Are we neglecting long-term effects of vertebral shortening on pulmonary function in spinal tuberculosis?
Lung function
Pulmonary
Thoracic spine
Tuberculosis
Journal
Spine deformity
ISSN: 2212-1358
Titre abrégé: Spine Deform
Pays: England
ID NLM: 101603979
Informations de publication
Date de publication:
01 2022
01 2022
Historique:
received:
21
03
2021
accepted:
10
08
2021
pubmed:
17
8
2021
medline:
17
3
2022
entrez:
16
8
2021
Statut:
ppublish
Résumé
In developing part of the world, it is common to see complete destruction of vertebral bodies in tuberculosis. Our study aims to assess the effect of spinal tuberculosis with vertebral shortening on pulmonary function. Fifty cases of spinal TB (14 males, 36 females) managed both operatively and non-operatively, who presented to tertiary care institute between years 2011 and 2016 were assessed. Vertebral height loss was assessed by spinal deformity index (SDI). All patients underwent pulmonary function testing using same equipment sitting in upright position. Mean age was 27.9 years (27.9 ± 11.9). 11 patients with mean SDI of 2.7 ± 1.1 showed normal lung function. 36 patients showed restrictive pattern of which 12 were mild, 14 were moderate and 10 showed severe pattern with a mean SDI of 3.8 ± 1.2, 5.6 ± 1.3 and 6.1 ± 1.4, respectively. 3 cases showed obstructive pattern. As the apex of curve shifted proximally, FVC% reduced. Increase in SDI value was associated with a fall in the vital capacity and FEV Risk stratification of pulmonary dysfunction resulting from vertebral body height loss due to kyphosis will emphasize the need for early detection of spinal tuberculosis before deformity occurs.
Identifiants
pubmed: 34398396
doi: 10.1007/s43390-021-00400-9
pii: 10.1007/s43390-021-00400-9
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
169-176Informations de copyright
© 2021. Scoliosis Research Society.
Références
Sai Kiran NA, Vaishya S, Kale SS et al (2007) Surgical results in patients with tuberculosis of the spine and severe lower-extremity motor deficits: a retrospective study of 48 patients. J Neurosurg Spine 6:320–326
doi: 10.3171/spi.2007.6.4.6
Rezai AR, Lee M, Cooper PR et al (1995) Modern management of spinal tuberculosis. Neurosurgery 36:87–97
doi: 10.1227/00006123-199501000-00011
Moorthy S, Prabhu NK (2002) Spectrum of MR imaging findings in spinal tuberculosis. AJR Am J Roentgenol 179:979–983
doi: 10.2214/ajr.179.4.1790979
Genant HK, Wu CY, van Kuijk C et al (1993) Vertebral fracture assessment using a semiquantitative technique. J Bone Miner Res 8(9):1137–1148
doi: 10.1002/jbmr.5650080915
Crans GG, Genant HK, Krege JH (2005) Prognostic utility of a semiquantitative spinal deformity index. Bone 37(2):175–179
doi: 10.1016/j.bone.2005.04.003
Ansari K, Keaney N, Price M et al (2012) Precision in diagnosing and classifying COPD: comparison of historical height with current height and arm span to predict FEV(1). Open Respir Med J 6:54–58
doi: 10.2174/1874306401206010054
Chhabra SK (2008) Using arm span to derive height: Impact of three estimates of height on interpretation of spirometry. Ann Thorac Med 3:94–99
doi: 10.4103/1817-1737.39574
Parker JM, Dillard TA, Phillips YY (1996) Arm span-height relationships in patients referred for spirometry. Am J Respir Crit Care Med 154(2 Pt 1):533–536
doi: 10.1164/ajrccm.154.2.8756834
Alothman A, Memish ZA, Awada A et al (2001) Tuberculous spondylitis: analysis of 69 cases from Saudi Arabia. Spine (Phila Pa 1976) 26:E565–E570
doi: 10.1097/00007632-200112150-00020
Jain AK (2010) Tuberculosis of the spine: a fresh look at an old disease. J Bone Joint Surg Br 92:905–913
doi: 10.1302/0301-620X.92B7.24668
Kotil K, Alan MS, Bilge T (2007) Medical management of Pott disease in the thoracic and lumbar spine: a prospective clinical study. J Neurosurg Spine 6:222–228
doi: 10.3171/spi.2007.6.3.222
Chadha M, Agarwal A, Singh AP (2007) Craniovertebral tuberculosis: a retrospective review of 13 cases managed conservatively. Spine (Phila Pa 1976) 32:1629–1634
doi: 10.1097/BRS.0b013e318074d41e
Bhojraj S, Nene A (2002) Lumbar and lumbosacral tuberculous spondylodiscitis in adults. Redefining the indications for surgery. J Bone Joint Surg Br 84:530–534
doi: 10.1302/0301-620X.84B4.0840530
Nene A, Bhojraj S (2005) Results of nonsurgical treatment of thoracic spinal tuberculosis in adults. Spine J 5:79–84
doi: 10.1016/j.spinee.2004.05.255
Schlaich C, Minne HW, Bruckner T et al (1998) Reduced pulmonary function in patients with spinal osteoporotic fractures. Osteoporos Int 8(3):261–267
doi: 10.1007/s001980050063
Lombardi I Jr, Oliveira LM, Mayer AF et al (2005) Evaluation of pulmonary function and quality of life in women with osteoporosis. Osteoporos Int 16(10):1247–1253
doi: 10.1007/s00198-005-1834-3
Menon B, Aggarwal B (2007) Influence of spinal deformity on pulmonary function, arterial blood gas values, and exercise capacity in thoracic kyphoscoliosis. Neurosci (Riyadh). 12(4):293–298
Johnston CE, Richards S, Sucato DJ et al (2011) Correlation of preoperative deformity magnitude and pulmonary function tests in adolescent idiopathic scoliosis. Spine 36(14):1096–1102
doi: 10.1097/BRS.0b013e3181f8c931
Dimeglio A, Canavese F (2012) The growing spine: how spinal deformities influence normal spine and thoracic cage growth. Eur Spine J 21:64–70
doi: 10.1007/s00586-011-1983-3
Vitale MG, Matsumoto H, Bye MR et al (2008) A retrospective cohort study of pulmonary function, radiographic measures, and quality of life in children with congenital scoliosis. Spine 33(11):1242–1249
doi: 10.1097/BRS.0b013e3181714536
Tuli SM (1975) Results of treatment of spinal tuberculosis by “middle-path” regime. J Bone Joint Surg Br 57:13–23
doi: 10.1302/0301-620X.57B1.13
Leech JA, Dulberg C, Kellie S et al (1990) Relationship of lung function to severity of osteoporosis in women. Am Rev Respir Dis 141(1):68–71
doi: 10.1164/ajrccm/141.1.68