{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T02:28:49Z","timestamp":1773196129627,"version":"3.50.1"},"reference-count":63,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2004,10,13]],"date-time":"2004-10-13T00:00:00Z","timestamp":1097625600000},"content-version":"vor","delay-in-days":4548,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Muscle and Nerve"],"published-print":{"date-parts":[[1992,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>We studied 27 Duchenne muscular dystophy patients having spinal fusion for scoliosis. One patient died intraoperatively of cardiac arrest; all others have done well with no instances of malignant hyperthermia, postoperative ventilatory system dependence, pneumothorax, persisting infection, neurologic damage, nonunion, or pain. The anesthetic management included primarily intravenous general anesthetics with minimal myocardial depressant effects, avoiding succinylcholine and inhalation agents. Preoperative cardiac studies aided anesthetic management intra\u2010operatively. There was analmost universal sinus tachycardia. Holter monitoring defined 4 fo 16 with ventricular premature beats, 4 of 16 with atrial premature beats, and no ventricular tachycardia or atrial flutter or fibrillation. Echocardiogram demonstrated mitral prolapse in 2 of 22, frequent abnormal systolic performance with abnormal shortening fraction &lt; 28% in 7 of 16, and reduced rate\u2010corrected velocity of fiber shortening in 9 of 15. Afterload was elevated in 7 of 15. The mean forced vital capacity (FVC) preoperatively was 45.3 \u00b1 15.9% with continuing diminution to 28.7 \u00b1 14.9% at 3.3 \u00b1 2.2 years after surgery. The main benefit of surgical stabilization is the relative ease and comfort of wheelchair seating compared with those nonoperated patients who develop progressive deformity. We have not seen lasting improvement or stabilization in FVC following surgery as decreasing function is related primarily to muscle weakness.<\/jats:p>","DOI":"10.1002\/mus.880150512","type":"journal-article","created":{"date-parts":[[2005,1,1]],"date-time":"2005-01-01T10:36:11Z","timestamp":1104575771000},"page":"604-614","source":"Crossref","is-referenced-by-count":81,"title":["Spinal fusion in duchenne muscular dystrophy: A multidisciplinary approach"],"prefix":"10.1002","volume":"15","author":[{"given":"Frederic","family":"Shapiro","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Navil","family":"Sethna","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Steven","family":"Colan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mary Ellen","family":"Wohl","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Linda","family":"Specht","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2004,10,13]]},"reference":[{"key":"e_1_2_1_2_2","first-page":"831","article-title":"ATS Statement\u2014Snowbird workshop on standardization of spirometry","volume":"119","year":"1979","journal-title":"Am Rev Dis"},{"key":"e_1_2_1_3_2","doi-asserted-by":"publisher","DOI":"10.1172\/JCI114482"},{"key":"e_1_2_1_4_2","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.39.4.475"},{"key":"e_1_2_1_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/01241398-198707000-00011"},{"key":"e_1_2_1_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9149(83)90430-7"},{"key":"e_1_2_1_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(84)80397-6"},{"key":"e_1_2_1_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9149(84)90653-2"},{"key":"e_1_2_1_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-8703(85)90356-4"},{"key":"e_1_2_1_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(87)80350-9"},{"key":"e_1_2_1_11_2","first-page":"302","article-title":"Scoliosis management in Duchenne muscular dystrophy: Prospective study of modified Jewett hyperextension brace","volume":"68","author":"Colbert AP","year":"1987","journal-title":"Arch Phys Med Rehabil"},{"key":"e_1_2_1_12_2","doi-asserted-by":"publisher","DOI":"10.1002\/mus.880030405"},{"key":"e_1_2_1_13_2","doi-asserted-by":"crossref","first-page":"696","DOI":"10.2106\/00004623-198870050-00009","article-title":"Failure of fixation after segmental spinal instrumentation without arthrodesis in the management of paralytic scoliosis","volume":"70","author":"Eberle CE","year":"1988","journal-title":"J Bone Joint Surg"},{"key":"e_1_2_1_14_2","doi-asserted-by":"crossref","first-page":"528","DOI":"10.2106\/00004623-197860040-00016","article-title":"Somatosensory evoked potentials during Harrington instrumentation for scoliosis","volume":"60","author":"Engler GL","year":"1987","journal-title":"J Bone Joint Surg"},{"key":"e_1_2_1_15_2","doi-asserted-by":"crossref","first-page":"1391","DOI":"10.2106\/00004623-196850070-00008","article-title":"Pulmonary functions in idiopathic scoliosis. 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