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Little J. Paige - One of the best experts on this subject based on the ideXlab platform.

  • Change in lung volume following thoracoscopic anterior spinal fusion surgery
    Lippincott Williams & Wilkins, 2017
    Co-Authors: Yu, Caroline G., Grant, Caroline A., Izatt, Maree T., Labrom, Robert D., Askin, Geoffrey N., Adam, Clayton J., Little J. Paige
    Abstract:

    Study Design. Lung volumes and thoracic anatomy were measured from low-dose computed tomography (CT) scans preoperatively and 2 years following thoracoscopic anterior spinal fusion (TASF) for adolescent idiopathic scoliosis (AIS).\ud Objective. The aim of this study was to assess changes in lung volume after TASF surgical correction.\ud Summary of Background Data. AIS patients are known to have decreased pulmonary function as a consequence of their spinal and ribcage Deformity. Several studies have evaluated changes in pulmonary function clinically after scoliosis correction surgery showing varied results. To date, there have been no published studies using CT to evaluate lung volume changes following TASF.\ud Methods. Twenty-three female AIS patients with both pre- and 2 years postoperative low-dose CT scans were selected from an ethically approved, historical databank. Three-dimensional lung volumes were reconstructed to determine anatomical lung volumes. Right and left lung volumes, total lung volume, and right-to-left lung volume ratio were obtained as well as hemithoracic symmetry, to indicate the extent of Thorax Deformity. Cobb angle, rib hump, levels fused in surgery, and patient height were used for correlation analysis with the lung volume results.\ud Results. Left lung volume, total lung volume, and hemithoracic ratio all increased significantly 2 years after surgery. There was no significant change in right-to-left lung volume ratio (P¼0.36). Statistical regression found significant positive correlation between lung volume changes, reduction in Cobb angle, increase in height, and improvement in hemithoracic symmetry ratio.\ud Conclusion. TASF resulted in a statistically significant increase in lung volume following surgery, as well as improvement in the symmetry of the thoracic architecture; however, the postoperative lung volumes remained in the lower 50th percentile relative to females without thoracic Deformity. Furthermore, change in lung volume was significantly correlated with changes in Cobb angle, hemithoracic asymmetry, and increased patient height, which are important consequences of thoracic Deformity correction surgery

  • Change in lung volume following thoracoscopic anterior spinal fusion surgery: a three-dimensional computed tomography investigation
    'Ovid Technologies (Wolters Kluwer Health)', 2017
    Co-Authors: Yu, Caroline G., Grant, Caroline A., Izatt, Maree T., Labrom, Robert D., Askin, Geoffrey N., Adam, Clayton J., Little J. Paige
    Abstract:

    Study Design. Lung volumes and thoracic anatomy were measured from low-dose computed tomography (CT) scans preoperatively and 2 years following thoracoscopic anterior spinal fusion (TASF) for adolescent idiopathic scoliosis (AIS). Objective. The aim of this study was to assess changes in lung volume after TASF surgical correction. Summary of Background Data. AIS patients are known to have decreased pulmonary function as a consequence of their spinal and ribcage Deformity. Several studies have evaluated changes in pulmonary function clinically after scoliosis correction surgery showing varied results. To date, there have been no published studies using CT to evaluate lung volume changes following TASF. Methods. Twenty-three female AIS patients with both pre- and 2 years postoperative low-dose CT scans were selected from an ethically approved, historical databank. Three-dimensional lung volumes were reconstructed to determine anatomical lung volumes. Right and left lung volumes, total lung volume, and right-to-left lung volume ratio were obtained as well as hemithoracic symmetry, to indicate the extent of Thorax Deformity. Cobb angle, rib hump, levels fused in surgery, and patient height were used for correlation analysis with the lung volume results. Results. Left lung volume, total lung volume, and hemithoracic ratio all increased significantly 2 years after surgery. There was no significant change in right-to-left lung volume ratio (P=0.36). Statistical regression found significant positive correlation between lung volume changes, reduction in Cobb angle, increase in height, and improvement in hemithoracic symmetry ratio. Conclusion. TASF resulted in a statistically significant increase in lung volume following surgery, as well as improvement in the symmetry of the thoracic architecture; however, the postoperative lung volumes remained in the lower 50th percentile relative to females without thoracic Deformity. Furthermore, change in lung volume was significantly correlated with changes in Cobb angle, hemithoracic asymmetry, and increased patient height, which are important consequences of thoracic Deformity correction surgery

Malgorzata Domagalskaszopa - One of the best experts on this subject based on the ideXlab platform.

  • correlation between respiratory function and spine and Thorax Deformity in children with mild scoliosis
    Medicine, 2017
    Co-Authors: Andrzej Szopa, Malgorzata Domagalskaszopa
    Abstract:

    Idiopathic scoliosis (IS) is the most common 3-dimensional deformation abnormality of the spine with direct effects on the thoracic cage and can potentially affect respiratory function.The purpose of the present study was to recognize whether the 3-dimensional displacement of the spine and trunk as a consequence of IS directly influences and diminishes respiratory function in children with mild IS.The study involved 68 children aged 10 to 12 years with mild thoracic or thoracolumbar IS who were the outpatients of the local Center for Corrective Gymnastics. The study consisted of 2 interrelated parts: the body posture examination using a Moire topography and the spirometric examination including measurements of basic ventilatory parameters (vital capacity [VC], forced vital capacity [FVC], forced expiratory volume in 1 second [FEV1], and FEV1/FVC).For the majority of subjects, the results of VC were within the normal range and did not confirm the existence of features characteristic for ventilatory functional restriction. The VC does not depend on the curvature angle value or the degree of rotation of vertebral bodies. It was observed that VC in children with mild IS of 20 to 30 degree depended on thoracic kyphosis, that is, length, depth, and the thoracic kyphosis length/depth indicator.The results of performed study showed that in children with mild IS the lung volumes are reduced not only by an increased angle of the lateral curvature but also by the degree of loss of normal thoracic kyphosis. The regular respiratory function testing and back-shape analysis are advisable in children with thoracic and thoracolumbar mild IS.

Yu, Caroline G. - One of the best experts on this subject based on the ideXlab platform.

  • Change in lung volume following thoracoscopic anterior spinal fusion surgery
    Lippincott Williams & Wilkins, 2017
    Co-Authors: Yu, Caroline G., Grant, Caroline A., Izatt, Maree T., Labrom, Robert D., Askin, Geoffrey N., Adam, Clayton J., Little J. Paige
    Abstract:

    Study Design. Lung volumes and thoracic anatomy were measured from low-dose computed tomography (CT) scans preoperatively and 2 years following thoracoscopic anterior spinal fusion (TASF) for adolescent idiopathic scoliosis (AIS).\ud Objective. The aim of this study was to assess changes in lung volume after TASF surgical correction.\ud Summary of Background Data. AIS patients are known to have decreased pulmonary function as a consequence of their spinal and ribcage Deformity. Several studies have evaluated changes in pulmonary function clinically after scoliosis correction surgery showing varied results. To date, there have been no published studies using CT to evaluate lung volume changes following TASF.\ud Methods. Twenty-three female AIS patients with both pre- and 2 years postoperative low-dose CT scans were selected from an ethically approved, historical databank. Three-dimensional lung volumes were reconstructed to determine anatomical lung volumes. Right and left lung volumes, total lung volume, and right-to-left lung volume ratio were obtained as well as hemithoracic symmetry, to indicate the extent of Thorax Deformity. Cobb angle, rib hump, levels fused in surgery, and patient height were used for correlation analysis with the lung volume results.\ud Results. Left lung volume, total lung volume, and hemithoracic ratio all increased significantly 2 years after surgery. There was no significant change in right-to-left lung volume ratio (P¼0.36). Statistical regression found significant positive correlation between lung volume changes, reduction in Cobb angle, increase in height, and improvement in hemithoracic symmetry ratio.\ud Conclusion. TASF resulted in a statistically significant increase in lung volume following surgery, as well as improvement in the symmetry of the thoracic architecture; however, the postoperative lung volumes remained in the lower 50th percentile relative to females without thoracic Deformity. Furthermore, change in lung volume was significantly correlated with changes in Cobb angle, hemithoracic asymmetry, and increased patient height, which are important consequences of thoracic Deformity correction surgery

  • Change in lung volume following thoracoscopic anterior spinal fusion surgery: a three-dimensional computed tomography investigation
    'Ovid Technologies (Wolters Kluwer Health)', 2017
    Co-Authors: Yu, Caroline G., Grant, Caroline A., Izatt, Maree T., Labrom, Robert D., Askin, Geoffrey N., Adam, Clayton J., Little J. Paige
    Abstract:

    Study Design. Lung volumes and thoracic anatomy were measured from low-dose computed tomography (CT) scans preoperatively and 2 years following thoracoscopic anterior spinal fusion (TASF) for adolescent idiopathic scoliosis (AIS). Objective. The aim of this study was to assess changes in lung volume after TASF surgical correction. Summary of Background Data. AIS patients are known to have decreased pulmonary function as a consequence of their spinal and ribcage Deformity. Several studies have evaluated changes in pulmonary function clinically after scoliosis correction surgery showing varied results. To date, there have been no published studies using CT to evaluate lung volume changes following TASF. Methods. Twenty-three female AIS patients with both pre- and 2 years postoperative low-dose CT scans were selected from an ethically approved, historical databank. Three-dimensional lung volumes were reconstructed to determine anatomical lung volumes. Right and left lung volumes, total lung volume, and right-to-left lung volume ratio were obtained as well as hemithoracic symmetry, to indicate the extent of Thorax Deformity. Cobb angle, rib hump, levels fused in surgery, and patient height were used for correlation analysis with the lung volume results. Results. Left lung volume, total lung volume, and hemithoracic ratio all increased significantly 2 years after surgery. There was no significant change in right-to-left lung volume ratio (P=0.36). Statistical regression found significant positive correlation between lung volume changes, reduction in Cobb angle, increase in height, and improvement in hemithoracic symmetry ratio. Conclusion. TASF resulted in a statistically significant increase in lung volume following surgery, as well as improvement in the symmetry of the thoracic architecture; however, the postoperative lung volumes remained in the lower 50th percentile relative to females without thoracic Deformity. Furthermore, change in lung volume was significantly correlated with changes in Cobb angle, hemithoracic asymmetry, and increased patient height, which are important consequences of thoracic Deformity correction surgery

Mehmet Ozcan Ersoy - One of the best experts on this subject based on the ideXlab platform.

  • Anesthesia Management in a Child with Osteogenesis Imperfecta and Epidural Hemorrhage
    Elsevier, 2013
    Co-Authors: Mehmet Ali Erdoğan, Mukadder Sanlı, Mehmet Ozcan Ersoy
    Abstract:

    Osteogenesis Imperfecta (OI) results from gene mutation that causes defective or insufficient collagen formation. It may cause various anesthetic complications due to the difficulty in airway management, existence of spinal Deformity, respiratory disorders, cardiac anomalies, thrombocyte function disorder, risk of hyperthermia, bacillary invagination, bone deformities and metabolic disorders. The anesthesia management of OI patients should be exercised with caution given certain risks of respiratory disorders. These risks are due to Thorax Deformity, bone fractures during moving or changing position, mandibular and cervical fractures related with intubation, difficult intubation and malignant hyperthermia. The anesthetic technique using Total Intravenous Anesthesia (TIVA) and laryngeal mask airway is suitable for pediatric patient care with OI. However, these techniques have not yet been reported as useful in neurosurgery case reports. In this study, we present the use of TIVA and ProSeal Laringeal Mask in a child with OI and epidural hemorrhage. We came to the conclusion that LMA and TIVA can safely be used in the anesthetic management of OI patients with severe anesthetic problems. Keywords: Anesthesia, Anesthesia, Intravenous, Hematoma, Epidural, Cranial, Laryngeal Masks, Osteogenesis Imperfect

  • © 2013 Sociedade Brasileira de Anestesiologia. Published by Elsevier Editora Ltda. Anesthesia Management in a Child with Osteogenesis
    2012
    Co-Authors: Bras Anestesiol, Epidural Hemorrhage, Mehmet Ali Erdoğan, Mukadder Sanlı, Mehmet Ozcan Ersoy
    Abstract:

    Osteogenesis Imperfecta (OI) results from gene mutation that causes defective or insuffi cient collagen formation. It may cause various anesthetic complications due to the diffi culty in airway management, existence of spinal Deformity, respiratory disorders, cardiac anomalies, thrombocyte function disorder, risk of hyperthermia, bacillary invagination, bone deformities and metabolic disorders. The anesthesia management of OI patients should be exercised with caution given certain risks of respiratory disorders. These risks are due to Thorax Deformity, bone fractures during moving or changing position, mandibular and cervical fractures related with intubation, diffi cult intubation and malignant hyperthermia. The anesthetic technique using Total Intravenous Anesthesia (TIVA) and laryngeal mask airway is suitable for pediatric patient care with OI. However, these techniques have not yet been reported as useful in neurosurgery case reports. In this study, we present the use of TIVA and ProSeal Laringeal Mask in a child with OI and epidural hemorrhage. We came to the conclusion that LMA and TIVA can safely be used in the anesthetic managemen

Andrzej Szopa - One of the best experts on this subject based on the ideXlab platform.

  • correlation between respiratory function and spine and Thorax Deformity in children with mild scoliosis
    Medicine, 2017
    Co-Authors: Andrzej Szopa, Malgorzata Domagalskaszopa
    Abstract:

    Idiopathic scoliosis (IS) is the most common 3-dimensional deformation abnormality of the spine with direct effects on the thoracic cage and can potentially affect respiratory function.The purpose of the present study was to recognize whether the 3-dimensional displacement of the spine and trunk as a consequence of IS directly influences and diminishes respiratory function in children with mild IS.The study involved 68 children aged 10 to 12 years with mild thoracic or thoracolumbar IS who were the outpatients of the local Center for Corrective Gymnastics. The study consisted of 2 interrelated parts: the body posture examination using a Moire topography and the spirometric examination including measurements of basic ventilatory parameters (vital capacity [VC], forced vital capacity [FVC], forced expiratory volume in 1 second [FEV1], and FEV1/FVC).For the majority of subjects, the results of VC were within the normal range and did not confirm the existence of features characteristic for ventilatory functional restriction. The VC does not depend on the curvature angle value or the degree of rotation of vertebral bodies. It was observed that VC in children with mild IS of 20 to 30 degree depended on thoracic kyphosis, that is, length, depth, and the thoracic kyphosis length/depth indicator.The results of performed study showed that in children with mild IS the lung volumes are reduced not only by an increased angle of the lateral curvature but also by the degree of loss of normal thoracic kyphosis. The regular respiratory function testing and back-shape analysis are advisable in children with thoracic and thoracolumbar mild IS.