Hany Ag Soliman1, Christophe Faure2, Geneviève Berubé3, Jean-Marc Mac-Thiong4, Soraya Barchi5, Stefan Parent6. 1. University of Montreal, Montreal, Canada; CHU Sainte-Justine, Montreal, Canada; Al-Azhar University, Al Zahraa University Hospital, Egypt. 2. University of Montreal, Montreal, Canada; CHU Sainte-Justine, Montreal, Canada. 3. University of Sherbrooke, Sherbrooke, Canada. 4. University of Montreal, Montreal, Canada; CHU Sainte-Justine, Montreal, Canada; Hôpital du Sacré-Coeur, Montreal, Canada. 5. CHU Sainte-Justine, Montreal, Canada. 6. University of Montreal, Montreal, Canada; CHU Sainte-Justine, Montreal, Canada; Hôpital du Sacré-Coeur, Montreal, Canada. Electronic address: stefan.parent@umontreal.ca.
Abstract
BACKGROUND: Scoliosis has been reported after repair of esophageal atresia with or without tracheoesophageal fistula (EA-TEF). This study aims to investigate the prevalence and natural history of scoliosis and associated congenital vertebral anomalies in patients operated for EATEF. METHODS: A retrospective review of patients operated for EA-TEF with radiological examination for the presence of scoliosis or associated spine congenital anomalies was done on 106 patients (ages 5-19 years). RESULTS: Scoliosis was found in 53 patients (49%) for which 46 of these were in the thoracic region and 33 were right-thoracic curves. After a follow-up ranging from 5 to 14 years, four patients (3.7%) out of 106 were operated for scoliosis. Right-sided thoracotomy (RST) was the identifiable risk factor for scoliosis development; all patients with scoliosis had their EA repaired through RST. Congenital vertebral anomalies were found in 8 of those patients (7.5%). After a median follow-up of 6.5 years, no patients progressed enough to require operation. CONCLUSION: Scoliosis affects one of every two patients operated for EA; it may progress to the indication of surgery. RST was the identifiable risk factor for scoliosis development.
BACKGROUND:Scoliosis has been reported after repair of esophageal atresia with or without tracheoesophageal fistula (EA-TEF). This study aims to investigate the prevalence and natural history of scoliosis and associated congenital vertebral anomalies in patients operated for EATEF. METHODS: A retrospective review of patients operated for EA-TEF with radiological examination for the presence of scoliosis or associated spine congenital anomalies was done on 106 patients (ages 5-19 years). RESULTS:Scoliosis was found in 53 patients (49%) for which 46 of these were in the thoracic region and 33 were right-thoracic curves. After a follow-up ranging from 5 to 14 years, four patients (3.7%) out of 106 were operated for scoliosis. Right-sided thoracotomy (RST) was the identifiable risk factor for scoliosis development; all patients with scoliosis had their EA repaired through RST. Congenital vertebral anomalies were found in 8 of those patients (7.5%). After a median follow-up of 6.5 years, no patients progressed enough to require operation. CONCLUSION:Scoliosis affects one of every two patients operated for EA; it may progress to the indication of surgery. RST was the identifiable risk factor for scoliosis development.
Authors: Moritz Markel; Gabrielle Derraugh; Martin Lacher; Shaikh Iqbal; Robert Balshaw; Suyin A Lum Min; Richard Keijzer Journal: Pediatr Surg Int Date: 2022-03-02 Impact factor: 1.827