Meta-analysis of Surgical Outcome in Adolescent Idiopathic Scoliosis

Minimum 10 years follow-up surgical results of adolescent idiopathic scoliosis patients treated with TSRH instrumentation

“…Asher et al reported that the trunk deformity at the last control visit did not correlate with the treatmentsatisfaction level [4]. Haher et al also reported that the radiological status did not correlate with the satisfaction level [22]. In our study, similar to these studies, the treatment-satisfaction scores did not correlate with the curve types and the loss of correction, and almost all patients (106 patients) had scores three or over.…”

“…In curve type III: single thoracic, with more flexible and less preoperative Cobb angles relatively the best scores were obtained; and this seemed to support the correlation between the preoperative curve magnitude and the scores. Haher et al reported in their meta analysis of 11,000 patients followed for 35 years that patient satisfaction rate increases with increased surgical correction rate [22]. In our study, we found that in curves as types III, IV and lumbar flexible types selfimaging, and mental status scores were positively affected and these domains correlated with the postoperative correction rates.…”

Discrepancy between radiographic shoulder balance and cosmetic shoulder balance in adolescent idiopathic scoliosis patients with double thoracic curve

“…Patients with non-idiopathic scoliosis, leg-length discrepancy, pelvis tilt or hip flexion deformity were excluded from the study. The average age was 14.3 years (range [11][12][13][14][15][16][17], the average Risser signs was 2.8 (range [1][2][3][4][5]. The average main thoracic curve was 53.0°(range 40°-89°), and the average proximal thoracic curve was 44.3°(range 34°-65°) ( Table 1).…”

“…There are many factors contributing to adolescent idiopathic scoliosis (AIS) patient satisfaction after surgery, such as surgical scars, improved back shape, reduced radiological Cobb angle, and back pain [11]. However, cosmesis of the back and shoulders are critically important to the AIS patients and also a big concern of the patients family [1,2,10,12,24].…”

Outcome in adolescent idiopathic scoliosis after brace treatment and surgery assessed by means of the Scoliosis Research Society Instrument 24

“…The Scoliosis Research Society instrument for outcome assessment (SRS 24) was designed to measure outcome after surgery, particularly in adolescent idiopathic scoliosis (AIS) patients [19][20][21].…”