Male-Female Differences in Scoliosis Research Society-30 Scores in Adolescent Idiopathic Scoliosis

Roberts, David W.; Savage, Jason W.; Schwartz, Daniel G.; Carreon, Leah Y.; Sucato, Daniel J.; Sanders, James O.; Richards, B. Stephens; Lenke, Lawrence G.; Emans, John B.; Parent, Stefan; Sarwark, John F.

doi:10.1097/brs.0b013e3181ef9efc

Cited by 48 publications

(44 citation statements)

References 29 publications

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“…5,11,16 We sought to investigate the association between male sex and poor outcomes in a granular, multicenter database of ASD surgeries. We found no association between sex and perioperative complications and no evidence supporting worse HRQOL outcomes for men.…”

Section: Discussionmentioning

confidence: 99%

“…In contrast, several studies in the pediatric deformity population have demonstrated that sex does play a role in perioperative outcomes. 11,16,22 These studies found that male adolescent idiopathic scoliosis (AIS) patients had greater preoperative curve magnitude, less preoperative curve flexibility, and less deformity correction than female patients. Male patients also had greater estimated blood loss (EBL), longer operative duration, and higher complication rates.…”

mentioning

confidence: 99%

“…11,22 Male AIS patients were also found to have better preoperative health-related quality of life (HRQOL) scores for self-image and mental health and better postoperative pain and mental health at 2 years after surgery. 16 However, the influence of sex in adults with spinal deformity is not well understood. ASD includes a wide spectrum of pathologies, including untreated or progressive idiopathic scoliosis, degenerative scoliosis, kyphosis, and sagittal decompensation.…”

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confidence: 99%

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Male sex may not be associated with worse outcomes in primary all-posterior adult spinal deformity surgery: a multicenter analysis

Bumpass

Lenke

Gum

et al. 2017

Neurosurgical Focus

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OBJECTIVEAdolescent spine deformity studies have shown that male patients require longer surgery and have greater estimated blood loss (EBL) and complications compared with female patients. No studies exist to support this relationship in adult spinal deformity (ASD). The purpose of this study was to investigate associations between sex and complications, deformity correction, and health-related quality of life (HRQOL) in patients with ASD. It was hypothesized that male ASD patients would have greater EBL, longer surgery, and more complications than female ASD patients.METHODSA multicenter ASD cohort was retrospectively queried for patients who underwent primary posterior-only instrumented fusions with a minimum of 5 levels fused. The minimum follow-up was 2 years. Primary outcomes were EBL, operative time, intra-, peri-, and postoperative complications, radiographic correction, and HRQOL outcomes (Oswestry Disability Index, SF-36, and Scoliosis Research Society-22r Questionnaire). Poisson multivariate regression was used to control for age, comorbidities, and levels fused.RESULTSNinety male and 319 female patients met the inclusion criteria. Male patients had significantly greater mean EBL (2373 ml vs 1829 ml, p = 0.01). The mean operative time, transfusion requirements, and final radiographic measurements did not differ between sexes. Similarly, changes in HRQOL showed no significant differences. Finally, there were no sex differences in the incidence of complications (total, major, or minor) at any time point after controlling for age, body mass index, comorbidities, and levels fused.CONCLUSIONSDespite higher EBL, male ASD patients did not experience more complications or require less deformity correction at the 2-year follow-up. HRQOL scores similarly showed no sex differences. These findings differ from adolescent deformity studies, and surgeons can counsel patients that sex is unlikely to influence the outcomes and complication rates of primary all-posterior ASD surgery.

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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confidence: 99%

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Male sex may not be associated with worse outcomes in primary all-posterior adult spinal deformity surgery: a multicenter analysis

Bumpass

Lenke

Gum

et al. 2017

Neurosurgical Focus

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“…This symptom is often related to differential diagnoses, such as spinal tumors, syringomyelia, inflammatory processes or visceral disorders 5 . Although preliminary studies have demonstrated that adolescents with idiopathic scoliosis have more pain complaints than control populations 8,9 , there has been no previous research, to our knowledge, on the influence of disease severity on pain intensity. Thus, the aim of this study was to evaluate the presence and intensity of back pain in AIS patients at different stages of the disease.…”

Section: B Introductionmentioning

confidence: 95%

Pain assessment in patients with adolescent idiopathic scoliosis at different stages of disease evolution

Gotfryd¹,

Franzin²,

Poletto³

et al. 2014

Medical Express

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OBJECTIVE:The correlation between pain complaints and the severity of the spinal curvature in adolescent idiopathic scoliosis remains controversial. The aim of this study was to evaluate the presence and intensity of back pain in adolescent idiopathic scoliosis patients at different stages of the disease. METHODS: Sixty-four individuals participated in this study with scoliotic curves (Cobb angles) between 20 and 90 degrees. Patients were divided into four groups according to the scoliotic curves: Group 1 (with 20 to 45 degrees) Group 2 (curves greater than 45 degrees before surgery), Group 3 (curves greater than 45 degrees one year after posterior spinal arthrodesis with pedicle screws) and Group 4 (healthy adolescents between 11 and 18 years of age; control group). RESULTS: The scores obtained from the pain domain of the SRS-30 questionnaire (specifically developed for the assessment of adolescent scoliosis) were significantly worse for patients with scoliosis, regardless of the evolutionary phase of the disease. Patients who underwent surgical treatment presented statistically better results one year after surgery than did the group of patients with moderate Cobb angles. CONCLUSION: Patients with adolescent idiopathic scoliosis had a higher intensity of back pain than healthy individuals. Pain was reduced one year after spinal arthrodesis.

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“…The literature shows that outcomes of treatment are considerably different between girls and boys (12)(13)(14)(15)(16)(17)(18). Furthermore, the sexual differences can influence the extent at which deformity impacts the quality of life and self-image, which is shown by using the Scoliosis Research Society questionnaire (19). To our knowledge, in spite of extensive investigations regarding AIS, there are limited studies comparing the curve pattern and demographics between males and females with AIS (20).…”

Section: Introductionmentioning

confidence: 99%

Adolescent Idiopathic Scoliosis: Males Versus Females

Mahabadi¹,

Ghandehari²,

Mahdavi³

et al. 2015

Shafa Ortho J

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Background: Treatment of adolescent idiopathic scoliosis (AIS) is one of the most challenging problems for spine surgeons. Although it has been previously demonstrated that curve pattern in AIS is different between males and females, there are, however, limited studies specially focused on the differences of AIS characteristics between the two genders. Objectives: In current study, we compared the demographics and curve patterns in male and female patients with AIS. Patients and Methods: A total of 68 girls and 17 boys with AIS were included in this cross-sectional study. The magnitude of curvature, thoracic kyphosis, flexibility and pattern of the deformity were measured on x-rays and compared between the two genders. Results: Although girls were significantly younger (15.3 ± 2.5 versus 16.7 ± 2.1 years; P = 0.036), however, the Risser sign was the same. Most of the males were hypokyphotic (70.6%), while most of the girls had normal thoracic kyphosis (69.1%) (P = 0.001). The main scoliotic curve (77.2 ± 18.2 versus 59.6 ± 18.6 degrees) and flexibility (25.5% ± 18.2% versus 41.9% ± 18.6%) were significantly greater and lower in males, respectively (P < 0.05). The typical AIS pattern was present in 64.7% of boys and 95.6% of girls (P < 0.001). Conclusions:The radiographic characteristics of AIS are substantially different between genders. In male patients, AIS is more severe and rigid compared to females. Also, hypokyphosis and atypical pattern of AIS are common findings in males compared to females.

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Male-Female Differences in Scoliosis Research Society-30 Scores in Adolescent Idiopathic Scoliosis

Cited by 48 publications

References 29 publications

Male sex may not be associated with worse outcomes in primary all-posterior adult spinal deformity surgery: a multicenter analysis

Male sex may not be associated with worse outcomes in primary all-posterior adult spinal deformity surgery: a multicenter analysis

Pain assessment in patients with adolescent idiopathic scoliosis at different stages of disease evolution

Adolescent Idiopathic Scoliosis: Males Versus Females

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