STUDY DESIGN: Ventilator weaning after staged revision anteroposterior spine fusion in a ventilator-dependent @entity1 with @entity1635 is reported. OBJECTIVE: To describe the improvement of pulmonary performance after @entity85 correction in a @entity1 with severe @entity85 and severe @entity358 . SUMMARY OF BACKGROUND DATA: The effect of scoliotic @entity85 correction on postoperative pulmonary function is debatable. Recent prospective studies suggest that corrective surgery, especially that involving violation of the chest cage, adversely affect pulmonary function in @entity1 with @entity1615 . For @entity1 with severe @entity85 and severely compromised preoperative pulmonary function, the effect of @entity85 correction has not been well studied. METHODS: A 15-year-old ventilator-dependent @entity1 with progressive @entity1514 of 130 degrees and a forced vital capacity of 18% underwent staged revision anteroposterior spine fusion. Anterior release, multiple vertebral osteotomies, apical vertebrectomy, and multiple internal thoracoplasties were performed. Five weeks later, when she was medically stable, she underwent posterior reconstruction with multiple vertebral osteotomies, apical vertebrectomy, and translation and cantilever corrective techniques using Isola instrumentation. RESULTS: The @entity1 's pulmonary function was stable 6 months after surgery, and her forced vital capacity was 19%. Currently, 1 year after surgery, she has been weaned to night-only ventilation. Her walking ability has improved. Her spine is well balanced with a thoracic scoliosis of 40 degrees, and she is neurologically intact. CONCLUSIONS: Surgical correction of a severe thoracic @entity85 in the setting of severe @entity358 can be performed successfully with stabilization of pulmonary volumes and improvement in pulmonary performance.

Ventilator weaning after staged anteroposterior spine fusion in a ventilator-dependent XXXX with @entity1635 : a case report.

@entity1 :: ('9606', 'Species') :: ['girl', 'patients', 'patient', 'child'] @entity1615 :: ('OMIM:181800', 'Disease') :: ['adolescent idiopathic scoliosis'] @entity1635 :: ('MESH:D012600', 'Disease') :: ['congenital scoliosis'] @entity1514 :: ('MESH:D013896', 'Disease') :: ['congenital thoracic scoliosis'] @entity358 :: ('MESH:D008171', 'Disease') :: ['restrictive lung disease'] @entity85 :: ('MESH:D009140', 'Disease') :: ['deformity', 'spinal deformity']
@entity1 :: (9606,Species) :: ['patient']
