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Cardiopulmonary Failure of the Hunchback: Title and subTitle BreakA Possible Therapeutic Approach FREE

A. Jay Block, MD; Jack Wexler, MD; Edmond J. McDonnell, MD
[+] Author Affiliations

Reprint requests to Johns Hopkins Hospital, Baltimore 21205 (Dr. Block).


JAMA. 1970;212(9):1520-1522. doi:10.1001/jama.1970.03170220074018
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In a middle-aged man with cardiopulmonary failure secondary to severe kyphoscoliosis, skeletal traction produced improvement by roentgenographic, functional, and clinical criteria. Although an attempt to perpetuate this improvement by surgical spine correction was unsuccessful, it is thought that these therapeutic maneuvers should be attempted again in the absence of other definitive therapy.

REFERENCES

Bergofsky EH, Turino GM, and Fishman AP:  Cardio-respiratory failure in kyphoscoliosis , Medicine 38:263-317 ( (Sept) ) 1959;.
Turino GM, Goldring RM, and Fishman AP:  Cor pulmonale in the musculoskeletal abnormalities of the thorax , Bull NY Acad Med 41:959-980 ( (Sept) ) 1965;.
Shaw DB, and Read J:  Hypoxia and thoracic scoliosis , Brit Med J 2:1486-1489 ( (Nov) ) 1960;.
Bruderman I, and Stein M:  Physiologic evaluation and treatment of kyphoscoliotic patients , Ann Intern Med 55:94-101 ( (July) ) 1961;.
Nickel VL, et al:  The Halo: A spinal skeletal traction fixation device , J Bone Joint Surg 50A:1400-1409 ( (Oct) ) 1968;.
Winter RB, Moe JH, and Eilers VE:  Congenital scoliosis: A study of 234 patients treated and untreated: II. Treatment , J Bone Joint Surg 50A:15-47 ( (Jan) ) 1968;.
Harrington PR:  Treatment of scoliosis: Correction and internal fixation by spine instrumentation . J Bone and Joint Surg 44A:591-610 ( (June) ) 1962;.
Gucker T III:  Changes in vital capacity in scoliosis: Preliminary report on effects of treatment , J Bone and Joint Surg 44A:469-481 ( (April) ) 1962;.
Makley JT, et al:  Pulmonary function in paralytic and non-paralytic scoliosis before and after treatment , J Bone Joint Surg 50A:1379-1390 ( (Oct) ) 1968;.
Gazioglu, et al:  Pulmonary function in idiopathic scoliosis: Comparative evaluation before and after orthopediac correction , J Bone Joint Surg 50A:1391-1399 ( (Oct) ) 1968;.

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Bergofsky EH, Turino GM, and Fishman AP:  Cardio-respiratory failure in kyphoscoliosis , Medicine 38:263-317 ( (Sept) ) 1959;.
Turino GM, Goldring RM, and Fishman AP:  Cor pulmonale in the musculoskeletal abnormalities of the thorax , Bull NY Acad Med 41:959-980 ( (Sept) ) 1965;.
Shaw DB, and Read J:  Hypoxia and thoracic scoliosis , Brit Med J 2:1486-1489 ( (Nov) ) 1960;.
Bruderman I, and Stein M:  Physiologic evaluation and treatment of kyphoscoliotic patients , Ann Intern Med 55:94-101 ( (July) ) 1961;.
Nickel VL, et al:  The Halo: A spinal skeletal traction fixation device , J Bone Joint Surg 50A:1400-1409 ( (Oct) ) 1968;.
Winter RB, Moe JH, and Eilers VE:  Congenital scoliosis: A study of 234 patients treated and untreated: II. Treatment , J Bone Joint Surg 50A:15-47 ( (Jan) ) 1968;.
Harrington PR:  Treatment of scoliosis: Correction and internal fixation by spine instrumentation . J Bone and Joint Surg 44A:591-610 ( (June) ) 1962;.
Gucker T III:  Changes in vital capacity in scoliosis: Preliminary report on effects of treatment , J Bone and Joint Surg 44A:469-481 ( (April) ) 1962;.
Makley JT, et al:  Pulmonary function in paralytic and non-paralytic scoliosis before and after treatment , J Bone Joint Surg 50A:1379-1390 ( (Oct) ) 1968;.
Gazioglu, et al:  Pulmonary function in idiopathic scoliosis: Comparative evaluation before and after orthopediac correction , J Bone Joint Surg 50A:1391-1399 ( (Oct) ) 1968;.
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