Health-Related Quality of Life of Patients With Adolescent Idiopathic Scoliosis at Least 40 Years After Surgery

Abstract

Study Design. Retrospective study. Objective. The aim was to clarify the health-related quality of life (QOL) of patients who had adolescent idiopathic scoliosis (AIS) at a minimum of 40 years after surgery. Summary of Background Data. The postoperative health-related QOL of middle-aged patients with AIS has been reported to be good, but that of middle-aged and older patients with AIS has yet to be completely explored. Materials and Methods. We included 179 patients with AIS who underwent spinal fusion(s) between 1968 and 1982. We conducted three surveys in 2009, 2014, and 2022. Patients self-administered both the Scoliosis Research Society-22 and the Roland-Morris Disability questionnaires three times (in 2009, 2014, and 2022) and the Oswestry Disability Index (ODI) questionnaire was self-administered in 2014 and 2022. We considered patients who responded to all three surveys in 2009, 2014, and 2022. Results. For the Scoliosis Research Society-22 questionnaires, no significant differences were detected among the three time points (2009, 2014, and 2022) for total scores, function domain, pain domain, self-image domain, mental domain, or satisfaction domain. The results of the Roland-Morris Disability Questionnaire were also not significantly different among the surveys over time. The ODI questionnaires revealed a significant worsening of the 2022 results compared with the 2014 results. Eight patients (29.6%) who had an ODI deterioration of 10% or more had numerically fewer mobile lumbar disks than those with <10% deterioration of the ODI, although the difference did not reach statistical significance. Conclusion. Among patients with AIS who underwent spinal fusion(s) between 1968 and 1982, we found health-related QOL to be maintained over the last 13 years. Relatively good QOL was appreciated in this population of patients who are now middle-aged and older.

SRS-22r Self-Image After Surgery for Adolescent Idiopathic Scoliosis at 10-year Follow-up

“…30,31 However, we investigate the durability of SRS-Self Image scores and report higher scores than those reported at 40 years, those these patients were treated with Harrington constructs and had larger postoperative coronal plane deformities. 32,33 The majority of patients improve in SRS-Self Image scores and these improvements are stable after surgical treatment up to 10 years of follow-up. Few patients reported self-image worsening after surgery versus baseline, although 25% of those with 1-year and 10-year data had some decline after surgery.…”

“…In general, surgery for AIS is durable with low revision rates at up to 40 years of follow-up and infrequent participation in the adult spinal deformity registries 30,31. However, we investigate the durability of SRS-Self Image scores and report higher scores than those reported at 40 years, those these patients were treated with Harrington constructs and had larger postoperative coronal plane deformities 32,33…”

What’s New in Pediatric Orthopaedics

“…However, healthy controls had higher overall scores, and those with fusion to L2 or above had better pain, satisfaction, and total score than those fused to L3 or below. Another study of patients with adolescent idiopathic scoliosis and 40-year follow-up after a surgical procedure found that these patients maintained their quality of life over the years 48 . Interestingly, a new study also found that SRS scores of 1,380 adolescents have been steadily declining in the surgical population preoperatively, without any specific reason identified 49 .…”

The impact of pregnancy on women with adolescent idiopathic scoliosis: a scoping review

“…While more than half of the studies were published prior to 2010 (N.=30), 10 - 12 , 14 , 16 , 17 , 20 - 23 , 25 , 28 , 31 , 33 , 34 , 36 - 38 , 45 - 49 , 51 - 54 , 56 - 58 some were published in the last decade (2011-2023) (N.=20) 6 , 15 , 18 , 19 , 24 , 26 , 27 , 29 , 30 , 32 , 35 , 39 , 41 - 44 , 50 , 55 , 59 , 60 including 14 published post-2015. 6 , 15 , 18 , 19 , 26 , 27 , 32 , 35 , 39 , 41 - 44 , 59 The mean age of participants was difficult to estimate as some studies provided the mean age of the entire population, which included both male and female participants. In contrast, others reported the mean age at the end of the scoliosis treatment, whether conservative or surgical.…”