Thoracogenic scoliosis: coronal deformity progression in paediatric patients.

Sacco, Riccardo; Ould-Slimane, Mourad; Bonnevalle, Michel; Nectoux, Eric; Zago, Alessandra; Dujardin, Franck; Canavese, Federico

Type de document :

Article dans une revue scientifique: Article original

DOI :

10.1007/s00586-022-07498-z

PMID :

36596912

URL permanente :

http://hdl.handle.net/20.500.12210/89885

Titre :

Thoracogenic scoliosis: coronal deformity progression in paediatric patients.

Auteur(s) :

Sacco, Riccardo [Auteur]
CHU Rouen
Ould-Slimane, Mourad [Auteur]
CHU Rouen
Bonnevalle, Michel [Auteur]
Hôpital Jeanne de Flandre [Lille]
Nectoux, Eric [Auteur]

Hôpital Jeanne de Flandre [Lille]
METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694
Zago, Alessandra [Auteur]
CHU Rouen
Dujardin, Franck [Auteur]
CHU Rouen
Canavese, Federico [Auteur]
Hôpital Jeanne de Flandre [Lille]

Titre de la revue :

European Spine Journal

Nom court de la revue :

Eur Spine J

Date de publication :

2023-01-11

ISSN :

1432-0932

Mot(s)-clé(s) en anglais :

Children
Lung resection
Thoracotomy
Scoliosis
Thoracogenic scoliosis

Discipline(s) HAL :

Sciences du Vivant [q-bio]

Résumé en anglais : [en]

Purpose To assess the risk of developing thoracogenic scoliosis (THS) in paediatric patients, depending on the side of lateral thoracotomy (LT) and of spine deviation in the coronal plane by means of logistic regression ...
Lire la suite >Purpose To assess the risk of developing thoracogenic scoliosis (THS) in paediatric patients, depending on the side of lateral thoracotomy (LT) and of spine deviation in the coronal plane by means of logistic regression and scoliosis-free survival analyses. Methods A total of 307 consecutive patients undergoing LT were retrospectively reviewed; 32 patients met the inclusion criteria: 1) underwent LT and developed THS; 2) age < 15 years at LT; 3) clinical and radiographic follow-up ≥ 5 years. Patients were divided into ipsilateral group (convexity ipsilateral to LT) and contralateral group (convexity contralateral to LT). Results The mean follow-up was 10 ± 4.7 in the ipsilateral group (n = 13) and 12 ± 4.8 years in the contralateral group (n = 19). The contralateral group underwent LT at a younger age (4.4 vs 6.4 years, p = 0.55), developed more severe coronal deformity (27.8° vs 18.9°, p = 0.15), had higher rate of THS > 20° (47.5% vs 38.4%; p = 0.34) and > 45° (21.1% vs 0%; p = 0.99). The mean time from LT to THS diagnosis was 4.2 ± 2.9 in ipsilateral group and 5.5 ± 4.2 years in contralateral group. Left-side LT (p = 0.03) and age > 5 years (p = 0.01) showed a lower risk of THS diagnosis. The group variable had a statistically significant effect on the risk of developing THS > 45° (p = 0.03). Conclusion In this series, children that developed THS with a convexity contralateral to the side of LT had more severe and progressive coronal spine deformity. Level of evidence: IIILire moins >

Langue :

Anglais

Audience :

Internationale

Vulgarisation :

Non

Établissement(s) :

Université de Lille
CHU Lille

Collections :

METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694

Date de dépôt :

2023-11-15T02:45:13Z
2024-04-17T14:09:03Z

Numéro de version	Lien	Date de modification
2	20.500.12210/89885*	2024-04-17T14:03:16Z
1	20.500.12210/89885.1	2023-11-15T02:45:13Z

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Thoracogenic scoliosis: coronal deformity ... BibTeX CSV Excel RIS

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Thoracogenic scoliosis: coronal deformity ...

BibTeX

CSV

Excel

RIS