Year : 2012 | Volume
: 46 | Issue : 1 | Page : 77--80
Scoliosis after thoracotomy/sternotomy in children with congenital heart disease
Hojjat Hosseinpour Feiz1, Abbas Afrasiabi2, Rezayat Parvizi2, Ahad Safarpour1, Rohollah Fadaei Fouladi3
1 Department of Orthopedics, Tabriz University of Medical Sciences, Shohada Hospital, Tabriz, Iran
2 Department of Cardiac Surgery, Tabriz University of Medical Sciences, Madani Hospital, Tabriz, Iran
3 Researcher, Department of Radiology, Imam Reza Hospital, Tabriz, Iran
Context: Congenital heart disease (CHD) patients bear a higher risk of scoliosis during their lifetime compared to their normal counterparts. On the other hand, operation on chest wall has been shown to increase the risk of scoliosis. However, the data are inconclusive. The present retrospective analysis is undertaken to determine the frequency of post-thoracotomy/sternotomy scoliosis in children with CHD.
Materials and Methods: One hundred and eighty children with CHD who underwent thoracotomy/sternotomy and had a minimum followup of 3 years in a teaching center from 1997 to 2010 were recruited. After operation, all the patients were regularly examined for the development of scoliosis. 102 patients underwent thoracotomy and 78 sternotomy. Student«SQ»s t test, Chi-square test, Fisher«SQ»s exact test were used for statistical analyses.
Results: Eighty-eight males and 92 females with a mean age of 9.95 ± 2.31 (range: 5-15) years were enrolled. The mean age at operation was 2.59 ± 1.66 (range: 0-9) years and the mean follow-up period was 7.36 ± 2.12 (range: 5-13) years. Scoliosis was confirmed in two patients (1.1%): 1 (1%) in the thoracotomy group (a 12-year-old female operated 2 years earlier with a spinal 22 o convexity to the right and 78 o kyphosis) and another (1.1%) in the sternotomy group (an 8-year-old female operated during her neonatal period with a spinal 23 o convexity to the left).
Conclusion: Scoliosis is not a common finding among the operated children with CHD in our center.
Rohollah Fadaei Fouladi
Department of Radiology, Imam Reza Hospital, Tabriz
|How to cite this article:|
Feiz HH, Afrasiabi A, Parvizi R, Safarpour A, Fouladi RF. Scoliosis after thoracotomy/sternotomy in children with congenital heart disease.Indian J Orthop 2012;46:77-80
|How to cite this URL:|
Feiz HH, Afrasiabi A, Parvizi R, Safarpour A, Fouladi RF. Scoliosis after thoracotomy/sternotomy in children with congenital heart disease. Indian J Orthop [serial online] 2012 [cited 2020 Jan 24 ];46:77-80
Available from: http://www.ijoonline.com/article.asp?issn=0019-5413;year=2012;volume=46;issue=1;spage=77;epage=80;aulast=Feiz;type=0