{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T07:47:11Z","timestamp":1792136831392,"version":"4.4.0"},"reference-count":22,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2015,5,9]],"date-time":"2015-05-09T00:00:00Z","timestamp":1431129600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pediatric Anesthesia"],"published-print":{"date-parts":[[2015,8]]},"abstract":"<jats:title>Summary<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Spinal deformity is one of the secondary musculoskeletal problems that occur with cerebral palsy (<jats:styled-content style=\"fixed-case\">CP<\/jats:styled-content>). Of the co morbidities associated with <jats:styled-content style=\"fixed-case\">CP<\/jats:styled-content> and spinal deformity, cardiac function is of theoretical concern.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>The goal of our study was to determine the clinical relevance of routine preoperative cardiology evaluation via echocardiogram for patients with <jats:styled-content style=\"fixed-case\">CP<\/jats:styled-content> presenting for posterior spine fusion (<jats:styled-content style=\"fixed-case\">PSF<\/jats:styled-content>) surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective chart review was performed of <jats:styled-content style=\"fixed-case\">CP<\/jats:styled-content> patients presenting for scoliosis surgery. The data collected for each patient included: age, sex, height, weight, Cobb angle, and medical history. All patients had a preoperative cardiac evaluation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Seventy\u2010two patients were included. The mean age was 13.6\u00a0\u00b1\u00a03.4\u00a0years. Left ventricular systolic function was normal in all patients; the mean shortening fraction was 39.3\u00a0\u00b1\u00a06.2%. No patient had more than mild insufficiency of either the semilunar or atrioventricular valve. One patient was diagnosed with aortic root dilation as well as aortic valve insufficiency. All patients had <jats:styled-content style=\"fixed-case\">PSF<\/jats:styled-content> surgery without changes in anesthetic or surgical plans, and no patient experienced complications attributable to a cardiac origin.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The results suggest that routine preoperative cardiology evaluation via echocardiogram for children with <jats:styled-content style=\"fixed-case\">CP<\/jats:styled-content> in the absence of clinical history or physical examination findings suggestive of cardiac disease is not necessary.<\/jats:p><\/jats:sec>","DOI":"10.1111\/pan.12676","type":"journal-article","created":{"date-parts":[[2015,5,9]],"date-time":"2015-05-09T07:53:12Z","timestamp":1431157992000},"page":"840-845","source":"Crossref","is-referenced-by-count":11,"title":["Clinical relevance of echocardiogram in patients with cerebral palsy undergoing posterior spinal 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