ArticleWorld journal of radiology2026
Computed tomography-derived assessment of respiratory impairment in thoracic scoliosis: Comparison between idiopathic and non-idiopathic etiologies.
Article in World journal of radiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundThoracic scoliosis causes complex three-dimensional deformities of the thoracic cage that can impair lung mechanics and airway geometry, leading to restrictive ventilatory dysfunction. Respiratory impairment differs by etiology, with non-idiopathic scoliosis often showing more severe and persistent deformity. Conventional pulmonary function testing provides global functional assessment but is frequently limited in patients with non-idiopathic scoliosis. Advances in chest computed tomography (CT) allow quantitative evaluation of lung volume and airway morphology, offering an alternative approach to assess respiratory function and the relationship to spinal deformity.
aimTo investigate CT-derived airway morphology and respiratory function in thoracic scoliosis, focusing on etiologic differences and structure-function relationships.
methodsThis retrospective observational study included 53 patients ≤ 30 years of age who underwent corrective surgery for thoracic scoliosis and had preoperative and postoperative CT examinations. Patients were classified into idiopathic (
resultsPatients with non-idiopathic scoliosis had significantly more severe spinal deformities and a lower TLC% compared to patients with idiopathic scoliosis (median TLC%: 39%
conclusionCT-derived analysis showed differences in respiratory impairment between idiopathic and non-idiopathic scoliosis. Surgical correction improved alignment without immediate lung volume improvement, with selective changes in the left bronchus.
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