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01-09-2013 | Case Report

Improvement of atelectasis after corrective fusion for lordoscoliosis with intrathoracic vertebral protrusion in arthrogryposis multiplex congenita: efficacy of positive-pressure ventilation test

Authors: Shiro Imagama, Noriaki Kawakami, Taichi Tsuji, Tetsuya Ohara, Ayato Nohara, Yuji Matsubara, Tokumi Kanemura, Yoshito Katayama, Ryoji Tauchi, Naoki Ishiguro

Published in: Journal of Orthopaedic Science | Issue 5/2013

Excerpt

Preoperative respiratory complications of spinal deformity are common, and many cases have restrictive ventilatory impairment associated with thoracic deformity accompanying spinal deformity [1]. In surgery performed for idiopathic scoliosis with restrictive ventilatory impairment, the thorax is expanded by correction of the spinal deformity alone, and respiratory function is improved after surgery [2]. However, in syndromic scolioses such as arthrogryposis multiplex congenita (AMC), development of thoracic lordoscoliosis may cause another respiratory disorder. Global lordotic deformity substantially decreases the thoracic AP diameter and impairs the rib dynamics, resulting in greater disturbance of respiratory function [3]. Cases with respiratory disorder caused by compression of the bronchus by lordoscoliosis-induced anterior protrusion of the vertebral body have also been reported [4, 5]. …

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Title: Improvement of atelectasis after corrective fusion for lordoscoliosis with intrathoracic vertebral protrusion in arthrogryposis multiplex congenita: efficacy of positive-pressure ventilation test
Authors: Shiro Imagama
Noriaki Kawakami
Taichi Tsuji
Tetsuya Ohara
Ayato Nohara
Yuji Matsubara
Tokumi Kanemura
Yoshito Katayama
Ryoji Tauchi
Naoki Ishiguro
Publication date: 01-09-2013
Publisher: Springer Japan
Published in: Journal of Orthopaedic Science / Issue 5/2013
Print ISSN: 0949-2658
Electronic ISSN: 1436-2023
DOI: https://doi.org/10.1007/s00776-012-0216-x

At a glance: The STEP trials

Springer Medicine

Improvement of atelectasis after corrective fusion for lordoscoliosis with intrathoracic vertebral protrusion in arthrogryposis multiplex congenita: efficacy of positive-pressure ventilation test

Excerpt

At a glance: The STEP trials

Springer Medicine

Excerpt

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