ArticleJB & JS open access
Growth-Friendly Surgery Improves Diaphragm Positioning, Thoracic Dimensions, and Patient-Reported Outcomes in Neuromuscular Scoliosis.
Article in JB & JS open access. 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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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Authors and funding
5 authors.
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Abstract
Background: Neuromuscular scoliosis (NMS) can displace the diaphragm into the thorax, reducing lung volume and impairing respiration. As an alternative to posterior spinal fusion, growth-friendly surgery (GFS) allows thoracic growth while correcting deformity. We evaluated associations of GFS with thoracic dimensions and diaphragm positioning, hypothesizing that GFS would alleviate respiratory constraints in pediatric NMS. Methods: We reviewed data from 45 patients who underwent GFS for NMS at a mean age of 8 years, from 2003 to 2022. Radiographic measures were lung volume, space available for lung (SAL) ratio, diaphragm intrusion index (DII), diaphragm vertebral level (DVL), T1-T12 height, and T1-S1 height, assessed preoperatively, postoperatively, and at 2-year follow-up. We also analyzed Early-Onset Scoliosis 24-item Questionnaire (EOSQ-24) outcomes related to lung function. A "latest follow-up" time point was included for patients with extended data (mean: 7.2 years; range: 2.0-18.5). Paired Results: Mean lung volume increased from 1,992 cm Conclusions: GFS was associated with improvements in thoracic dimensions, diaphragm position, lung volume, and respiratory-related quality of life in pediatric NMS, underscoring the potential of GFS to address deformity and long-term respiratory health in this population. Level of Evidence: Level III. See Instructions for Authors for a complete description of levels of evidence.
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