What Is the Effect of Surgery on the Quality of Life of the Adolescent With Adolescent Idiopathic Scoliosis?

Rushton, Paul R. P.; Grevitt, Michael

doi:10.1097/brs.0b013e3182837c95

Cited by 53 publications

(34 citation statements)

References 43 publications

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“…The average score of these 5 components showed improvement in this study, which was in line with what others have noted. 8 The data reported in this clinical trial are sufficient to address safety and efficacy through the first 24 months and immediately following system removal. Future study is needed to monitor deformity correction stability as well as to compare spinal column motion of the instrumented but unfused segments compared to the motion of these segments after the long stabilizing rod is removed.…”

Section: Discussionmentioning

confidence: 94%

“…Constructs usually consist of vertically attached rigid rod-screw connections with a high density of pedicle screws, typically realigned with a combination of derotational and translational techniques. [1][2][3][4][5][6][7][8][9][10][11][12][13] Although effective at correcting the deformity, this treatment immobilizes the entire length of the spine spanned by the instrumentation to assist with promoting fusion, resulting in permanent loss of motion of all instrumented levels. Long fusions carry the potential of earlier adjacent segment degeneration, instability, discomfort, or pain.…”

Section: Introductionmentioning

confidence: 99%

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Preservation of Spine Motion in the Surgical Treatment of Adolescent Idiopathic Scoliosis Using an Innovative Apical Fusion Technique: A 2-Year Follow-Up Pilot Study

et al. 2018

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Background: This trial reports the 2-year and immediate postremoval clinical outcomes of a novel posterior apical short-segment (PASS) correction technique allowing for correction and stabilization of adolescent idiopathic scoliosis (AIS) with limited fusion.Methods: Twenty-one consecutive female AIS patients were treated at 4 institutions with this novel technique. Arthrodesis was limited to the short apical curve after correction with translational and derotational forces applied to upper and lower instrumented levels. Instrumentation spanned fused and unfused segments with motion and flexibility of unfused segments maintained. The long concave rods were removed at maturity. Radiographic data collected included preoperative and postoperative data for up to 2 years as well as after long rod removal.Results: All 21 patients are beyond 2 years postsurgery. Average age at surgery was 14.2 years (11-17 years). A mean of 10.5 6 1 levels per patient were stabilized and 5.0 6 0.5 levels (48%) were fused. Cobb angle improved from 56.18 6 8.08 to 20.88 6 7.88 (62.2% improvement) at 1 year and 20.98 6 8.48, (62.0% improvement) at 2 years postsurgery. In levels instrumented but not fused, motion was 268 6 68 preoperatively compared to 108 6 48 at 1 year postsurgery, demonstrating 38% maintenance of mobility in nonfused segments. There was no report of implant-related complications.Conclusions: PASS correction technique corrected the deformity profile in AIS patients with a lower implant density while sparing 52% of the instrumented levels from fusion through the 2-year follow-up.

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Section: Discussionmentioning

confidence: 94%

Section: Introductionmentioning

confidence: 99%

Preservation of Spine Motion in the Surgical Treatment of Adolescent Idiopathic Scoliosis Using an Innovative Apical Fusion Technique: A 2-Year Follow-Up Pilot Study

et al. 2018

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“…Recent data also indicate that surgical treatment of AIS improves patient body image acceptance 24. Therefore, to determine whether the risk-benefit ratio favors surgical treatment, it remains to be determined just how undesirable the condition of having AIS is to the patients who choose to undergo an operation.…”

Section: Introductionmentioning

confidence: 99%

The influence of body image on surgical decisions in adolescent idiopathic scoliosis patients

Borges¹,

Neto²,

Letaif³

et al. 2017

Clinics

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OBJECTIVES:The objective of this study was to evaluate whether the severity of deformities in patients with adolescent idiopathic scoliosis contributes to patients’ decision regarding whether to undergo an operation.METHODS:We evaluated body image factors in adolescent idiopathic scoliosis patients. We evaluated the magnitude of the main scoliotic curve, gibbosity (magnitude and location), shoulder height asymmetry and patient’s age. We analyzed the correlation of these data with the number of years the patient was willing to trade for surgery, as measured by the time-trade-off method.RESULTS:A total of 52 patients were studied. We did not find a correlation between any of the parameters that were studied and the number of years that the patient would trade for the surgery.CONCLUSIONS:The magnitude of body deformities in patients with adolescent idiopathic scoliosis does not interfere with the decision to undertake surgical treatment.

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“…The concept of HRQoL “refers to the subjective evaluation of one's ability to perform usual tasks and their impact on one's everyday physical, emotional and social well-being” [ 15 ] and is a remarked issue in surgically treated [ 16 , 17 ], braced, and observed [ 1 , 5 , 9 ] adolescent patients and their families [ 18 ]. Several long-term outcome studies addressing effects of bracing, surgery, observation (watchful waiting), and natural history studies [ 19 , 20 ], on HRQol, including the Iowa [ 20 ], Ste-Justine [ 21 ], and Göteborg and Scoliosis Research Society [ 6 , 22 , 23 ] series, were also conducted in adults.…”

Section: Introductionmentioning

confidence: 99%

Does Scoliosis-Specific Exercise Treatment in Adolescence Alter Adult Quality of Life?

Płaszewski

Cieśliński

Kowalski

et al. 2014

The Scientific World Journal

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Objective. Health-related quality of life in adults, who in adolescence participated in a scoliosis-specific exercise program, was not previously studied. Design. Cross-sectional study, with retrospective data collection. Material and Methods. Homogenous groups of 68 persons (43 women) aged 30.10 (25–39) years, with mild or moderate scoliosis, and 76 (38 women) able-bodied persons, aged 30.11 (24–38) years, who 16.5 (12–26) years earlier had completed scoliosis-specific exercise or observation regimes, participated. Their respiratory characteristics did not differ from predicted values. The WHOQOL-BREF questionnaire, Oswestry Disability Questionnaire, and pain scale (VAS) were applied. Results. The transformed WHOQOL-BREF scores ranged from 54.6 ± 11.19 in the physical domain in the mild scoliotic subgroup to 77.1 ± 16.05 in the social domain in the able-bodied subgroup. The ODQ values did not generally exceed 5.3 ± 7.53. Inter- and intragroup differences were nonsignificant. Age, marital status, education, and gender were significantly associated with the ODQ scores. Significant association between the ODQ and WHOQOL-BREF social relationships domain scores with the participation in exercise treatment was found. Conclusions. Participants with the history of exercise treatment generally did not differ significantly from their peers who were only under observation. This study cannot conclude that scoliosis-specific exercise treatment in adolescence alters quality of life in adulthood.

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What Is the Effect of Surgery on the Quality of Life of the Adolescent With Adolescent Idiopathic Scoliosis?

Cited by 53 publications

References 43 publications

Preservation of Spine Motion in the Surgical Treatment of Adolescent Idiopathic Scoliosis Using an Innovative Apical Fusion Technique: A 2-Year Follow-Up Pilot Study

Preservation of Spine Motion in the Surgical Treatment of Adolescent Idiopathic Scoliosis Using an Innovative Apical Fusion Technique: A 2-Year Follow-Up Pilot Study

The influence of body image on surgical decisions in adolescent idiopathic scoliosis patients

Does Scoliosis-Specific Exercise Treatment in Adolescence Alter Adult Quality of Life?

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