Outcome in early adolescent idiopathic scoliosis after deformity correction

Karakaya, İşık; Şişmanlar, Şahika Gülen; Atmaca, Halil; Gök, Ümit; Şarlak, Ahmet Yılmaz

doi:10.1097/bpb.0b013e32835368bf

Cited by 13 publications

(9 citation statements)

References 31 publications

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“…On the other hand, the best score was observed in 1B as a result of the evaluation of the SRS-22 score, with additional subdomains such as function/activity, self-image, mental health, and treatment satisfaction in addition to disability and pain. Improvement in truncal shift and shoulder asymmetry leads to increased self-image and increased satisfaction with treatment [29]. In the current study, the increase in the SRS-22 score and the improvement of truncal shift and shoulder asymmetry are consistent.…”

Section: Discussionsupporting

confidence: 78%

The Influence of Lumbar Modifiers on Functional and Radiological Outcomes in the Brace Treatment of Lenke Type 1 Adolescent Idiopathic Scoliosis

et al. 2020

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Background Brace treatment prevents the progression of scoliosis and reduces surgical treatment rates. However, the efficacy of brace treatment varies depending on the patientʼs age, gender, curve magnitude and type, structure of the curve, and patient compliance at the beginning of treatment. Methods Between January 2009 and April 2015, 106 Lenke type 1 AIS consecutive patients (69 females, 37 males) who were treated with a brace were examined in three groups according to Lenke classification lumbar modifiers. The patients were evaluated at pre-bracing and 1 and 2 years after bracing. The Scoliosis Research Society 22 (SRS-22) and Oswestry Disability Index (ODI) were used for functional evaluation. Radiological evaluation revealed the Cobb angle, thoracic kyphosis angle, lumbar lordosis angle, trunk shift, shoulder asymmetry, and body height difference. Results Functional and radiological evaluation showed a statistically significant improvement in Lenke 1A, 1B, and 1C at 1 and 2 years after bracing compared to the pre-bracing (p = 0.000, p = 0.000, and p = 0.000, respectively). Lenke 1C had the best ODI score and followed by decreasing values of 1B and 1A respectively (p = 0.009). Lenke 1B had the best SRS-22 score and the mean scores of 1A and 1C were equal (p = 0.017). There was no significant difference between the groups in the parameters other than the trunk shift in radiological evaluation (p = 0.043). Conclusions Significant improvement was observed in all types of lumbar modifiers at the end of the 2nd year compared to pre-bracing. The best improvement in the ODI score was in the 1C modifier, whereas the best improvement in the SRS-22 score was in the 1B modifier. The type of lumbar modifier should be directly taken into consideration before starting brace treatment in Lenke type 1 AIS. Level of evidence Level III, retrospective study

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Section: Discussionsupporting

confidence: 78%

The Influence of Lumbar Modifiers on Functional and Radiological Outcomes in the Brace Treatment of Lenke Type 1 Adolescent Idiopathic Scoliosis

et al. 2020

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“…4 The average SF-36 PCS score in this study was similar to values in pediatric patients who underwent fusion for scoliosis, 5,27 as well as in children undergoing surgery for lumbar disc disease. 6 The average PedsQL score in the present study compared favorably with good outcomes obtained in children with adolescent idiopathic scoliosis 14 and intramedullary spinal cord tumors. 24 These results show that expected quality of life outcomes after craniovertebral junction surgery in children are equivalent to outcomes seen in other pediatric spine surgeries.…”

Section: Discussionsupporting

confidence: 61%

Patient-reported outcomes of occipitocervical and atlantoaxial fusions in children

Vedantam

Hansen

Briceño

et al. 2017

PED

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OBJECTIVE There is limited literature on patient-reported outcomes (PROs) and health-related quality of life (HRQOL) outcomes in pediatric patients undergoing surgery for craniovertebral junction pathology. The aim of the present study was to assess surgical and quality of life outcomes in children who had undergone occipitocervical or atlantoaxial fusion. METHODS The authors retrospectively reviewed the demographics, procedural data, and outcomes of 77 consecutive pediatric patients who underwent posterior occipitocervical or atlantoaxial fusion between 2008 and 2015 at Texas Children's Hospital. Outcome measures (collected at last follow-up) included mortality, neurological improvement, complications, Scoliosis Research Society Outcomes Measure–22 (SRS-22) score, SF-36 score, Neck Disability Index (NDI), and Pediatric Quality of Life Inventory (PedsQL). Multivariate linear regression analysis was performed to identify factors affecting PROs and HRQOL scores at follow-up. RESULTS The average age in this series was 10.6 ± 4.5 years. The median follow-up was 13.9 months (range 0.5–121.5 months). Sixty-three patients (81.8%) were treated with occipitocervical fusion, and 14 patients (18.1%) were treated with atlantoaxial fusion. The American Spinal Injury Association (ASIA) grade at discharge was unchanged in 73 patients (94.8%). The average PRO metrics at the time of last follow-up were as follows: SRS-22 score, 4.2 ± 0.8; NDI, 3.0 ± 2.6; the parent's PedsQL (ParentPedsQL) score, 69.6 ± 22.7, and child's PedsQL score, 75.5 ± 18.7. Multivariate linear regression analysis revealed that older age at surgery was significantly associated with lower SRS-22 scores at follow-up (B = −0.06, p = 0.03), and the presence of comorbidities was associated with poorer ParentPedsQL scores at follow-up (B = −19.68, p = 0.03). CONCLUSIONS This study indicates that occipitocervical and atlantoaxial fusions in children preserve neurological function and are associated with acceptable PROs and ParentPedsQL scores, considering the serious nature and potential for morbidity in this patient population. However, longer follow-up and disease-specific scales are necessary to fully elucidate the impact of occipitocervical and atlantoaxial fusions on children.

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“…The final score gives the combined outcome of all 5 subsections and a higher score represents a better outcome. Although the validity and reliability of the SRS-22 questionnaire has only been proven among adults [ 22 , 23 ], it is still widely used in studies assessing the outcome of treatments in AIS [ 24 – 26 ]. This study utilized the SRS-22 questionnaire to compare the functional, pain and general health status of AIS patients with different curvature severity, to identify any differences between the groups.…”

Section: Methodsmentioning

confidence: 99%

Accelerometer based assessment of daily physical activity and sedentary time in adolescents with idiopathic scoliosis

et al. 2020

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Background Studies have shown a positive correlation between higher physical activity (PA) and health benefits. However, device-based assessment of PA and sedentary time (ST) in people with adolescent idiopathic scoliosis (AIS) has not been deeply investigated. Objective Analysis and comparison of weekend and weekdays PA and ST using multiple accelerometers in people with AIS with different curvature severity compared to healthy controls. Methods 24 participants with AIS divided into 2 groups of 12 with Cobb angles < 40˚and > 40˚, along with 12 age and BMI matched healthy controls. Daily PA and ST during four consecutive days were measured using four tri-axial accelerometers. Clinical functional assessment was performed using the scoliosis research society (SRS-22) questionnaire. Results The combined weekend and weekdays average daily step count was found to be 22% and 29% lower in the AIS groups with Cobb angle < 40˚and > 40˚, respectively, compared to the controls. The average ST was also reported to be 5% and 7% higher in the AIS groups with Cobb angle < 40˚and > 40˚, respectively, compared to the controls. The reported differences were significant in the AIS group with higher Cobb angle (p�0.05). No significant differences in PA or ST were reported between the AIS groups based on curvature severity. Conclusions Decreased PA and increased ST observed in patients with AIS may have long term health implications and may play a role in the disease process. The device-based assessment of PA to understand potential benefits in clinical practice is recommended.

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Outcome in early adolescent idiopathic scoliosis after deformity correction

Cited by 13 publications

References 31 publications

The Influence of Lumbar Modifiers on Functional and Radiological Outcomes in the Brace Treatment of Lenke Type 1 Adolescent Idiopathic Scoliosis

The Influence of Lumbar Modifiers on Functional and Radiological Outcomes in the Brace Treatment of Lenke Type 1 Adolescent Idiopathic Scoliosis

Patient-reported outcomes of occipitocervical and atlantoaxial fusions in children

Accelerometer based assessment of daily physical activity and sedentary time in adolescents with idiopathic scoliosis

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