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Halo-gravity traction combined with assisted ventilation: an effective pre-operative management for severe adult scoliosis complicated with respiratory dysfunction

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Abstract

Purpose

To investigate the change of pulmonary function in adult scoliosis patients with respiratory dysfunction undergoing HGT combined with assisted ventilation.

Methods

21 adult patients were retrospectively reviewed with a mean age of 26.2 years. Inclusion criteria were as follows: age over 18 years old; coronal Cobb angle greater than 100°; with respiratory failure; and duration of HGT more than 1 month. All patients underwent respiratory training.

Results

The Cobb angle averaged 131.21° and was reduced to 107.68° after HGT. Significantly increased mean forced vital capacity (FVC) was found after HGT (P = 0.003) with significantly improved percent-predicted values for FVC (P < 0.001). Meanwhile, significantly increased forced expiratory volume in 1 s (FEV1) was also observed (P < 0.001) with significantly improved percent-predicted values for FEV1 (P = 0.003) after HGT.

Conclusion

The results of our study revealed that combined HGT and assisted ventilation would be beneficial to pulmonary function improvement in severe adult scoliosis cases, most of which were young adults.

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Acknowledgments

This work was supported by Talent Program of Jiangsu.

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Author notes

    Authors and Affiliations

    1. Spine Surgery, The Affiliated Drum Tower Hospital of Nanjing University Medical School, Zhongshan Road 321, Nanjing, 210008, China

      Hongda Bao, Peng Yan, Yong Qiu, Zezhang Zhu, Zhen Liu & Feng Zhu

    2. Geisel School of Medicine, Dartmouth College, Hanover, NH, USA

      Mike Bao

    3. Prince of Wales Hospital, Chinese University of Hong Kong, Hong Kong, China

      Jack C. Y. Cheng, Bobby K. W. Ng & Feng Zhu

    4. The Joint Scoliosis Research Center of Nanjing University and the Chinese University of Hong Kong, Hong Kong, China

      Hongda Bao, Peng Yan, Yong Qiu, Zezhang Zhu, Zhen Liu, Jack C. Y. Cheng, Bobby K. W. Ng & Feng Zhu

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    1. Hongda Bao
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    Correspondence to Feng Zhu.

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    Dr H. Bao and Dr P. Yan contribute equally to this study.

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    Bao, H., Yan, P., Bao, M. et al. Halo-gravity traction combined with assisted ventilation: an effective pre-operative management for severe adult scoliosis complicated with respiratory dysfunction. Eur Spine J 25, 2416–2422 (2016). https://doi.org/10.1007/s00586-016-4607-0

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    • DOI: https://doi.org/10.1007/s00586-016-4607-0

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