Management and outcomes of scoliosis in children with congenital diaphragmatic hernia.

Journal Article (Journal Article)

PURPOSE: The purpose of this study was to evaluate the management and outcomes of CDH patients with scoliosis. METHODS: From January 1996 to August 2015, 26 of 380 (7%) CDH patients were diagnosed with scoliosis. Six (23%) were prenatally diagnosed by ultrasound, and 9 (35%) were diagnosed postnatally. The remaining 11 (42%) developed scoliosis after discharge. Mean follow-up was 6.6years. RESULTS: Among the 15 patients with congenital scoliosis, there were 2 (13%) perinatal deaths. Five of the 13 (38%) survivors required orthopedic surgery, and 2 have required bracing. The mean age at initial surgery was 7years. These five children underwent an average of 2.8 (range 1-7) expansions or revisions. All surgical patients required supplemental oxygen at 28days of life, and 1 required a tracheostomy. None of the 11 patients who developed scoliosis later in life required surgery, but 3 have required bracing. Six of the 11 (55%) required a patch repair for CDH compared to 158 of 264 (60%) CDH patients without scoliosis (p=0.73). CONCLUSIONS: Early diagnosis of scoliosis in CDH patients is associated with a high rate of surgery. There was not a higher incidence of patch repair among patients who developed scoliosis. LEVEL OF EVIDENCE: Prognosis. Retrospective study, level II.

Full Text

Duke Authors

Cited Authors

  • Antiel, RM; Riley, JS; Cahill, PJ; Campbell, RM; Waqar, L; Herkert, LM; Rintoul, NE; Peranteau, WH; Flake, AW; Adzick, NS; Hedrick, HL

Published Date

  • December 2016

Published In

Volume / Issue

  • 51 / 12

Start / End Page

  • 1921 - 1925

PubMed ID

  • 28029369

Electronic International Standard Serial Number (EISSN)

  • 1531-5037

Digital Object Identifier (DOI)

  • 10.1016/j.jpedsurg.2016.09.013


  • eng

Conference Location

  • United States