|
KMID : 0365819720120010141
|
|
Journal of Pusan Medical College
1972 Volume.12 No. 1 p.141 ~ p.150
|
|
|
Pulmonary Function in Kyphosis of Tuberculous Spine in Korean Children
|
|
|
|
|
Abstract
|
|
|
Kyphosis or scoliosis are developed with various causes. Tuberculous spine has high incidence in children.
Many cases of the tuberculous spine are complicated by deformities of the spine and disabilities such as paraplegia, cardiopulmonary dysfunction, and also early death.
In 1963, Nilsonne and Lundgren have reported that the mortality in patients with severe spinal deformity was twice as high as in normal person and heart or lung disease was the main cause of death.
The problem of cardiopulmonary function should be considered in the treatment of patients who have the severe deformity of the spine.
There are now s°veral reports on the pulmonary dysfunction due to spinal deformities such as scoliosis and kyphoscoliosis, but there are few papers on the pulmonary function of patients with the tuberculous spine and kyphosis in children.
The author studied the degree of curvature of spine, pulmonary function and its correlation in 60 cases of kyphosis caused from spinal tuberculosis.
The results of this study are as follows;
1. Overall average degree of kyphosis of spine was 53.2 in thoracic and thoracolumbar involvement; Vital capacity, inspiratory reserve volume, expiratory reserve volume and maximum breathing capacity were 83.2%, 86.5%, 75.5% and 64.9% of normal value respectively.
2. Overall average degree of kyphosis of spine was 27.1 in lumbar and lumbosacral involvement; Vital capacity, inspiratory reserve volume, expiratory reserve volume and maximum breathing capacity were 88.6%, 99.1%, 78.6% and 67.9% of normal value respectively.
3. Reduction of the pulmonary function in thoracic and thoracolumbar involvement of tuberculous spine was mire severe than that in In n´)ar and lumb,)sacral involvement.
4. Over 5´)% of the cases had diminishes vital capacity and its components, and maximum breathing capacity in thoracic and thoracolumbar involvement.
5. Maximum breathing capacity, vital capacity and inspiratory reserve volume had a significant negative correlation with the increase of kyphosis in thoracic and thoracolumbar involvement.
6. Maximum breathing capacity was reduced most severely and had the most significant negative correlation with the degree of kyphosis in thoracic and thoracolumbar involvement.
7. There were no specific correlations in expiratory reserve volume in thoracic and thoracolumbar involvement and maximum breathing capacity, vital capacity and its components in lumbar and lumbosacral involvement.
8. There were within normal or nearly normal limits in tidal volume, timed vital capacity, minute ventilation volume and 0, consumption.
|
|
|
KEYWORD
|
|
|
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
|
|
|