Relationship between pulmonary function and the degree of spinal deformity among adolescent idiopathic scoliosis (AIS) patients

Background: A retrospective record review was conducted among patients aged between 13 to 24 years, diagnosed as adolescent idiopathic scoliosis (AIS) and admitted at Hospital Raja Perempuan Zainab II for surgical intervention from year 2000 to 2013. Methodology: The spinal deformity curvatu...

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Main Authors:	Johari, Joehaimey, Nor, Sobri, Lam, Andrew, Omar, Ahmad Sabri, Abdullah, Ahmad Tajudin, Ab Rahman, Azriani, Sharifudin, Mohd Ariff, Yusof, Mohd Imran
Format:	Conference or Workshop Item
Language:	English English
Published:	2013
Subjects:	RD701 Orthopedics
Online Access:	http://irep.iium.edu.my/32603/ http://irep.iium.edu.my/32603/ http://irep.iium.edu.my/32603/1/Kelantan_Research_Day_2013_-_Scoliosis_%28Slides_Presentation%29.pdf http://irep.iium.edu.my/32603/14/Kelantan_Research_Day_2013.pdf

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recordtype	eprints
spelling	iium-326032013-11-08T03:34:56Z http://irep.iium.edu.my/32603/ Relationship between pulmonary function and the degree of spinal deformity among adolescent idiopathic scoliosis (AIS) patients Johari, Joehaimey Nor, Sobri Lam, Andrew Omar, Ahmad Sabri Abdullah, Ahmad Tajudin Ab Rahman, Azriani Sharifudin, Mohd Ariff Yusof, Mohd Imran RD701 Orthopedics Background: A retrospective record review was conducted among patients aged between 13 to 24 years, diagnosed as adolescent idiopathic scoliosis (AIS) and admitted at Hospital Raja Perempuan Zainab II for surgical intervention from year 2000 to 2013. Methodology: The spinal deformity curvature was measured by the Cobb method on anterior-posterior radiographs. The forced vital capacity (FVC) and forced expiratory volume in 1 second (FEV 1) were used to evaluate the pre operative pulmonary function. Simple linear regression was performed to analyse the relationship between Cobb angle and pre operative pulmonary function. Kruskal-Wallis and Mann Whitney tests were used to compare the lung function according to different levels of affected spinal vertebrae and the severity of the deformity. Results: Thirty-eight patients were recruited for the study; 18 patients of Lenke type IA, 13 patients of type IB and 7 patients of type V. The mean age of patients was 16.7 years (SD=6.04). Although statistically insignificant, results indicated inverse relationships between Cobb angle with FVC (b=-0.319; 95% CI B=-0.647, 0.009), and FEV1 (b=-0.326; 95% CI B=-0.683, 0.030). The median FVC was significantly higher in those with affected apical vertebrae at L1, L2, and L3 levels (median=92; IQR=30) than those with apical vertebrae at T6, T7, and T8 (median=68.5; IQR= 36) (p=0.008). The median FVC was also significantly higher in those with affected apical vertebrae located at L1, L2, and L3 (median =92; IQR =30) than those with affected T9 to T12 (median =74; IQR=19) (p=0.003). The median FVC was higher among those who have lower end vertebrae involving L1, L2, and L3 (median=83.5; IQR=19) than those with lower end vertebra involving T6 to T12 (median=70.5; IQR=31) (p=0.014). Conclusion: The lung function impairment was seen in more severe spinal deformity, more proximally located curve and in patients that are more elderly. 2013-10-30 Conference or Workshop Item PeerReviewed application/pdf en http://irep.iium.edu.my/32603/1/Kelantan_Research_Day_2013_-_Scoliosis_%28Slides_Presentation%29.pdf application/pdf en http://irep.iium.edu.my/32603/14/Kelantan_Research_Day_2013.pdf Johari, Joehaimey and Nor, Sobri and Lam, Andrew and Omar, Ahmad Sabri and Abdullah, Ahmad Tajudin and Ab Rahman, Azriani and Sharifudin, Mohd Ariff and Yusof, Mohd Imran (2013) Relationship between pulmonary function and the degree of spinal deformity among adolescent idiopathic scoliosis (AIS) patients. In: Kelantan Research Day 2013, 30 Oct 2013, Rural Transformation Centre (RTC), Terminal Agribisnes Negara (TEMAN), Kota Bharu. http://jknkelantan.moh.gov..my/v3/
repository_type	Digital Repository
institution_category	Local University
institution	International Islamic University Malaysia
building	IIUM Repository
collection	Online Access
language	English English
topic	RD701 Orthopedics
spellingShingle	RD701 Orthopedics Johari, Joehaimey Nor, Sobri Lam, Andrew Omar, Ahmad Sabri Abdullah, Ahmad Tajudin Ab Rahman, Azriani Sharifudin, Mohd Ariff Yusof, Mohd Imran Relationship between pulmonary function and the degree of spinal deformity among adolescent idiopathic scoliosis (AIS) patients
description	Background: A retrospective record review was conducted among patients aged between 13 to 24 years, diagnosed as adolescent idiopathic scoliosis (AIS) and admitted at Hospital Raja Perempuan Zainab II for surgical intervention from year 2000 to 2013. Methodology: The spinal deformity curvature was measured by the Cobb method on anterior-posterior radiographs. The forced vital capacity (FVC) and forced expiratory volume in 1 second (FEV 1) were used to evaluate the pre operative pulmonary function. Simple linear regression was performed to analyse the relationship between Cobb angle and pre operative pulmonary function. Kruskal-Wallis and Mann Whitney tests were used to compare the lung function according to different levels of affected spinal vertebrae and the severity of the deformity. Results: Thirty-eight patients were recruited for the study; 18 patients of Lenke type IA, 13 patients of type IB and 7 patients of type V. The mean age of patients was 16.7 years (SD=6.04). Although statistically insignificant, results indicated inverse relationships between Cobb angle with FVC (b=-0.319; 95% CI B=-0.647, 0.009), and FEV1 (b=-0.326; 95% CI B=-0.683, 0.030). The median FVC was significantly higher in those with affected apical vertebrae at L1, L2, and L3 levels (median=92; IQR=30) than those with apical vertebrae at T6, T7, and T8 (median=68.5; IQR= 36) (p=0.008). The median FVC was also significantly higher in those with affected apical vertebrae located at L1, L2, and L3 (median =92; IQR =30) than those with affected T9 to T12 (median =74; IQR=19) (p=0.003). The median FVC was higher among those who have lower end vertebrae involving L1, L2, and L3 (median=83.5; IQR=19) than those with lower end vertebra involving T6 to T12 (median=70.5; IQR=31) (p=0.014). Conclusion: The lung function impairment was seen in more severe spinal deformity, more proximally located curve and in patients that are more elderly.
format	Conference or Workshop Item
author	Johari, Joehaimey Nor, Sobri Lam, Andrew Omar, Ahmad Sabri Abdullah, Ahmad Tajudin Ab Rahman, Azriani Sharifudin, Mohd Ariff Yusof, Mohd Imran
author_facet	Johari, Joehaimey Nor, Sobri Lam, Andrew Omar, Ahmad Sabri Abdullah, Ahmad Tajudin Ab Rahman, Azriani Sharifudin, Mohd Ariff Yusof, Mohd Imran
author_sort	Johari, Joehaimey
title	Relationship between pulmonary function and the degree of spinal deformity among adolescent idiopathic scoliosis (AIS) patients
title_short	Relationship between pulmonary function and the degree of spinal deformity among adolescent idiopathic scoliosis (AIS) patients
title_full	Relationship between pulmonary function and the degree of spinal deformity among adolescent idiopathic scoliosis (AIS) patients
title_fullStr	Relationship between pulmonary function and the degree of spinal deformity among adolescent idiopathic scoliosis (AIS) patients
title_full_unstemmed	Relationship between pulmonary function and the degree of spinal deformity among adolescent idiopathic scoliosis (AIS) patients
title_sort	relationship between pulmonary function and the degree of spinal deformity among adolescent idiopathic scoliosis (ais) patients
publishDate	2013
url	http://irep.iium.edu.my/32603/ http://irep.iium.edu.my/32603/ http://irep.iium.edu.my/32603/1/Kelantan_Research_Day_2013_-_Scoliosis_%28Slides_Presentation%29.pdf http://irep.iium.edu.my/32603/14/Kelantan_Research_Day_2013.pdf
first_indexed	2023-09-18T20:47:03Z
last_indexed	2023-09-18T20:47:03Z
_version_	1777409744658497536

Relationship between pulmonary function and the degree of spinal deformity among adolescent idiopathic scoliosis (AIS) patients

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