Study DesignThirty-six patients with congenital scoliosis underwent full clinical and radiologic evaluation of their deformity and their full pulmonary functions.ObjectivesThis study observed pulmonary functions in congenital scoliosis in detail, evaluated pulmonary functions in nonsurgically treated patients, and established whether, in surgically treated patients, there are any differences between those with multipla thoracic anomalies and those with lumbar or one or two thoracic anornalies.Summary of Background DataEighty-six of our patients in both groups (surgically and nonsurgically treated) showed abnormal increases in residual volumes, indicating restrictive pattern of lung function. The results of their pulmonary functions were analyzed using predicted values to eliminate age affect.MethodsPulmonary functions were assessed using the Gould 5000IV Computerized Pulmonary Function System.ResultsOverall, mean total lung capacity was 89percnt; of predicted value, and mean vital capacity and forced vital capacity were 74percnt; of predicted value. The mean residual volume was significantly increased, being 154percnt; of predicted value. Nonsurgically treated patients showed normal total lung capacity (mean 99.8percnt; of predicted value); this mean value was 82percnt; of predicted value in surgically treated patients.ConclusionVital capacity was found to be significantly reduced in surgically treated patients (68percnt; of predicted value), especially in those patients who had multiple thoracic anomalies. We believe that children with congenital scoliosis due to multiple anomalies should be operated on at an early age before deformity is too severe.
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