Parents’ and Patients’ Preferences and Concerns in Idiopathic Adolescent Scoliosis

Shufflebarger, Harry L.; Lenke, Lawrence G.; Lowe, Thomas G.; Betz, Randal R.; Bassett, George S.

doi:10.1097/00007632-200009150-00020

Cited by 111 publications

(81 citation statements)

References 15 publications

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“…[13][14][15] Bridwell et al reported that cosmesis ranked second as the reason for surgery among both parents and patients. 16 Patients' perception of their body image affects their psychosocial health as scoliosis patients have been shown to have lower scores in various quality-of-life questionnaires compared to healthy adolescents. 17,18 Patients will closely observe their own physical appearance and make a comparison with adolescents without scoliosis in terms of negative body image, body shape and body size.…”

Section: Discussionmentioning

confidence: 99%

Prediction of height increment using preoperative radiological parameters following selective thoracic fusion with alternate-level pedicle screw construct in Lenke 1 and 2 adolescent idiopathic scoliosis patients

Keong

Aziz

Wei

2017

J Orthop Surg (Hong Kong)

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Purpose: This study aims to derive a formula to predict post-operative height increment in Lenke 1 and Lenke 2 adolescent idiopathic scoliosis (AIS) patients using preoperative radiological parameters. Methods: This study involved 70 consecutive Lenke 1 and 2 AIS patients who underwent scoliosis correction with alternate-level pedicle screw instrumentation. Preoperative parameters that were measured included main thoracic (MT) Cobb angle, proximal thoracic (PT) Cobb angle, lumbar Cobb angle as well as thoracic kyphosis. Side-bending flexibility (SBF) and fulcrumbending flexibility (FBF) were derived from the measurements. Preoperative height and post-operative height increment was measured by an independent observer using a standardized method.

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Section: Discussionmentioning

confidence: 99%

Prediction of height increment using preoperative radiological parameters following selective thoracic fusion with alternate-level pedicle screw construct in Lenke 1 and 2 adolescent idiopathic scoliosis patients

Keong

Aziz

Wei

2017

J Orthop Surg (Hong Kong)

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“…The included questions were based on the validated Dallas Pain Questionnaire and on a widely used LBP scale. For the attitudinal indicators, we focused on current situation regarding pain and impact on their lives, as the literature points to more pain and everyday problems as a motivation for preferring surgery (Bederman et al, 2010;Bridwell et al, 2000;Lurie et al, 2008;Turner et al, 1998). A similar effect on preferences has been shown for patients with longer pathways and more experience with different non-surgical treatments (Lurie et al, 2008).…”

Section: Have Cut the Text Above The Screenshotmentioning

confidence: 99%

Understanding the formation and influence of attitudes in patients' treatment choices for lower back pain: Testing the benefits of a hybrid choice model approach

Kløjgaard

Hess

2014

Social Science & Medicine

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A growing number of studies across different fields is making use of a new class of choice models, labelled variably as hybrid model structures or integrated choice and latent variable models, in incorporating the role of attitudes in decision making. To date, this technique has not been used in health economics. The present paper looks at the formation of such attitudes and their role in patients' treatment choices in the context of low back pain. We use data stated choice data collected from a sample of just under 300 respondents referred to a regional spine centre in Denmark. We show how the hybrid model structure is able to make a link between attitudinal questions and treatment choices, and also explains the variation of these attitudes across key socio-demographic groups. However, we also show how, despite their growing popularity, the key findings of the model, net of a greater insight into the drivers of attitudes and small gains in efficiency, are no different from standard approaches which remain much easier to apply. In the present application, we also show how only a small share of the heterogeneity can be linked to the attitudinal construct.

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“…3 Co-operation with a national self-help association gave us the opportunity to evaluate the longterm status of patients with idiopathic scoliosis independently of different treatment protocols. The disadvantage of the design of our study was that we were not able to obtain the original Cobb angle in all patients.…”

Section: Discussionmentioning

confidence: 99%

“…Many patients and their parents are concerned about the long-term effects of an extensive fusion in terms of spinal function, the development of degenerative arthritis and pain. 3 To address these concerns, the long-term results in patients who have scoliosis and have had a fusion must be compared with those who have not, and with a control group. 1 To date, there have been several such long-term studies on extended spinal fusion.…”

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confidence: 99%

The effect of spinal fusion on the long-term outcome of idiopathic scoliosis

Parsch

Gaertner

Brocai

et al. 2001

The Journal of Bone and Joint Surgery. British volume

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We have investigated the effect of multisegmental spinal fusion on the long-term functional and radiological outcome in patients with scoliosis. We compared these patients both with those whose spine had not been fused, and with a control group.We studied 68 patients with idiopathic scoliosis (34 operative and 34 non-operative) who had been followed up for a minimum of five years after treatment. They were matched for age (mean 44 years) and Cobb angle (mean 54°) at follow-up. An age-and gender-matched control group of 34 subjects was also recruited.All participants completed a questionnaire to assess spinal function and to grade the severity of back pain using a numerical rating scale. Radiographs of the spine were taken in the patients with scoliosis and lumbar degenerative changes were recorded.The spinal function scores for the patients with scoliosis who had had a fusion were similar to those who had not. Both scoliosis groups, however, had lower scores than the control group (p < 0.001). The frequency and severity of back pain were lower for patients with scoliosis and fusion than for those without, but higher for both scoliosis groups compared with the control group. Radiographs showed similar degenerative changes in both scoliosis groups.

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Parents’ and Patients’ Preferences and Concerns in Idiopathic Adolescent Scoliosis

Abstract: Although parents and patients had similar ratings and concerns, the parents' concerns were higher, and expectations were greater than the patients'.

Cited by 111 publications

References 15 publications

Prediction of height increment using preoperative radiological parameters following selective thoracic fusion with alternate-level pedicle screw construct in Lenke 1 and 2 adolescent idiopathic scoliosis patients

Prediction of height increment using preoperative radiological parameters following selective thoracic fusion with alternate-level pedicle screw construct in Lenke 1 and 2 adolescent idiopathic scoliosis patients

Understanding the formation and influence of attitudes in patients' treatment choices for lower back pain: Testing the benefits of a hybrid choice model approach

The effect of spinal fusion on the long-term outcome of idiopathic scoliosis

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