COVID-19 pneumonia in kyphoscoliosis: The success stories



Coronavirus disease (COVID-19) pandemic has led to millions of deaths worldwide. Old age, immunocompromised state and multiple comorbidities are described as risk factors. Kyphoscoliosis (KS) is the most common spine abnormality and a risk factor of respiratory failure. Management of pneumonia in a patient with severe kyphoscoliosis is challenging to the intensivist. We report successful management of two patients with severe kyphoscoliosis who developed severe COVID-19 pneumonia.



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World Health Organization. COVID-19 Clinical management: living guidance. Available from:

Bergofsky EH. Respiratory failure in disorders of the thoracic cage. Am Rev Respir Dis 1979;119:643-69.

Banfi P, Redolfi S, Robert D. Home treatment of infection-related acute respiratory failure in kyphoscoliotic patients on long-term mechanical ventilation. Respir Care 2007;52:713-9.

Sahu KK, Mishra AK, Martin K, et al. COVID-19 and restrictive lung disease: A deadly combo to trip off the fine balance. Monaldi Arch Chest Dis 2020;90:1346.

No authors listed. Clinical indications for noninvasive positive pressure ventilation in chronic respiratory failure due to restrictive lung disease, COPD, and nocturnal hypoventilation--a consensus conference report. Chest 1999;116:521-34.

Tran K, Cimon K, Severn M, et al Aerosol generating procedures and risk of transmission of acute respiratory infections to healthcare workers: a systematic review. PLoS One 2012;7:e35797.

Simonds AK, Hanak A, Chatwin M, et al Evaluation of droplet dispersion during non-invasive ventilation, oxygen therapy, nebuliser treatment and chest physiotherapy in clinical practice: implications for management of pandemic influenza and other airborne infections. Health Technol Assess 2010;14:131-72.

Phua J, Weng L, Ling L, et al. Intensive care management of coronavirus disease 2019 (COVID-19): challenges and recommendations. Lancet Respir Med 2020;8:506-17.

Cheung TM, Yam LY, So LK, et al Effectiveness of noninvasive positive pressure ventilation in the treatment of acute respiratory failure in severe acute respiratory syndrome. Chest 2004;126:845-50.

Marini JJ, Gattinoni L. Management of COVID-19 respiratory distress. JAMA 2020;323:2329–30.

Brochard L, Slutsky A, Pesenti A. mechanical ventilation to minimize progression of lung injury in acute respiratory failure. Am J Respir Crit Care Med 2017;195:438-42.

Ou J, Chen H, Li L, Zhao L, Nie N. The role of non-invasive ventilation used immediately after planned extubation for adults with chronic respiratory disorders. Saudi Med J 2018;39:131-6.

Buyse B, Meersseman W, Demedts M. Treatment of chronic respiratory failure in kyphoscoliosis: oxygen or ventilation? Eur Respir J 2003;22:525–8.

Laserna E, Barrot E, Beiztegui A. Non-invasive ventilation in kyphoscoliosis. A comparison of a volumetric ventilator and a BIPAP support pressure device. Arch Bronconeumol 2003;39:13-8.

Elliott MW Non-invasive ventilation during sleep: time to define new tools in the systematic evaluation of the technique. Thorax 2011;66:82-4.

Chen N, Zhou M, Dong X, et al. Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: a descriptive study. Lancet 2020;395:507-13.

Chang D, Lin M, Wei L, et al. Epidemiologic and clinical characteristics of novel coronavirus infections involving 13 patients outside Wuhan, China. JAMA 2020;323:1092-3.


COVID-19 - Collection of articles on the Coronavirus outbreak
COVID-19, Kyphoscoliosis, Restrictive lung disease
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How to Cite
Mustahsin, Mohd, Sanjay Choubey, Garima Singh, Madhulika Dubey, Sachin Khanduri, Rachit Sharma, and Amit Srivastava. 2021. “COVID-19 Pneumonia in Kyphoscoliosis: The Success Stories”. Monaldi Archives for Chest Disease, September.