Prevalence of scoliosis and impaired pulmonary function in patients with type III osteogenesis imperfecta

Purpose Osteogenesis Imperfecta (OI) is a rare group of congenital genetic disorders that consists of a collagen synthesis defect. The most severe phenotype is type III OI. Characterized by progressive bone deformity, fragility and pulmonary impairment, causing significant morbidity and mortality. A...

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Veröffentlicht in:European spine journal Jg. 31; H. 9; S. 2295 - 2300
Hauptverfasser: Keuning, M. C., Leeuwerke, S. J. G., van Dijk, P. R., Harsevoort, A. G. J., Grotjohan, H. P., Franken, A. A. M., Janus, G. J. M.
Format: Journal Article
Sprache:Englisch
Veröffentlicht: Berlin/Heidelberg Springer Berlin Heidelberg 01.09.2022
Springer Nature B.V
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ISSN:0940-6719, 1432-0932, 1432-0932
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Abstract Purpose Osteogenesis Imperfecta (OI) is a rare group of congenital genetic disorders that consists of a collagen synthesis defect. The most severe phenotype is type III OI. Characterized by progressive bone deformity, fragility and pulmonary impairment, causing significant morbidity and mortality. Also, multilevel spine deformities are observed, such as scoliosis. The literature on the pathophysiology of pulmonary impairment in relation to scoliosis in these patients is scarce and conflicting. This study aims to determine the prevalence of scoliosis and its relation to pulmonary function in type III OI patients. Methods This retrospective cohort study took place between April 2020 and November 2021. Forty-two patients with type III OI were included. Anterior–posterior spine radiographs were evaluated for scoliosis. Pulmonary function was assessed using spirometry and partial pressure of carbon dioxide. Results All 42 patients had scoliosis, with a mean curve of 66° (95% CI of range). Vital lung capacity was decreased, compared to a non-OI population (mean 1.57 L). This was correlated to the degree of scoliosis (st. β − 0.40, P  = 0.03), especially in increasing thoracic curves. Restrictive lung pathophysiology was shown in our study population with a mean FEV1/FVC ratio of 0.85. Conclusions Increasing thoracic scoliosis was correlated with decreased vital lung capacity in our study population of type III OI patients. High FEV1/FVC ratios found in this study population show restrictive lung pathophysiology. Therefore, it is plausible that the pulmonary impairment found in type III OI patients is a combined issue, partly associated to scoliosis and partly intrinsic to OI.
AbstractList Osteogenesis Imperfecta (OI) is a rare group of congenital genetic disorders that consists of a collagen synthesis defect. The most severe phenotype is type III OI. Characterized by progressive bone deformity, fragility and pulmonary impairment, causing significant morbidity and mortality. Also, multilevel spine deformities are observed, such as scoliosis. The literature on the pathophysiology of pulmonary impairment in relation to scoliosis in these patients is scarce and conflicting. This study aims to determine the prevalence of scoliosis and its relation to pulmonary function in type III OI patients. This retrospective cohort study took place between April 2020 and November 2021. Forty-two patients with type III OI were included. Anterior-posterior spine radiographs were evaluated for scoliosis. Pulmonary function was assessed using spirometry and partial pressure of carbon dioxide. All 42 patients had scoliosis, with a mean curve of 66° (95% CI of range). Vital lung capacity was decreased, compared to a non-OI population (mean 1.57 L). This was correlated to the degree of scoliosis (st. β - 0.40, P = 0.03), especially in increasing thoracic curves. Restrictive lung pathophysiology was shown in our study population with a mean FEV1/FVC ratio of 0.85. Increasing thoracic scoliosis was correlated with decreased vital lung capacity in our study population of type III OI patients. High FEV1/FVC ratios found in this study population show restrictive lung pathophysiology. Therefore, it is plausible that the pulmonary impairment found in type III OI patients is a combined issue, partly associated to scoliosis and partly intrinsic to OI.
Purpose Osteogenesis Imperfecta (OI) is a rare group of congenital genetic disorders that consists of a collagen synthesis defect. The most severe phenotype is type III OI. Characterized by progressive bone deformity, fragility and pulmonary impairment, causing significant morbidity and mortality. Also, multilevel spine deformities are observed, such as scoliosis. The literature on the pathophysiology of pulmonary impairment in relation to scoliosis in these patients is scarce and conflicting. This study aims to determine the prevalence of scoliosis and its relation to pulmonary function in type III OI patients. Methods This retrospective cohort study took place between April 2020 and November 2021. Forty-two patients with type III OI were included. Anterior–posterior spine radiographs were evaluated for scoliosis. Pulmonary function was assessed using spirometry and partial pressure of carbon dioxide. Results All 42 patients had scoliosis, with a mean curve of 66° (95% CI of range). Vital lung capacity was decreased, compared to a non-OI population (mean 1.57 L). This was correlated to the degree of scoliosis (st. β − 0.40, P  = 0.03), especially in increasing thoracic curves. Restrictive lung pathophysiology was shown in our study population with a mean FEV1/FVC ratio of 0.85. Conclusions Increasing thoracic scoliosis was correlated with decreased vital lung capacity in our study population of type III OI patients. High FEV1/FVC ratios found in this study population show restrictive lung pathophysiology. Therefore, it is plausible that the pulmonary impairment found in type III OI patients is a combined issue, partly associated to scoliosis and partly intrinsic to OI.
PurposeOsteogenesis Imperfecta (OI) is a rare group of congenital genetic disorders that consists of a collagen synthesis defect. The most severe phenotype is type III OI. Characterized by progressive bone deformity, fragility and pulmonary impairment, causing significant morbidity and mortality. Also, multilevel spine deformities are observed, such as scoliosis. The literature on the pathophysiology of pulmonary impairment in relation to scoliosis in these patients is scarce and conflicting. This study aims to determine the prevalence of scoliosis and its relation to pulmonary function in type III OI patients.MethodsThis retrospective cohort study took place between April 2020 and November 2021. Forty-two patients with type III OI were included. Anterior–posterior spine radiographs were evaluated for scoliosis. Pulmonary function was assessed using spirometry and partial pressure of carbon dioxide.ResultsAll 42 patients had scoliosis, with a mean curve of 66° (95% CI of range). Vital lung capacity was decreased, compared to a non-OI population (mean 1.57 L). This was correlated to the degree of scoliosis (st. β − 0.40, P = 0.03), especially in increasing thoracic curves. Restrictive lung pathophysiology was shown in our study population with a mean FEV1/FVC ratio of 0.85.ConclusionsIncreasing thoracic scoliosis was correlated with decreased vital lung capacity in our study population of type III OI patients. High FEV1/FVC ratios found in this study population show restrictive lung pathophysiology. Therefore, it is plausible that the pulmonary impairment found in type III OI patients is a combined issue, partly associated to scoliosis and partly intrinsic to OI.
Osteogenesis Imperfecta (OI) is a rare group of congenital genetic disorders that consists of a collagen synthesis defect. The most severe phenotype is type III OI. Characterized by progressive bone deformity, fragility and pulmonary impairment, causing significant morbidity and mortality. Also, multilevel spine deformities are observed, such as scoliosis. The literature on the pathophysiology of pulmonary impairment in relation to scoliosis in these patients is scarce and conflicting. This study aims to determine the prevalence of scoliosis and its relation to pulmonary function in type III OI patients.PURPOSEOsteogenesis Imperfecta (OI) is a rare group of congenital genetic disorders that consists of a collagen synthesis defect. The most severe phenotype is type III OI. Characterized by progressive bone deformity, fragility and pulmonary impairment, causing significant morbidity and mortality. Also, multilevel spine deformities are observed, such as scoliosis. The literature on the pathophysiology of pulmonary impairment in relation to scoliosis in these patients is scarce and conflicting. This study aims to determine the prevalence of scoliosis and its relation to pulmonary function in type III OI patients.This retrospective cohort study took place between April 2020 and November 2021. Forty-two patients with type III OI were included. Anterior-posterior spine radiographs were evaluated for scoliosis. Pulmonary function was assessed using spirometry and partial pressure of carbon dioxide.METHODSThis retrospective cohort study took place between April 2020 and November 2021. Forty-two patients with type III OI were included. Anterior-posterior spine radiographs were evaluated for scoliosis. Pulmonary function was assessed using spirometry and partial pressure of carbon dioxide.All 42 patients had scoliosis, with a mean curve of 66° (95% CI of range). Vital lung capacity was decreased, compared to a non-OI population (mean 1.57 L). This was correlated to the degree of scoliosis (st. β - 0.40, P = 0.03), especially in increasing thoracic curves. Restrictive lung pathophysiology was shown in our study population with a mean FEV1/FVC ratio of 0.85.RESULTSAll 42 patients had scoliosis, with a mean curve of 66° (95% CI of range). Vital lung capacity was decreased, compared to a non-OI population (mean 1.57 L). This was correlated to the degree of scoliosis (st. β - 0.40, P = 0.03), especially in increasing thoracic curves. Restrictive lung pathophysiology was shown in our study population with a mean FEV1/FVC ratio of 0.85.Increasing thoracic scoliosis was correlated with decreased vital lung capacity in our study population of type III OI patients. High FEV1/FVC ratios found in this study population show restrictive lung pathophysiology. Therefore, it is plausible that the pulmonary impairment found in type III OI patients is a combined issue, partly associated to scoliosis and partly intrinsic to OI.CONCLUSIONSIncreasing thoracic scoliosis was correlated with decreased vital lung capacity in our study population of type III OI patients. High FEV1/FVC ratios found in this study population show restrictive lung pathophysiology. Therefore, it is plausible that the pulmonary impairment found in type III OI patients is a combined issue, partly associated to scoliosis and partly intrinsic to OI.
Author Leeuwerke, S. J. G.
Franken, A. A. M.
Keuning, M. C.
Harsevoort, A. G. J.
van Dijk, P. R.
Grotjohan, H. P.
Janus, G. J. M.
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  organization: Department of Orthopaedic Surgery, University Medical Center, University of Groningen
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  givenname: S. J. G.
  surname: Leeuwerke
  fullname: Leeuwerke, S. J. G.
  organization: Department of Surgery, University Medical Center, University of Groningen
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  givenname: P. R.
  surname: van Dijk
  fullname: van Dijk, P. R.
  organization: Department of Endocrinology, University Medical Center, University of Groningen
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  givenname: A. G. J.
  surname: Harsevoort
  fullname: Harsevoort, A. G. J.
  organization: Department of Orthopaedic Surgery, Isala
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  organization: Department of Internal Medicine, Isala
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  givenname: G. J. M.
  surname: Janus
  fullname: Janus, G. J. M.
  organization: Department of Orthopaedic Surgery, Isala
BackLink https://www.ncbi.nlm.nih.gov/pubmed/35604455$$D View this record in MEDLINE/PubMed
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Keywords Pulmonary function
Osteogenesis imperfecta
Scoliosis
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LiuGChenJZhouYThe genetic implication of scoliosis in osteogenesis imperfecta: a reviewJ Spine Surg2017346667810.21037/2Fjss.2017.10.01293547465760423
PatersonCROgstonSAHenryRMLife expectancy in osteogenesis imperfectaBMJ199631270273513511:STN:280:DyaK287ptVWlsw%3D%3D10.1136/bmj.312.7027.35186118342350292
StoroniSTreurnietSMichaDPathophysiology of respiratory failure in patients with osteogenesis imperfecta: a systematic reviewAnn Med20215311676871:CAS:528:DC%2BB3MXitFaqtL%2FE10.1080/07853890.2021.1980819345693918477932
McAllionSJPatersonCRCauses of death in osteogenesis imperfectaJ Clin Pathol1996498627301:STN:280:DyaK2s%2Fjs1alsA%3D%3D10.1136/2Fjcp.49.8.6278881910500603
SandhausRAPulmonary function in osteogenesis imperfectaOsteogenesis imperfecta2014New YorkElsevier33534210.1016/B978-0-12-397165-4.00035-6
van DijkFSSillenceDOOsteogenesis imperfecta: clinical diagnosis, nomenclature and severity assessmentAm J Med Genet A2014164A61470148110.1002/ajmg.a.3654524715559
SillenceDOSennADanksDMGenetic heterogeneity in osteogenesis imperfectaJ Med Genet19791621011161:STN:280:DyaE1M3hvVOrtw%3D%3D10.1136/jmg.16.2.1014588281012733
WidmannRFBitanFDLaplazaFJSpinal deformity, pulmonary compromise, and quality of life in osteogenesis imperfectaSpine19992416167316781:STN:280:DyaK1MvgtFehsw%3D%3D10.1097/00007632-199908150-0000810472101
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Snippet Purpose Osteogenesis Imperfecta (OI) is a rare group of congenital genetic disorders that consists of a collagen synthesis defect. The most severe phenotype is...
Osteogenesis Imperfecta (OI) is a rare group of congenital genetic disorders that consists of a collagen synthesis defect. The most severe phenotype is type...
PurposeOsteogenesis Imperfecta (OI) is a rare group of congenital genetic disorders that consists of a collagen synthesis defect. The most severe phenotype is...
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SubjectTerms Carbon dioxide
Collagen (type I)
Genetic disorders
Medicine
Medicine & Public Health
Morbidity
Neurosurgery
Original Article
Osteogenesis
Osteogenesis imperfecta
Pathophysiology
Phenotypes
Population
Population studies
Respiratory function
Scoliosis
Surgical Orthopedics
Thorax
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Title Prevalence of scoliosis and impaired pulmonary function in patients with type III osteogenesis imperfecta
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