Correlation between Radiological Outcome and Health Related Quality of Life after Posterior Spinal Fusion for Adolescent Idiopathic Scoliosis

Abstract

Background: Posterior spinal surgery for adolescent idiopathic scoliosis is aimed at correcting deformity and stopping deformity progression to improve the health related quality of life. The correlation between radiological outcome and health related quality of life is yet unclear. This study aimed to assess the correlation between radiological outcome and health related quality of life.Methods: A descriptive cross-sectional study of 31 cases of adolescent idiopathic scoliosis who underwent posterior spinal surgery at our center from July 2013 to August 2019, was done. Radiological outcomes were measured by the Cobb’s angle before and after surgery in standing whole spine X-ray and compared by paired t-test. Health related quality of life was measured by Scoliosis Research Society-30 questionnaire. Correlation between radiological outcomes and Scoliosis Research Society-30 and its domains were assessed by Pearson’s correlation coefficient, and Spearman’s rank correlation coefficient.Results: There were 18 females (58.06%) and 13 males (41.93%) with a mean age of 14.81 years (range 12-18 years). Average post-operative follow-up was 37 months (range 6-82 months).The mean amount of deformity correction post-operatively was 460 (range 300-740). The mean of total SRS-30 score was 137.64±7.84. The post-operative Cobb angle correlated significantly with the mean total Scoliosis Research Society-30 score (p=0.046). Self-image/appearance and satisfaction with management correlated significantly with residual deformity and amount of deformity correction. Self-image/appearance and pain correlated significantly with satisfaction with management. Self-image/appearance had a significant positive correlation with mental health (p=0.004). Conclusions: Posterior spinal surgery for adolescent idiopathic scoliosis provided better radiological outcomes, and a positive correlation with health related quality of life. There was significant improvement of self-image/appearance and satisfaction after surgery, which in turn, improved mental health. Keywords: Adolescent idiopathic scoliosis; health related quality of life; posterior spinal surgery; radiological outcome

The impact of spinal fusion of adolescent idiopathic scoliosis in Salah (Islamic Prayer) movement: a case-control study

“…6 Likewise, Chaudhary et al, reported similar findings (p-values of SRS-30 function and pain correlation analyses with curve correction: 0.688 and 0.453, respectively). 37 Moreover, our results showed that total fused levels were not associated with function or pain. Likewise, existing literature has reported that despite resulting in better ROM, fewer fusion levels did not correlate with SRS-22 function and pain in 2-10 years of follow-up.…”

“…Moreover, our findings are in agreement with previous studies that have reported the irrelevance of Cobb angle correction degree with postoperative SRS-30 function and pain. 6,37 A study by Ghandehari et al, revealed that the percentage of radiographic correction was positively correlated only with the total SRS-30 score (r=0.52, p<0.001) and the satisfaction domain (r=0.386, p=0.026) but not with the function and pain domains. 6 Likewise, Chaudhary et al, reported similar findings (p-values of SRS-30 function and pain correlation analyses with curve correction: 0.688 and 0.453, respectively).…”

The impact of spinal fusion of adolescent idiopathic scoliosis in Salah (Islamic Prayer) movement: a retrospective case-control study

“…7 Likewise, Chaudhary et al, reported similar findings (p-values of SRS-30 function and pain correlation analyses with curve correction: 0.688 and 0.453, respectively). 39 Moreover, our results showed that total fused levels were not associated with function or pain. Likewise, existing literature has reported that despite resulting in better ROM, fewer fusion levels did not correlate with SRS-22 function and pain in 2-10 years of follow-up.…”

“…Moreover, our findings are in agreement with previous studies that have reported the irrelevance of Cobb angle correction degree with postoperative SRS-30 function and pain. 7,39 A study by Ghandehari et al, revealed that the percentage of radiographic correction was positively correlated only with the total SRS-30 score (r=0.52, p<0.001) and the satisfaction domain (r=0.386, p=0.026) but not with the function and pain domains. 7 Likewise, Chaudhary et al, reported similar findings (p-values of SRS-30 function and pain correlation analyses with curve correction: 0.688 and 0.453, respectively).…”

Navigation-Assisted One-Staged Posterior Spinal Fusion Using Pedicle Screw Instrumentation in Adolescent Idiopathic Scoliosis—A Case Series

“…Previous studies reported that the mean major Cobb angle correction rate after AIS corrective surgery ranged from 58.7% to 71.4% [12][13][14]. Meanwhile, surgical treatment can not only provide an improvement in radiological outcomes, but is also significantly positively correlated with pain, quality of life, self-image, and satisfaction after surgery [15,16]. Severe scoliosis might even impact cardiac and lung function.…”