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Growing-rod implantation improves nutrition status of early-onset scoliosis patients: a case series study of minimum 3-year follow-up
BACKGROUND: Early onset scoliosis (EOS) may cause malnutrition in affected patients. Growing-rod treatment has been an effective protocol for treating EOS. The objective of this study is to demonstrate whether growing-rod treatment improves nutritional status of EOS patients. METHODS: Fifty-two EOS...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7923317/ https://www.ncbi.nlm.nih.gov/pubmed/33648467 http://dx.doi.org/10.1186/s12893-021-01120-7 |
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author | Li, Xingye Li, Zheng Lin, Youxi Tan, Haining Chen, Chong Shen, Jianxiong |
author_facet | Li, Xingye Li, Zheng Lin, Youxi Tan, Haining Chen, Chong Shen, Jianxiong |
author_sort | Li, Xingye |
collection | PubMed |
description | BACKGROUND: Early onset scoliosis (EOS) may cause malnutrition in affected patients. Growing-rod treatment has been an effective protocol for treating EOS. The objective of this study is to demonstrate whether growing-rod treatment improves nutritional status of EOS patients. METHODS: Fifty-two EOS patients who had dual growing-rod surgery was enrolled. The minimum follow-up was 3-years. Their body weights were normalized based on the data of two National Population Census of China. Z-scores were used to indicate the standard deviation from the median body weight-for-age. RESULTS: The median follow-up time was 6 years. Preoperatively, the prevalence of malnutrition (Z < − 2) was 21.2%, and reduced to 9.6% at the end of the follow-up. Preoperatively, the average Z-score was − 0.94, and it increased to − 0.65 at the latest follow-up (p < 0.05). Patients with preoperative Z-score below − 1 had more significant increase of Z-scores (− 2.15 vs − 1.26, p < 0.001). A significant negative correlation between the change of Z-score and the preoperative Z-score (correlation coefficient − 0.65, p < 0.001). CONCLUSIONS: The growing rod surgery and lengthening procedures significantly improves the nutrition status of EOS patients. The body weight gains are more significant in patients with lower body weights. |
format | Online Article Text |
id | pubmed-7923317 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-79233172021-03-02 Growing-rod implantation improves nutrition status of early-onset scoliosis patients: a case series study of minimum 3-year follow-up Li, Xingye Li, Zheng Lin, Youxi Tan, Haining Chen, Chong Shen, Jianxiong BMC Surg Research Article BACKGROUND: Early onset scoliosis (EOS) may cause malnutrition in affected patients. Growing-rod treatment has been an effective protocol for treating EOS. The objective of this study is to demonstrate whether growing-rod treatment improves nutritional status of EOS patients. METHODS: Fifty-two EOS patients who had dual growing-rod surgery was enrolled. The minimum follow-up was 3-years. Their body weights were normalized based on the data of two National Population Census of China. Z-scores were used to indicate the standard deviation from the median body weight-for-age. RESULTS: The median follow-up time was 6 years. Preoperatively, the prevalence of malnutrition (Z < − 2) was 21.2%, and reduced to 9.6% at the end of the follow-up. Preoperatively, the average Z-score was − 0.94, and it increased to − 0.65 at the latest follow-up (p < 0.05). Patients with preoperative Z-score below − 1 had more significant increase of Z-scores (− 2.15 vs − 1.26, p < 0.001). A significant negative correlation between the change of Z-score and the preoperative Z-score (correlation coefficient − 0.65, p < 0.001). CONCLUSIONS: The growing rod surgery and lengthening procedures significantly improves the nutrition status of EOS patients. The body weight gains are more significant in patients with lower body weights. BioMed Central 2021-03-01 /pmc/articles/PMC7923317/ /pubmed/33648467 http://dx.doi.org/10.1186/s12893-021-01120-7 Text en © The Author(s) 2021 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Article Li, Xingye Li, Zheng Lin, Youxi Tan, Haining Chen, Chong Shen, Jianxiong Growing-rod implantation improves nutrition status of early-onset scoliosis patients: a case series study of minimum 3-year follow-up |
title | Growing-rod implantation improves nutrition status of early-onset scoliosis patients: a case series study of minimum 3-year follow-up |
title_full | Growing-rod implantation improves nutrition status of early-onset scoliosis patients: a case series study of minimum 3-year follow-up |
title_fullStr | Growing-rod implantation improves nutrition status of early-onset scoliosis patients: a case series study of minimum 3-year follow-up |
title_full_unstemmed | Growing-rod implantation improves nutrition status of early-onset scoliosis patients: a case series study of minimum 3-year follow-up |
title_short | Growing-rod implantation improves nutrition status of early-onset scoliosis patients: a case series study of minimum 3-year follow-up |
title_sort | growing-rod implantation improves nutrition status of early-onset scoliosis patients: a case series study of minimum 3-year follow-up |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7923317/ https://www.ncbi.nlm.nih.gov/pubmed/33648467 http://dx.doi.org/10.1186/s12893-021-01120-7 |
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