Correlations of adolescent idiopathic scoliosis and pectus excavatum

Jae Young Hong, Seung Woo Suh, Hyung Joo Park, Young Hwan Kim, Jung Ho Park, Si Young Park

Research output: Contribution to journalArticlepeer-review

35 Citations (Scopus)

Abstract

STUDY DESIGN: Radiologic study of scoliosis in pectus excavatum patients. OBJECTIVES: To determine the relation between pectus excavatum deformity and adolescent idiopathic scoliosis (AIS). SUMMARY OF BACKGROUND DATA: AIS may be related to other whole body deformities, but few reports have addressed the relation between chest deformity and scoliosis. METHODS: A total of 248 patients with a diagnosis of pectus excavatum were enrolled in this study. All study patients underwent whole spine anteroposterior radiographs and chest computed tomography. Severity and type of scoliosis and chest deformity were measured using radiographs, and relations between pectus deformity and AIS were analyzed. RESULTS: Overall, 56 of the 248 study patients had scoliosis (Cobb angle >10 degrees)-a prevalence of 22.58%. The incidence of scoliosis was significantly higher in female patients (38.46%) (P=0.002), and Lenke type 1 predominated in pectus patients (48.2%, P<0.0001). Mean age was greater in the scoliosis group than in the nonscoliosis group (P<0.0001), and the asymmetry of pectus deformity was more prominent in the scoliosis group (P=0.007). However, pectus deformity severity was similar in the 2 groups (P=0.061). Furthermore, although the scoliosis group showed a higher proportion of female patients (P=0.002), the severities of chest and spinal deformities were similar in the 2 groups for both sexes (P=0.314, P=0.227). CONCLUSIONS: Pectus excavatum and AIS were found to have a high concomitant incidence. And, the age, sex, and type of disease were significantly different in the scoliosis and pectus excavatum groups. Surgeons should consider these relationships when deciding upon treatment in patients with chest and spinal deformities.

Original languageEnglish
Pages (from-to)870-874
Number of pages5
JournalJournal of Pediatric Orthopaedics
Volume31
Issue number8
DOIs
Publication statusPublished - 2011 Dec

Keywords

  • adolescent idiopathic scoliosis
  • correlation
  • pectus excavatum

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Orthopedics and Sports Medicine

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