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Surgical management of severe scoliosis with high risk pulmonary dysfunction in Duchenne muscular dystrophy: patient function, quality of life and satisfaction

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Abstract

In a previous study, the authors reported the clinical and radiological results of Duchenne muscular dystrophy (DMD) scoliosis surgery in 14 patients with a low FVC of <30%. The purpose of this study was to determine if surgery improved function and QOL in these patients. Furthermore, the authors assessed the patients’ and parents’ satisfaction. %FVC increased in all patients after preoperative inspiratory muscle training. Scoliosis surgery in this group of patients presented no increased risk of major complications. All-screw constructions and fusion offered the ability to correct spinal deformity in the coronal and pelvic obliquity initially, intermediate and long-term. All patients were encouraged to continue inspiratory muscle training after surgery. The mean rate of %FVC decline after surgery was 3.6% per year. Most patients and parents believed scoliosis surgery improved their function, sitting balance and quality of life even though patients were at high risk for major complications. Their satisfaction was also high.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, School of Medicine, Kitasato University, Kitasato 1-15-1, Sagamihara, Kanagawa, Japan

    Masashi Takaso, Toshiyuki Nakazawa, Takayuki Imura, Takamitsu Okada, Kensuke Fukushima, Masaki Ueno & Naonobu Takahira

  2. Department of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, Inohana 1-8-1, Chiba, Chiba, Japan

    Kazuhisa Takahashi, Masashi Yamazaki & Seiji Ohtori

  3. Department of Anesthesiology, School of Medicine, Kitasato University, Kitasato 1-15-1, Sagamihara, Kanagawa, Japan

    Hirotsugu Okamoto & Toshiyuki Okutomi

  4. Department of Otorhinolaryngology, School of Medicine, Kitasato University, Kitasato 1-15-1, Sagamihara, Kanagawa, Japan

    Makihito Okamoto & Takashi Masaki

  5. Department of Plastic Surgery, School of Medicine, Kitasato University, Kitasato 1-15-1, Sagamihara, Kanagawa, Japan

    Eijyu Uchinuma

  6. Department of Anatomy and Cell Biology, School of Medicine, Kitasato University, Kitasato 1-15-1, Sagamihara, Kanagawa, Japan

    Hiroyuki Sakagami

Authors
  1. Masashi Takaso
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  2. Toshiyuki Nakazawa
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  3. Takayuki Imura
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  4. Takamitsu Okada
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  5. Kensuke Fukushima
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  6. Masaki Ueno
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  7. Naonobu Takahira
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  8. Kazuhisa Takahashi
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  9. Masashi Yamazaki
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  10. Seiji Ohtori
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  11. Hirotsugu Okamoto
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  12. Toshiyuki Okutomi
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  13. Makihito Okamoto
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  14. Takashi Masaki
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  15. Eijyu Uchinuma
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  16. Hiroyuki Sakagami
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Corresponding author

Correspondence to Masashi Takaso.

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Takaso, M., Nakazawa, T., Imura, T. et al. Surgical management of severe scoliosis with high risk pulmonary dysfunction in Duchenne muscular dystrophy: patient function, quality of life and satisfaction. International Orthopaedics (SICOT) 34, 695–702 (2010). https://doi.org/10.1007/s00264-010-0957-0

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  • DOI: https://doi.org/10.1007/s00264-010-0957-0

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