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Estudo demográfico de pacientes portadores de deformidades de coluna vertebral que aguardam cirurgia em hospital terciário de alta complexidade Translated title: Demographic study of patients with spinal deformities who are awaiting surgery in a tertiary hospital of high complexity Translated title: Estudio demográfico de pacientes con deformidades de la columna en espera de cirugía en hospital de tercer nivel de alta complejidad

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      Abstract

      OBJETIVO: Definir as características demográficas dos pacientes portadores de deformidades secundárias da coluna vertebral que aguardam em fila de espera para tratamento cirúrgico em hospital terciário de alta complexidade. MÉTODOS: As informações foram obtidas através dos prontuários dos pacientes no período previamente definido. Os dados foram selecionados conforme os critérios já apresentados e manipulados estatisticamente. RESULTADOS: O estudo incluiu um total de 170 pacientes, dos quais 94 eram do sexo feminino com idades entre 1 e 58 anos, e 76 do sexo masculino com idade entre 1 e 26 anos. Entre as deformidades encontradas foram identificadas: escolioses congênitas por segmentação (6 ou 3,5%), formação (39 ou 22,9%), mistas (34 ou 20,0%) e complexas (14 ou 8,2%), escolioses neuromusculares por paralisia cerebral (PC) (54 ou 31,8%), miopatia (11 ou 6,5%), artrogripose (2 ou 1,2%) e escolioses por neurofibromatose (10 ou 5,9%). CONCLUSÃO: Existe uma considerável lista de pacientes portadores de deformidades de coluna vertebral que aguardam em fila de espera para tratamento cirúrgico por um período muitas vezes bastante prolongado. Este fato acarreta um problema social de difícil manuseio e quando somadas, escoliose neuromuscular e escoliose congênita são responsáveis pela grande maioria dos casos que aguardam cirurgia.

      Translated abstract

      OBJECTIVE: Set the demographic characteristics of patients with secondary deformities of the spine waiting for surgical treatment in a tertiary hospital of high complexity. METHODS: Information was obtained from patient charts in the predefined period. The data were selected according to the criteria already presented and manipulated statistically. RESULTS: The study included a total of 170 patients, of which 94 were female aged between 1 and 58 years, and 76 males aged between 1 and 26 years. Among the deformities found the following were identified: congenital scoliosis were identified by segmentation (6 or 3.5%), formation (39 or 22.9%), mixed (34 or 20.0%) and complex (14 or 8.2%), neuromuscular scoliosis in cerebral palsy (PC) (54 or 31.8%), myopathy (11 or 6.5%), arthrogryposis (2 or 1.2%) and scoliosis in neurofibromatosis (10 or 5.9%). CONCLUSION: There is a considerable list of patients with spinal deformities waiting for surgical treatment for a period of time often quite prolonged. This fact leads to a social problem difficult to handle and when added together, neuromuscular scoliosis and congenital scoliosis are responsible for the vast majority of cases awaiting surgery.

      Translated abstract

      OBJETIVO: Definir las características demográficas de los pacientes con deformidades secundarias de la columna vertebral en la lista de espera para el tratamiento quirúrgico en un hospital de tercer nivel de complejidad alta. MÉTODOS: Las informaciones fueron obtenidas de los archivos de pacientes en período predefinido. Los datos fueron seleccionados de acuerdo con los criterios ya presentados y manipulados estadísticamente. RESULTADOS: En el estudio participaron un total de 170 pacientes, de los cuales 94 eran mujeres de edades comprendidas entre 1 y 58, y 76 varones de edades comprendidas entre 1 y 26 años. Entre las malformaciones encontradas fueron identificadas: escoliosis congénita por segmentación (6 o 3,5%), formación (39 o 22,9%), mixta (34 o 20,0%) y compleja (14 o 8.2%), escoliosis neuromuscular en la parálisis cerebral (PC) (54 o 31,8%), miopatía (11 o 6,5%), artrogriposis (2 o 1,2%) y escoliosis por neurofibromatosis (10 o 5,9%). CONCLUSIÓN: Hay una lista considerable de pacientes con deformidades de la columna que aguardan en lista de espera por el tratamiento quirúrgico a menudo durante un período bastante prolongado. Este hecho produce un problema social difícil de manejar cuando se añaden escoliosis neuromuscular y escoliosis congénita, es responsable de la gran mayoría de los casos en la espera de la cirugía.

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      Most cited references 18

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      The natural history of unfused scoliosis.

       Julia Edgar (1987)
      Seventy-eight unfused patients with idiopathic scoliosis were followed from skeletal maturity over a mean period of 17 years (range 10 to 27 years) with a mean age at follow up of 33.7 years. The following aspects were investigated: curve deterioration, back pain incidence, and psychosocial details. There was considerable variation in the progression rate of similar deformities but on average significant deterioration occurred when the Cobb angle was over 55 degrees with a maximum deterioration approaching 1.5 degrees per year in the thoracic curves between 90 degrees and 100 degrees mature Cobb angle. Thoracolumbar and lumbar curves were slightly more benign with a maximum progression rate of about 1 degree when the mature angle was 80 degrees to 90 degrees. The thoracic component of double curves progressed least. Rotation increased in proportion to the Cobb angle progression except in some lumbar curves where lateral subluxation occurred with a disproportionate amount of rotation. The incidence of back pain in relation to pain in the general population and in fused patients remains uncertain. Eighty-two percent of patients had married and 87% had job satisfaction; 10% received treatment for depression.
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        Combined Anterior and Posterior Spine Fusion in Cerebral Palsy

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          The natural history of congenital scoliosis and kyphosis

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            Author and article information

            Affiliations
            [1 ] Irmandade da Santa Casa de Misericórdia de São Paulo Brazil
            Contributors
            Role: ND
            Role: ND
            Role: ND
            Role: ND
            Role: ND
            Role: ND
            Journal
            coluna
            Coluna/Columna
            Coluna/Columna
            Sociedade Brasileira de Coluna (São Paulo )
            2177-014X
            September 2012
            : 11
            : 3
            : 219-222
            S1808-18512012000300006
            10.1590/S1808-18512012000300006

            http://creativecommons.org/licenses/by/4.0/

            Product
            Product Information: SciELO Brazil
            Categories
            ORTHOPEDICS
            REHABILITATION

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