[The effect of lateral thoracotomy on the development of scoliosis in patients with patent ductus arteriosus].
BACKGROUND
Surgery, particularly thoracotomy in the thoracic area in infancy has been implicated in the development of scoliosis of thoracogenic origin. The aim of this study was to determine the influence of lateral thoracotomy on scoliosis development in subjects with patent ductus arteriosus.


METHODS
A group of 69 patients with patent ductus arteriosus was evaluated. 38 patients were operated using left lateral thoracotomy and 31 patients were treated non-operatively using intravascular coil implantation. A spinal examination together with the evaluation of spinal roentgenograms was conducted.


RESULTS
There was clinical scoliosis in 55% of operated, in 16% of non-operated patients. Scoliosis ranged between 10 and 42 degrees. 76% of operated patients with scoliosis had thoracic curves and in 57% of them left sided curves were found. All curves were right sided in non-operated subjects. Scoliosis in the operated group occurred in 68% of males and in 37% of females.


CONCLUSIONS
Prevalence of scoliosis after thoracotomy was significantly higher than in the average population and after non-surgical methods of treatment of patent ductus arteriosus. The rate of single thoracic and the rate of left thoracic curves in patients after thoracotomy is higher than the rate in non-operated patients and in idiopathic scoliosis. Female to male ratio with scoliosis and after thoracotomy is significantly lower than in idiopathic scoliosis.
Klinika i Katedra Ortopedii i Traumatologii Narzqdu Ruchu, Akademia Medyczna w Gdańsku. marekroclawski@op.pl
Marek
M
Rocławski
Robert
R
Sabiniewicz
Piotr
P
Potaz
Andrzej
A
Smoczyński
Adam
A
Lorczyński
Rafał
R
Pankowski
Michał
M
Bieniecki
D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D004374:Ductus Arteriosus, Patent / Q000453:epidemiology / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D011044:Poland / Q000453:epidemiology; D015995:Prevalence; D020127:Recovery of Function; D012307:Risk Factors; D012600:Scoliosis / Q000453:epidemiology / Q000209:etiology*; D012737:Sex Factors; D013908:Thoracotomy / Q000009:adverse effects* / Q000706:statistics & numerical data; D016896:Treatment Outcome; D055815:Young Adult