J Child Orthop. 2013 Oct;7(4):301-7. doi: 10.1007/s11832-013-0519-2. Epub 2013 Aug 10.
Scoliosis after chest wall resection.
Journal of children's orthopaedics
Michael P Glotzbecker, Meryl Gold, Mark Puder, M Timothy Hresko
Affiliations
Affiliations
- Department of Orthopaedic Surgery, Instructor, Harvard Medical School, Children's Hospital Boston, 300 Longwood Avenue, Hunnewell 2, Boston, MA 02115 USA.
- Department of Surgery, Children's Hospital Boston, Boston, MA 02115 USA.
PMID: 24432091
PMCID: PMC3799930 DOI: 10.1007/s11832-013-0519-2
Abstract
BACKGROUND DATA: There has been an increased focus on the role of rib abnormalities in the development of scoliosis. Rib resection may influence the development of scoliosis. Although scoliosis has been identified in patients after thoracotomy, most of the currently available information is from case reports.
METHODS: We examined records of 37 patients who underwent a chest wall or rib resection for rib lesions at our institution during the period of 1992 to 2005. Adequate data was available in 21 patients. We gathered data on demographic information, location of resection, and changes in curvature after resection based on radiograph or scout CT films at the latest follow-up appointment.
RESULTS: Fourteen of 21 patients developed scoliosis with a mean Cobb angle of 25.8° (10°-70°). Eleven of these 14 patients had a progressive spinal deformity after chest wall resection with an average change in curvature of 29° (10°-70°). Eight of those 11 developed a convex toward the resection, while 3/11 developed a convex away from the resection. Seven of the eight patients with resections that included a rib superior to the sixth rib developed scoliosis, while four of 13 with resections below the sixth rib developed scoliosis.
CONCLUSION: Patients who have had a rib or chest wall resection are at risk for developing scoliosis, particularly if the resection is performed above the sixth rib.
Keywords: Chest wall lesion; Chest wall resection; Rib fusion; Rib resection; Thoracogenic scoliosis
References
- J Bone Joint Surg Br. 1974 Aug;56B(3):534-40 - PubMed
- J Spinal Disord. 1995 Jun;8(3):179-85 - PubMed
- Spine (Phila Pa 1976). 1990 Aug;15(8):822-5 - PubMed
- Spine (Phila Pa 1976). 1985 Sep;10(7):618-22 - PubMed
- J Pediatr Surg. 1994 Feb;29(2):179-84; discussion 184-5 - PubMed
- J Bone Joint Surg Br. 1961 Feb;43-B:116-20 - PubMed
- AJR Am J Roentgenol. 1983 Sep;141(3):457-60 - PubMed
- Acta Orthop Scand Suppl. 1962;59:1-26 - PubMed
- J Pediatr Surg. 2008 Oct;43(10):1781-5 - PubMed
- Acta Orthop Scand Suppl. 1965;:Suppl 81:1-91 - PubMed
- Pediatrics. 2009 Dec;124(6):e1198-204 - PubMed
- Pediatr Surg Int. 2006 Feb;22(2):135-9 - PubMed
- Plast Reconstr Surg. 1997 Apr;99(4):1030-6 - PubMed
- Spine (Phila Pa 1976). 1991 Mar;16(3):288-92 - PubMed
- J Bone Joint Surg Br. 1971 Nov;53(4):663-71 - PubMed
- J Bone Joint Surg Br. 1979 Feb;61(1):31-5 - PubMed
- Australas Radiol. 1989 Aug;33(3):210-22 - PubMed
- J Bone Joint Surg Br. 1972 Aug;54(3):484-98 - PubMed
- Arch Phys Med Rehabil. 1951 Nov;32(11):722-29 - PubMed
- J Spinal Disord. 1996 Jun;9(3):207-13 - PubMed
- J Bone Joint Surg Am. 2003 Mar;85(3):399-408 - PubMed
- Acta Orthop Scand. 1985 Feb;56(1):43-6 - PubMed
- Spine (Phila Pa 1976). 1993 Sep 15;18(12):1609-15 - PubMed
- J Bone Joint Surg Am. 2005 Nov;87(11):2523-36 - PubMed
- J Spinal Disord. 1994 Dec;7(6):522-7 - PubMed
- Spine (Phila Pa 1976). 1990 Aug;15(8):826-9 - PubMed
- J Bone Joint Surg Br. 1975 May;57(2):142-5 - PubMed
- Spine (Phila Pa 1976). 1992 Jul;17(7):851-4 - PubMed
- J Bone Joint Surg Am. 2004 Aug;86(8):1659-74 - PubMed
- Spine (Phila Pa 1976). 2010 Jan 15;35(2):153-61 - PubMed
- Iowa Orthop J. 2007;27:95-8 - PubMed
- J Bone Joint Surg Am. 1966 Mar;48(2):339-48 - PubMed
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