Effect of surgical correction of adolescent idiopathic scoliosis on the quality of life: a prospective study with a minimum 5-year follow-up

Mariconda, Massimo; Andolfi, Ciro; Cerbasi, Simone; Servodidio, Valeria

doi:10.1007/s00586-016-4510-8

Cited by 30 publications

(21 citation statements)

References 33 publications

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“…Regarding the radiological parameters, it was revealed that surgical correction has elicited a significant decrease in Cobb's angle, pelvic incidence, and pelvic tilt with significant increase in the lumbar lordosis reflecting the hopeful outcomes of the spinal surgery. In Mariconda et al's 18 study, there was also a significant decrease in both thoracic and lumbar Cobb's angles with decrease in rib hump after 1-year follow-up from the surgical performance. Throughout the 5 domains of the questionnaire, the satisfaction of patients after the surgical correction was considerably high reflecting the efficiency of the surgical outcomes and that was shown statistically through the present study results.…”

Section: Discussionmentioning

confidence: 83%

“…Regarding clinical estimates related to scoliosis, it was found that the most frequent type of spinal involvement according to Lenke's system was type 1, followed by type 5. Mariconda et al 18 in 2016 assessed a sample consisting of 87 patients, with follow-up data related to surgery for AIS, discovering that, throughout their study, type 3 was the most frequent type followed by type 1 and type 6. This mismatched finding may be due to the difference in the sample size.…”

Section: Discussionmentioning

confidence: 99%

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

Abdelaziz¹,

Ali²,

AlQazaz³

et al. 2020

Egyptian Spine Journal

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Section: Discussionmentioning

confidence: 83%

Section: Discussionmentioning

confidence: 99%

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

Abdelaziz¹,

Ali²,

AlQazaz³

et al. 2020

Egyptian Spine Journal

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“…Evidence suggests that surgery in AIS may lead to clinically significant improvement in the patient self-image, and there is no evidence for worsening quality of life after surgery. [28] Studies showed that surgical treatment of AIS improved the patient's quality of life at 5-year [29] and 25year follow-up, [30] although there was no correlation between quality of life and Cobb angle, curve correction, or type of instrumentation. [31] We obtained good quality of life results but no correlation was found between quality of life and upper extremity function and grip strength.…”

Section: Discussionmentioning

confidence: 99%

Investigation of Upper Extremity Functionality in Patients with Adolescent Idiopathic Scoliosis undergoing Scoliosis Surgery

Ök¹

2019

South Clin Ist Euras

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The effect of adolescent idiopathic scoliosis (AIS) on shoulder dysfunction and upper limb functionality is still not poorly understood. In this study, we aimed to investigate the effects of AIS on upper extremity functionality and quality of life. Methods: Thirty-seven patients who had undergone surgery for adolescent idiopathic scoliosis participated in this study. Upper extremity functionality was evaluated using Turkish version of the Disabilities of the Arm, Shoulder and Hand (DASH-T) questionnaire, handgrip strength Jamar hand dynamometer, and health-related quality of life was assessed using SF-36, and Scoliosis Research Society-22r Health-Related Quality of Life questionnaire (SRS-22). Results: The mean age of the patients was 17.08±2.96 years and the mean follow-up period was 34.44±25.37 months. The average DASH-T score was found 14.79±17.35. Patients quality of life scores was good level. The average right hand grip strength was 19.84±8.89 kg while left hand grip strength was 18.97±8.01 kg. There was no statistically significant difference between right and left hand grip strength (p=0.67). There was a moderate negative correlation with DASH-T and SRS-22 pain (r=-0.46, p=0.01) and SF-36 pain (r=0.54, p=0.01), and a weak positive correlation with SF-36 social function (r=-0.38, p=0.03). There was no statistically significant relationship between Cobb angle (Δ) and SRS-22, SF-36, DASH-T and hand grip strength. Conclusion: Further studies may examine the effects of surgery on upper extremity functionality, hand-grip strength, and quality of life in patients with AIS using both objective and patient-reported assessment tools.

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“…A vizsgálatunkhoz hasonló életkori csoportok között Zhu és mtsai szignifikáns, átlagosan 8 Cobb-fokos különbséget találtak a korrekciós hatékonyságban, amelyet eredményeink nem támasztanak alá [28]. Az axiális síkú korrekció fontosságát jelzi, hogy a műtétet követő nagymértékű residualis bordadeformitás jelentős hatással van a posztoperatív életminőségre [15]. Rotációs szempontból Huitema és mtsai…”

Section: Megbeszélésunclassified

“…Az axiális síkban történő korrekció kiemelt fontosságú, hiszen a műtétet követő esetleges nagymértékű residualis bordadeformitás jelentős hatással van a posztoperatív életminőségre [15]. Ilharreborde és mtsai műtétet követően az apicalis csigolyarotáció (apicalAVR) átlagosan 48,3%-os csökkenését mérték EOS 2D/3D módszerrel [16].…”

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Gerinckorrekciós műtétek háromdimenziós hatékonysági vizsgálata serdülőkori idiopathiás gerincferdülésben

József

Márkus

Bogyó

et al. 2021

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Összefoglaló. Bevezetés: Nincs egységesen elfogadott álláspont, hogy a serdülőkori idiopathiás gerincferdülés sebészi korrekcióját melyik életkorban optimális elvégezni. Világszerte 11 éves kortól akár (kezeletlen esetben) 50–60 éves korig végeznek fúziós műtétet a betegségben, 63–83%-os átlagos koronális síkú korrekciós hatékonysággal. Célkitűzés: Célul tűztük ki, hogy felmérjük a gerinckorrekciós műtétek hatékonyságát három dimenzióban, illetve a páciens életkorának függvényében. Módszerek: A vizsgálatba 23, serdülőkori idiopathiás gerincferdüléssel diagnosztizált beteget (12 fő 17 évnél fiatalabb, 11 fő 17 évnél idősebb) vontunk be. Minden betegnél csavaros derotációt és spondylodesist végeztünk, és a beavatkozás előtt és után EOS 2D/3D felvételeket, majd sterEOS 3D rekonstrukciókat készítettünk. A következő paramétereket számítottuk: Cobb-fok, háti kyphosis, ágyéki lordosis, apicalis csigolyarotáció, maximális csigolyarotáció. A különböző életkorú csoportok közötti különbséget kétmintás t-próbával, illetve Wilcoxon-féle próbával vizsgáltuk. Eredmények: A gerinckorrekciós műtétek során a koronális síkú eltérést 78,2%-ban (átlagosan 55,1 Cobb-fokról 12,0 Cobb-fokra), az apicalis csigolyarotációt 56,7%-ban (átlagosan 21,0 fokról 9,1 fokra) tudtuk korrigálni. A 17 éves életkor után operált páciensek esetén átlagosan 79,2%-os Cobb-fok-csökkenést értünk el, míg a fiatalabb betegcsoportban 77,0%-ban korrigáltuk a koronális főgörbületet (p = 0,614). Az idősebb betegcsoportban szignifikánsan kevésbé sikerült az apicalis csigolyarotáció korrekciója (átlagosan 38,1%; 21,8 fokról 12,4 fokra), mint a fiatalabb pácienseknél (átlagosan 68,5%; 20,2 fokról 6,2 fokra; p = 0,016). Következtetés: Összességében a nemzetközi publikációknak megfelelő korrekciót értünk el. A koronális síkban közel azonos korrekciós hatékonyság figyelhető meg a különböző életkorú betegcsoportok között, a csigolyarotáció azonban 17 éves életkor előtt hatékonyabban korrigálható. Orv Hetil. 2021; 162(39): 1573–1578. Summary. Introduction: There is no clear recommendation for the optimal age to perform corrective surgery in adolescent idiopathic scoliosis. Fusion surgery is performed from the age of 11 to 50–60 years, with an average coronal plane correction efficiency of 63–83%. Objective: We aimed to evaluate the effectiveness of correction surgeries in three dimensions in adolescent idiopathic scoliosis. In addition, our objective was to examine the influence of the patient’s age on the correction. Methods: The study included 23 patients with adolescent idiopathic scoliosis (12 patients younger than 17 years, 11 patients older than 17 years). All patients underwent screw-derotation and spondylodesis and underwent EOS 2D/3D imaging before and after the operation, followed by sterEOS 3D reconstructions. The following parameters were calculated: Cobb degree, thoracic kyphosis, lumbar lordosis, apical vertebral rotation, maximal vertebral rotation. Differences between different age groups were examined by paired-sample t-test and Wilcoxon rank sum test. Results: The mean efficiency of correction surgeries was 78.2% in the coronal plane (from an average of 55.1 Cobb degrees to 12.0 Cobb degrees) and 56.7% in the axial plane (from an average of 21.0 degrees to 9.1 degrees). We achieved an average 79.2% reduction of Cobb angle in patients operated after the age of 17 years, which was 77.0% in the younger group (p = 0.614). Apical vertebral rotation correction was significantly less successful in the elderly group (mean 38.1%; from 21.8 degrees to 12.4 degrees) than in patients operated before the age of 17 years (mean 68.5%; from 20.2 degrees to 6.2 degrees; p = 0.016). Conclusion: We achieved scoliosis correction in line with the international publications. Nearly the same correction efficiency was observed between different age groups of patients in the coronal plane. However, vertebral rotation can be derotated more effectively before the age of 17 years. Orv Hetil. 2021; 162(39): 1573–1578.

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Effect of surgical correction of adolescent idiopathic scoliosis on the quality of life: a prospective study with a minimum 5-year follow-up

Cited by 30 publications

References 33 publications

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

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

Investigation of Upper Extremity Functionality in Patients with Adolescent Idiopathic Scoliosis undergoing Scoliosis Surgery

Gerinckorrekciós műtétek háromdimenziós hatékonysági vizsgálata serdülőkori idiopathiás gerincferdülésben

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