopathic scoliosis: a scoping review

Comparison of long-term results of anterior surgical correction of Lenke type 5 idiopathic scoliosis using dynamic and rigid fixation in patients with complete or near-complete skeletal maturity

The Effect of Adolescent Idiopathic Scoliosis on Natural Delivery and Epidural Use in Pregnant Females: A Matched Cohort Study

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