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CASE REPORT
Year : 2020  |  Volume : 12  |  Issue : 1  |  Page : 95-98

A case of malignant scoliosis and its relationship with pulmonary lung function and long-term health-related quality of life


Department of Orthopaedics and Traumatology, Chinese University of Hong Kong, Hong Kong, China

Correspondence Address:
Dr. Bobby Kin-Wah Ng
Department of Orthopaedics and Traumatology, Chinese University of Hong Kong
China
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jotr.jotr_14_20

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The relationship of spinal deformity and pulmonary impairment is so variable that it is still to be established. This study is to report the clinical pulmonary improvements of a patient with severe adolescent idiopathic scoliosis treated with corrective scoliosis surgery using posterior spinal instrumented fusion. The patient was an 11-year-old premenarche adolescent female. Preoperative Cobb angles were 102° from T4 toT12 and 58° from T12 to L4. The patient was already complaining of shortness of breath and chest pains with exertion. Pulmonary function tests (PFTs) were performed before surgery and 8 months postsurgery. Postoperative Cobb angle improved with the thoracic curve at 36° and lumbar curve at 10°. There was a marked improvement with her previous symptoms. Significant improvements were observed in her lung volume parameters on PFT. Her health-related quality of life continued to improve. This study reconfirms the influence of spinal deformities on pulmonary impairment in patients with severe scoliosis.


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