Effect of clinical and radiological parameters on the quality of life in adult patients with untreated adolescent idiopathic scoliosis: a cross-sectional study

Erşen, Ömer; Yüzügüldü, Uğur; Başak, Ali Murat; Güveli, Rıfat; Ege, Tolga

doi:10.1007/s00586-023-07571-1

Cited by 3 publications

(3 citation statements)

References 27 publications

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“…Given the trend towards an aging population, it is crucial to ascertain the factors influencing the manifestation of symptoms, such as pain, in patients diagnosed with scoliosis [ 34 ]. Decreased physical capacity, respiratory problems, back pain, decreased spinal mobility, and cosmetic problems are the main problems suffered by patients with unsurgically treated adult IS [ 35 ].…”

Section: Discussionmentioning

confidence: 99%

Determination of predictors associated with pain in non‑surgically treated adults with idiopathic scoliosis

Yetiş,

Yildiz,

Canli

et al. 2024

J Orthop Surg Res

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Background It is recognized that pain related to adult individuals with idiopathic scoliosis (IS) substantially impacts individuals’ daily activities and quality of life. The objective of this study was to identify the possible predictors of pain intensity in non‑surgically treated adults with IS. Methods This cross-sectional study included 58 adults individuals with Lenke type 1 IS. Participants’ sociodemographic characteristics were recorded, and pain severity, curvature severity, trunk rotation angle, disability, spinal mobility, cosmetic deformity perception, and quality of life were assessed. Regression analyses with various models were performed to determine the predictors of pain severity and the best model was selected based on performance criteria. Results Strong associations were found between pain severity with curvature severity, spinal mobility, trunk rotation angle, perception of cosmetic deformity, disability, and quality of life (p < 0.05). It was observed that Lasso regression was the best model based on the performance criteria considered. According to this model, the primary predictors of pain intensity in adult IS were determined as curvature severity, spinal mobility, trunk rotation angle, cosmetic deformity perception, back-related disability and quality of life, in order of importance. Conclusion In accordance with the findings of this study, which examined for the first time the determinants of pain intensity in adult individuals with Lenke type 1 IS, we suggest that mentioned possible factors affecting and determining pain should be taken into consideration when establishing evaluation and treatment programs.

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Section: Discussionmentioning

confidence: 99%

Determination of predictors associated with pain in non‑surgically treated adults with idiopathic scoliosis

Yetiş,

Yildiz,

Canli

et al. 2024

J Orthop Surg Res

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“…Chronic back pain due to early AIS can develop or persist in adulthood and is generally more severe than that observed in the normal population ( 51 , 52 ). A study by Ersen et al has further shown an association with weight using data from the SRS-22, a questionnaire specifically designed to assess health-related quality of life in patients with AIS, noting that increased BMI is associated with chronic low back pain in both normal and scoliotic individuals ( 53 ). This can result in restrictions in daily activities, such as difficulties in walking, exercising, and socializing.…”

Section: Management Of Ais In Adultsmentioning

confidence: 99%

Adolescent idiopathic scoliosis in adulthood

Ansari,

Singh,

McDermott

et al. 2024

EFORT Open Reviews

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Adolescent idiopathic scoliosis (AIS) is an abnormal coronal curvature of the spine that most commonly presents in adolescence. While it may be asymptomatic, AIS can cause pain, cosmetic deformity, and physical and psychological disability with curve progression. As adolescents with AIS enter adulthood, condition outcomes vary with some experiencing curve stabilization and others noting further curve progression, chronic pain, osteoporosis/fractures, declines in pulmonary and functional capacity, among others. Regular monitoring and individualized management by healthcare professionals are crucial to address the diverse challenges and provide appropriate support for a fulfilling adult life with AIS. This review examines the prevalence, risk factors, presenting symptoms, diagnosis, management, and complications of AIS in the adult population, informing targeted interventions by clinicians caring for adult patients with AIS.

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“…A recent cross-sectional study revealed a negative correlation between the radiological parameters of patients with AdIS and their self-image score on SRS-22 [ 21 ]. In addition, a study indicated that patients with AdIS had significantly worse scores on the self-image domain of the SRS-22r than age- and sex-matched healthy volunteers [ 22 ].…”

Section: Introductionmentioning

confidence: 99%

Do different pathologies of adult spinal deformity (idiopathic lumbar scoliosis against de novo lumbar scoliosis) affect preoperative and postoperative selfimage?

Taniwaki,

Matsumura,

Kinoshita

et al. 2024

Asian Spine J

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This study aimed to examine the factors associated with the self-image domain of the Scoliosis Research Society-22 revised (SRS-22r) in patients who underwent corrective surgery for adult idiopathic scoliosis (AdIS). Overview of Literature: Adult spinal deformity (ASD) can be classified into AdIS and de novo scoliosis. However, no studies have investigated the effect of different ASD pathologies on self-image. Methods: This study enrolled 60 patients who underwent corrective surgery and were followed up for >2 years postoperatively. AdIS was defined as adolescent idiopathic scoliosis in patients who had no history of corrective surgery, had a primary thoracolumbar/lumbar (TL/L) curve, and were ≥30 years old at the time of surgery. Results: The AdIS (n=23; mean age, 53.1 years) and de novo (n=37; mean age, 70.0 years) groups were significantly different in terms of the main thoracic and TL/L curves, sagittal vertical axis, thoracic kyphosis, and thoracolumbar kyphosis preoperatively. The scores in the self-image domain of the SRS-22r (before surgery/2 years after surgery [PO2Y]) were 2.2/4.4 and 2.3/3.7 in the AdIS and de novo groups, respectively, and PO2Y was significantly different between the two groups (p<0.001). Multivariate regression analysis revealed that AdIS was an independent factor associated with self-image at PO2Y (p=0.039). Conclusions: AdIS, a spinal deformity pathology, was identified as a significant factor associated with the self-image domain of SRS-22r in patients who underwent corrective surgery. AdIS is not solely classified based on pathology but also differs in terms of the clinical aspect of self-image improvement following corrective surgery.

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Effect of clinical and radiological parameters on the quality of life in adult patients with untreated adolescent idiopathic scoliosis: a cross-sectional study

Cited by 3 publications

References 27 publications

Determination of predictors associated with pain in non‑surgically treated adults with idiopathic scoliosis

Determination of predictors associated with pain in non‑surgically treated adults with idiopathic scoliosis

Adolescent idiopathic scoliosis in adulthood

Do different pathologies of adult spinal deformity (idiopathic lumbar scoliosis against de novo lumbar scoliosis) affect preoperative and postoperative selfimage?

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