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

Publication ,  Journal Article
Antiel, RM; Riley, JS; Cahill, PJ; Campbell, RM; Waqar, L; Herkert, LM; Rintoul, NE; Peranteau, WH; Flake, AW; Adzick, NS; Hedrick, HL
Published in: J Pediatr Surg
December 2016

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.

Duke Scholars

Published In

J Pediatr Surg

DOI

EISSN

1531-5037

Publication Date

December 2016

Volume

51

Issue

12

Start / End Page

1921 / 1925

Location

United States

Related Subject Headings

  • Scoliosis
  • Retrospective Studies
  • Pediatrics
  • Male
  • Infant, Newborn
  • Infant
  • Humans
  • Hernias, Diaphragmatic, Congenital
  • Female
  • Child, Preschool
 

Citation

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Antiel, R. M., Riley, J. S., Cahill, P. J., Campbell, R. M., Waqar, L., Herkert, L. M., … Hedrick, H. L. (2016). Management and outcomes of scoliosis in children with congenital diaphragmatic hernia. J Pediatr Surg, 51(12), 1921–1925. https://doi.org/10.1016/j.jpedsurg.2016.09.013
Antiel, Ryan M., John S. Riley, Patrick J. Cahill, Robert M. Campbell, Lindsay Waqar, Lisa M. Herkert, Natalie E. Rintoul, et al. “Management and outcomes of scoliosis in children with congenital diaphragmatic hernia.J Pediatr Surg 51, no. 12 (December 2016): 1921–25. https://doi.org/10.1016/j.jpedsurg.2016.09.013.
Antiel RM, Riley JS, Cahill PJ, Campbell RM, Waqar L, Herkert LM, et al. Management and outcomes of scoliosis in children with congenital diaphragmatic hernia. J Pediatr Surg. 2016 Dec;51(12):1921–5.
Antiel, Ryan M., et al. “Management and outcomes of scoliosis in children with congenital diaphragmatic hernia.J Pediatr Surg, vol. 51, no. 12, Dec. 2016, pp. 1921–25. Pubmed, doi:10.1016/j.jpedsurg.2016.09.013.
Antiel RM, Riley JS, Cahill PJ, Campbell RM, Waqar L, Herkert LM, Rintoul NE, Peranteau WH, Flake AW, Adzick NS, Hedrick HL. Management and outcomes of scoliosis in children with congenital diaphragmatic hernia. J Pediatr Surg. 2016 Dec;51(12):1921–1925.
Journal cover image

Published In

J Pediatr Surg

DOI

EISSN

1531-5037

Publication Date

December 2016

Volume

51

Issue

12

Start / End Page

1921 / 1925

Location

United States

Related Subject Headings

  • Scoliosis
  • Retrospective Studies
  • Pediatrics
  • Male
  • Infant, Newborn
  • Infant
  • Humans
  • Hernias, Diaphragmatic, Congenital
  • Female
  • Child, Preschool