Evaluation of Quality of Life (QoL) of Patients with Adolescent Idiopathic Scoliosis (AIS) after Surgical Correction

Abdelaziz, Mohamed A; Ali, Sherif H.; AlQazaz, Mohamed; Elshatoury, Hassan; Abou-Madawi, Ali

doi:10.21608/esj.2020.25269.1126

Cited by 2 publications

(2 citation statements)

References 24 publications

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“…No postoperative tilt reported among 18 [90.0%] and 2 [10.0%] had slight tilt. Abdelaziz et al [33] found that the surgical correction elicited a significant reduction in the Cobb's angle and pelvic tilt with significant increase in the lumbar lordosis reflecting the successful outcomes of the surgery.…”

Section: Discussionmentioning

confidence: 99%

The Functional Outcome of Surgical Treatment of Adolescent Idiopathic Scoliosis

Abdel-Monem

El-Shoura²,

Negm³

2023

International Journal of Medical Arts

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Article informationBackground: Adolescent idiopathic scoliosis [AIS] is a structural spinal deformity of unknown etiology that affects adolescents at or near their onset of puberty. It adversely affects patient's quality of life. Aim of the Work:The current work aimed to assess the clinical, radiological and functional results of AIS surgical correction. Patients and Methods:The study included 20 subjects with AIS who were treated by surgical intervention. Then, they were evaluated for clinical, radiological and functional outcome. Demographic data were collected on a preformed sheet. The preoperative assessment consisted of history taking and clinical examination. A standing posteroanterior, and lateral plain X-ray were performed for total spine [T1-S1]. The functional outcome was evaluated by the Scoliosis Research Society-30 [SRS-30].Results: There was a female sex predominance [16 were females].Patients below 15 years of age represented 70.0%. The mean ± SD Lenke classification was 3.20 ± 1.74, while number vertebrae was 10.35 ± 1.66. The primary Cobb angle ranged between 45 and 85 °, while the secondary Cobb angle ranged between 0 to 50 ° before surgery, and there was significant reduction of both primary and secondary Cobb angles after than before surgery. The shoulder imbalance was reported in all patients perioperatively, that was absent in all but one patient had slight elevation of the right shoulder after surgery. All had pelvic tilt before surgery that was absent postoperatively except for two patients who had slight tilt with significant improvement after surgery. Only 1 [5.0%] had postoperative complications [hypovolemic shock]. Conclusion:Surgical treatment of AIS had the highest probability to achieve better Cobb angle correction with good function and lower complication rate.

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Section: Discussionmentioning

confidence: 99%

The Functional Outcome of Surgical Treatment of Adolescent Idiopathic Scoliosis

Abdel-Monem

El-Shoura²,

Negm³

2023

International Journal of Medical Arts

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“…A recent study published by Herdea et al demonstrated that there are statistically significant correlations between the correction rate and improvements in SRS scores ( P < 0.001), both in terms of the overall score and within each individual domain of the survey. The conclusion drawn from these findings is that achieving a higher correction rate leads to increased values in the SRS score [ 20 ]. In another study conducted by Ng Bobby , it was further demonstrated that the degree of curve rectification after surgery and the preoperative maximum Cobb angle serve as significant predictors of various outcomes, such as function scores, self-image, and satisfaction with management in AIS patients.…”

Section: Discussionmentioning

confidence: 99%

Saudi patients outcomes after surgical treatment of adolescent idiopathic scoliosis

et al. 2023

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Background In order to improve post-operative patient’s quality-of-life, attention must be paid to the identification of factors that play a role in patient’s satisfaction with surgical treatment. Patient satisfaction with the outcomes of scoliosis surgery has not been addressed so comprehensively in Saudi literature, as well as the effect of patient satisfaction on the different domains of the SRS-22 questionnaire and radiographic parameters is yet to be reported locally. The aim of this study is to explore such findings especially in our population. Methods A retrospective cohort study was conducted at two of the largest centers of spine surgery in the Kingdom of Saudi Arabia. A total of 316 eligible patients were selected via consecutive sampling technique. Data were collected from eligible patients who fit our inclusion criteria, which includes patients with adolescent idiopathic scoliosis aged from 10 to 21 years. Student t test, Pearson’s and Spearman’s correlation coefficients statistical tests were used. Results There were 283 (89.6%) females and 33 (10.4%) male patients with a mean age of 15.09 (± 2.27 SD) years. All the domains of SRS-22 showed significantly higher scores 2-year postoperatively, when compared with preoperative values (P < 0.001). The change in all SRS-22 domains correlated positively and significantly with the 2-year postoperative satisfaction using Pearson’s correlation coefficient (P < 0.05); the total score showed the highest correlation followed by the self-image domain. The major Cobb angle correction percentage correlated significantly (P < 0.05) solely with the change in pain domain. Conclusion Self-image correlated highly and significantly with patient satisfaction postoperatively. It also had the biggest influence SRS-22 scores postoperatively in conjunction with satisfaction scores. That is an indication of the role it plays in patient satisfaction and quality-of-life postoperatively, which may influence the surgical decision making.

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Evaluation of Quality of Life (QoL) of Patients with Adolescent Idiopathic Scoliosis (AIS) after Surgical Correction

Abstract: The article does not contain information about medical device(s)/drug(s). No funds were received in support of this work. The authors report no conflict of interest.

Cited by 2 publications

References 24 publications

The Functional Outcome of Surgical Treatment of Adolescent Idiopathic Scoliosis

The Functional Outcome of Surgical Treatment of Adolescent Idiopathic Scoliosis

Saudi patients outcomes after surgical treatment of adolescent idiopathic scoliosis

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