First surgical experience treating scoliosis using HGT and ECMO: a case report

Oriol Pujol; Felipe Moreira; Joan Balcells; Rosario Nuño; Antonio Moreno Galdo; Ferran Pellise

doi:10.1007/s43390-022-00588-4

First surgical experience treating scoliosis using HGT and ECMO: a case report

Oriol Pujol, Felipe Moreira, Joan Balcells, Rosario Nuño, Antonio Moreno Galdo, Ferran Pellise

Department of Paediatrics, Obstetrics and Gynaecology, and Preventive Medicine and Public Health

Vall d'Hebron University Hospital (HUVH)

Research output: Contribution to journal › Article › Research › peer-review

Abstract

CASE PRESENTATION: A 13-year-old female with congenital diaphragmatic hernia-associated pulmonary hypertension presented with severe and rapidly progressing scoliosis. The patient suffered from chronic respiratory failure and high risk of hypertensive crisis with potentially life-threating consequences. The scoliosis was treated with a multidisciplinary approach combining preoperative halo-gravity traction, venoarterial extracorporeal membrane oxygenation support and posterior spinal instrumented fusion. After 2 years of follow-up, results are excellent.

CONCLUSIONS: The treatment combination reported here for the first time aims to limit surgical aggressiveness. It could be an effective and safe approach for treating severe spinal deformities in very fragile patients with high surgical risk.

Original language	English
Pages (from-to)	507-511
Number of pages	5
Journal	Spine Deformity
Volume	11
Issue number	2
DOIs	https://doi.org/10.1007/s43390-022-00588-4
Publication status	Published - 19 Sept 2022

Keywords

Female
Humans
Adolescent
Scoliosis/complications
Extracorporeal Membrane Oxygenation
Preoperative Care/methods
Traction/methods
Spinal Fusion/methods

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title = "First surgical experience treating scoliosis using HGT and ECMO: a case report",

abstract = "CASE PRESENTATION: A 13-year-old female with congenital diaphragmatic hernia-associated pulmonary hypertension presented with severe and rapidly progressing scoliosis. The patient suffered from chronic respiratory failure and high risk of hypertensive crisis with potentially life-threating consequences. The scoliosis was treated with a multidisciplinary approach combining preoperative halo-gravity traction, venoarterial extracorporeal membrane oxygenation support and posterior spinal instrumented fusion. After 2 years of follow-up, results are excellent.CONCLUSIONS: The treatment combination reported here for the first time aims to limit surgical aggressiveness. It could be an effective and safe approach for treating severe spinal deformities in very fragile patients with high surgical risk.",

keywords = "Female, Humans, Adolescent, Scoliosis/complications, Extracorporeal Membrane Oxygenation, Preoperative Care/methods, Traction/methods, Spinal Fusion/methods",

author = "Oriol Pujol and Felipe Moreira and Joan Balcells and Rosario Nu{\~n}o and {Moreno Galdo}, Antonio and Ferran Pellise",

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doi = "10.1007/s43390-022-00588-4",

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T1 - First surgical experience treating scoliosis using HGT and ECMO

T2 - a case report

AU - Pujol, Oriol

AU - Moreira, Felipe

AU - Balcells, Joan

AU - Nuño, Rosario

AU - Moreno Galdo, Antonio

AU - Pellise, Ferran

PY - 2022/9/19

Y1 - 2022/9/19

N2 - CASE PRESENTATION: A 13-year-old female with congenital diaphragmatic hernia-associated pulmonary hypertension presented with severe and rapidly progressing scoliosis. The patient suffered from chronic respiratory failure and high risk of hypertensive crisis with potentially life-threating consequences. The scoliosis was treated with a multidisciplinary approach combining preoperative halo-gravity traction, venoarterial extracorporeal membrane oxygenation support and posterior spinal instrumented fusion. After 2 years of follow-up, results are excellent.CONCLUSIONS: The treatment combination reported here for the first time aims to limit surgical aggressiveness. It could be an effective and safe approach for treating severe spinal deformities in very fragile patients with high surgical risk.

AB - CASE PRESENTATION: A 13-year-old female with congenital diaphragmatic hernia-associated pulmonary hypertension presented with severe and rapidly progressing scoliosis. The patient suffered from chronic respiratory failure and high risk of hypertensive crisis with potentially life-threating consequences. The scoliosis was treated with a multidisciplinary approach combining preoperative halo-gravity traction, venoarterial extracorporeal membrane oxygenation support and posterior spinal instrumented fusion. After 2 years of follow-up, results are excellent.CONCLUSIONS: The treatment combination reported here for the first time aims to limit surgical aggressiveness. It could be an effective and safe approach for treating severe spinal deformities in very fragile patients with high surgical risk.

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KW - Adolescent

KW - Scoliosis/complications

KW - Extracorporeal Membrane Oxygenation

KW - Preoperative Care/methods

KW - Traction/methods

KW - Spinal Fusion/methods

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First surgical experience treating scoliosis using HGT and ECMO: a case report

Abstract

Keywords

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