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Successful surgery for scoliosis supported by pulmonary rehabilitation in a duchenne muscular dystrophy patient with forced vital capacity below 10%.

Authors
Type
Published Article
Journal
Annals of rehabilitation medicine
Publication Date
Volume
37
Issue
6
Pages
875–878
Identifiers
DOI: 10.5535/arm.2013.37.6.875
PMID: 24466523
Source
Medline
Keywords
License
Unknown

Abstract

Low vital capacity is a risk factor for scoliosis correction operation in Duchenne muscular dystrophy (DMD) patients, but pulmonary rehabilitation, including noninvasive intermittent positive pressure ventilator application, air stacking exercise, and assisted coughing technique, reduces the pulmonary complications and perioperative mortality risk. In this case, the patient's preoperative forced vital capacity (FVC) was 8.6% of normal predicted value in sitting position and 9.4% in supine position. He started pulmonary rehabilitation before the operation and continued right after the operation. Scoliosis correction operation was successful without any pulmonary complications, and his discomfort in sitting position was improved. If pulmonary rehabilitative support is provided properly, FVC below 10% of normal predicted value is not a contraindication of scoliosis correction operation in DMD patients.

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