Clinical Evaluation of the Anterior Chest Wall Deformity in Thoracic Adolescent Idiopathic Scoliosis

Spine ◽  
2012 ◽  
Vol 37 (9) ◽  
pp. E540-E548 ◽  
Author(s):  
Sai-hu Mao ◽  
Yong Qiu ◽  
Ze-zhang Zhu ◽  
Feng Zhu ◽  
Zhen Liu ◽  
...  
Keyword(s):  
Adolescent Idiopathic Scoliosis ◽  
Idiopathic Scoliosis ◽  
Chest Wall ◽  
Clinical Evaluation ◽  
Anterior Chest Wall ◽  
Chest Wall Deformity

The Use Of Photogrammetry To Quantifying Chest Wall Deformity In Patients With Adolescent Idiopathic Scoliosis

2012 ◽  
Author(s):  
Fabiola P. Rebouças ◽  
Anderson S. Alexandre ◽  
Evandro F. Sperandio ◽  
Maíra S. Pereira ◽  
Natasha O. Marcondi ◽  
...  
Keyword(s):  
Adolescent Idiopathic Scoliosis ◽  
Idiopathic Scoliosis ◽  
Chest Wall ◽  
Chest Wall Deformity

scholarly journals PHOTOGRAMMETRY: A PROPOSAL OF OBJECTIVE ASSESSMENT OF CHEST WALL IN ADOLESCENT IDIOPATHIC SCOLIOSIS

2019 ◽  
Vol 37 (2) ◽  
pp. 225-233
Author(s):  
Anderson Sales Alexandre ◽  
Evandro Fornias Sperandio ◽  
Liu Chiao Yi ◽  
Josy Davidson ◽  
Patrícia Rios Poletto ◽  
...  
Keyword(s):  
Adolescent Idiopathic Scoliosis ◽  
Lung Function ◽  
Idiopathic Scoliosis ◽  
Cobb Angle ◽  
Chest Wall ◽  
Healthy Subjects ◽  
Objective Assessment ◽  
Spine Deformity ◽  
Xiphoid Process ◽  
Cross Sectional

ABSTRACT Objective: To evaluate the chest wall shape in patients with adolescent idiopathic scoliosis (AIS) in comparison to healthy subjects and the association between the chest wall shape with the spine deformity and lung function in patients with AIS. Methods: This cross-sectional study enrolled 30 AIS patients and 20 healthy subjects aged 11-18 years old. The Cobb angle evaluation was performed in AIS patients. The chest wall shape was assessed by the photogrammetry method, using the Postural Assessment Software (PAS). We created thoracic markers shaped as angles (A) and distances (D), as follows: A2 (right acromion/xiphoid/left acromion), A4L (angle formed between the outer point of the smallest waist circumference and its upper and lower edges on the left side), A7 (angle formed by the intersection of the tangent segments of the upper and lower scapulae angles), D1R/D1L [distance between the xiphoid process and the last false rib on the right (R) and left (L) sides], and D3 (distance between xiphoid process and anterior superior iliac spine). Results: The thoracic markers A2 and A7 were significantly higher, while the A4L and D1R/D1L were significantly reduced in the AIS group compared to the control. Moderate correlations were found between: A2 and the main and proximal thoracic Cobb angles (r=0.50, r=0.47, respectively); D1R/D1L and the main thoracic Cobb angle (r=- 0.40); and the forced expiratory volume in the first second (FEV1) and D3R (r=0.47). Conclusions: The photogrammetry method was able to detect chest wall changes in AIS patients, besides presenting correlation between Cobb angles and lung function.

PECTUS EXCAVATUM: A CASE REPORT OF AN EARLY REPAIR

2021 ◽  
pp. 51-52
Author(s):  
Priyadarshan Konar ◽  
Subhendu Mahapatra ◽  
Jayita Chakrabarti ◽  
Gautam Sengupta
Keyword(s):  
Case Report ◽  
Chest Wall ◽  
Pectus Excavatum ◽  
Anterior Chest Wall ◽  
Chest Wall Deformity ◽  
Case Presentation ◽  
X Ray ◽  
Abnormal Chest ◽  
Great Vessels ◽  
Chest X Ray

Introduction: Pectus Excavatum usually recognized during infancy and become worse with growing ages. Case presentation: We presented a 6 months old male child to our departmental OPD with complaints of indrawing of anterior chest wall. On physical examination revealed a signicant Pectus Excavatum deformity. There was no other abnormality except the chest wall deformity. An abnormal chest X-ray and CT scan demonstrated leftward displacement of heart and great vessels. Conclusion: Surgery for Pectus Excavatum is specialized and can be done in early childhood with better outcome.

scholarly journals Functional exercise capacity, lung function and chest wall deformity in patients with adolescent idiopathic scoliosis

2015 ◽  
Vol 28 (3) ◽  
pp. 563-572 ◽  
Author(s):  
Evandro Fornias Sperandio ◽  
Milena Carlos Vidotto ◽  
Anderson Sales Alexandre ◽  
Liu Chiao Yi ◽  
Alberto Ofenhejm Gotfryd ◽  
...  
Keyword(s):  
Adolescent Idiopathic Scoliosis ◽  
Lung Function ◽  
Idiopathic Scoliosis ◽  
Chest Wall ◽  
Exercise Capacity ◽  
Cross Sectional ◽  
Impaired Lung Function ◽  
Functional Exercise ◽  
Activity Performance ◽  
Functional Exercise Capacity

AbstractIntroduction The adolescent idiopathic scoliosis (AIS) causes changes on the compliance of the chest. These changes may be associated with impaired lung function and reduced functional exercise capacity of these adolescents. We aimed to evaluate the correlation between functional exercise capacity, lung function and geometry of the chest at different stages of AIS.Materials and methods The study was carried out in a cross-sectional design which were evaluated 27 AIS patients at different stages of the disease. For chest wall evaluation, were created geometry angles/distances (A/D), which were quantified by Software Postural Assessment. The functional exercise capacity was assessed by a portable gas analyzer during the incremental shuttle walk test (ISWT). Besides that, manovacuometry and spirometry were also performed.Results Linear regressions showed that oxygen uptake (peak VO2) was correlated with distance travelled in the ISWT (R2 = 0.52), maximal respiratory pressures, cough peak flow (R2 = 0.59) and some thoracic deformity markers (D1, D2 and A6).Discussion We observed that the chest wall alterations, lung function and respiratory muscle strength are related to the functional exercise capacity and may impair the physical activity performance in AIS patients.Final considerations There is correlation between functional exercise capacity, lung function and geometry of the chest in AIS patients. Our results point to the possible impact of the AIS in the physical activities of these adolescents. Therefore, efforts to prevent the disease progression are extremely important.

scholarly journals The use of photogrammetry to evaluate chest wall after arthrodesis in patients with Adolescent Idiopathic Scoliosis

2017 ◽  
Vol 30 (suppl 1) ◽  
pp. 307-316 ◽  
Author(s):  
Fabíola Pereira Rebouças ◽  
Evandro Fornias Sperandio ◽  
Anderson Salles Alexandre ◽  
Liu Chiao Yi ◽  
Alberto Ofenhejm Gotfryd ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Adolescent Idiopathic Scoliosis ◽  
Lung Function ◽  
Idiopathic Scoliosis ◽  
Chest Wall ◽  
Postoperative Period ◽  
Spine Deformity ◽  
Xiphoid Process ◽  
Late Postoperative Period

Abstract Introduction: Adolescent Idiopathic Scoliosis (AIS) is a three-dimensional spine deformity that creates changes in the rib cage biomechanics. Objective: Evaluate changes on the chest wall, quality of life and lung function on the preoperative and postoperative of arthrodesis in patients with AIS. Methods: Eighteen AIS patients with surgical indication for arthrodesis of both sexes aged between 11 and 18 years were evaluated. The evaluation of the chest was taken by using photogrammetry Postural Assessment Software (PAS). Thoracic markers were created using angles (A) and distances (D): A1 (bilateral acromion/manubrium), A2 (bilateral acromion/xiphoid process), A3 (bilateral rib/xiphoid process), A5 (acromion/scapula inferior angle/inframammilary), A6 (C7/acromion/T3), A7 (scapular irregularity) and D3 (xiphoid process to the anterior superior iliac spine). Spirometry and assessment of Quality of Life Questionnaire (SRS - 30) was performed. Evaluations were performed on the preoperative period (PRE), on two months of postoperative (PO1) and on the late postoperative period (LPO). Data were analysed using analysis of variance with repeated measures and Bonferroni method comparisons. Results: The thoracic markers A1, A2, A3, A5, A6, A7 and D3 showed significant difference in the LPO. All domains and the total score of the SRS - 30 questionnaire showed significant increase in periods PO1 and LPO. The FVC and FEV1 showed significant increase in the LPO. Conclusion: After arthrodesis patients with AIS showed alterations in the chest wall, associated with improved quality of life and lung function, especially in the late postoperative period.

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