Ultrasonographic Measurement of Diaphragmatic Thickness in Adolescents With Thoracal Hyperkyphosis

Gaziosmanpasa Research and Education Hospital

Status: Completed

Conditions: Diaphragm Issues; Spine Deformity; Hyperkyphosis

Treatments: Diagnostic Test: Thoracal hyperkyphosis study form; Diagnostic Test: Scoliosis graphy; Diagnostic Test: Pulmonary function test; Diagnostic Test: Ultrasonographic Measurement

Study type: Observational

Funder types: Other

Identifiers

NCT06418334

109

Details and patient eligibility

About

Spinal deformity is common in childhood and adolescence. Any spinal deformity, especially one that affects the thoracic spine, can affect lung function.The diaphragm is the main respiratory muscle, and diaphragm contraction is associated with respiratory functions. The investigators aimed to measure the diaphragmatic thickness in adolescents with increased thoracal kyphosis (thoracal hyperkyphosis) deformities.

Full description

Spinal deformity is common in childhood and adolescence, and can often present as scoliosis or increased thoracal kyphosis deformity with various etiologies.

Any spinal deformity, especially one that affects the thoracic spine, can affect lung function. If left untreated, the curves may distort over time as skeletal growth accelerates. In some patients, this can lead to restrictive or obstructive lung disease and, rarely, death as a result of cor pulmonale.

The alignment of the skeletal system in the chest and its harmony with the compliance of the chest wall are related to respiratory function; Thoracic kyphosis and the resulting changes in the rib cage lead to a decrease in lung capacity. The diaphragm is the main respiratory muscle, and diaphragm contraction is associated with respiratory functions. In recent years, ultrasonography (USG) has gained increasing utility for visualizing the diaphragm and assessing its function, with several advantages.

Based on this, the investigators aimed to measure the diaphragmatic thickness in adolescents with increased thoracal kyphosis (thoracal hyperkyphosis) deformities, to show whether there is any relationship between increased kyphosis deformity and diaphragmatic thickness, and to show whether there is any change in diaphragmatic thickness before or after the treatment for kyphosis.

Enrollment: 45 patients

Sex: All

Ages: 10 to 18 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Increased thoracal kyphosis (thoracic hyperkyphosis)
• Being between the ages of 10-18

Exclusion criteria

• Congenital spinal, costal and diaphragmatic anomalies
• Neuromuscular disease
• Respiratory system diseases that affect lung functions
• Patients who cannot cooperate with spirometry.
• Having surgery to the chest wall or spine

Trial design

45 participants in 1 patient group

Patients aged 10-18 years who were diagnosed with thoracal hyperkyphosis deformity

Description:

Thoracal Hyperkyphosis study form consisting of clinical and radiological measurements of patients aged 10-18 years who were diagnosed with thoracal hyperkyphosis deformity and applied to the scoliosis outpatient clinicwill be filled in detail.

Treatment:

Diagnostic Test: Ultrasonographic Measurement

Diagnostic Test: Pulmonary function test

Diagnostic Test: Scoliosis graphy

Diagnostic Test: Thoracal hyperkyphosis study form