Quality of life in children and adolescents undergoing spinal deformity surgery

McKean, Greg

doi:10.3233/bmr-160558

Cited by 7 publications

(4 citation statements)

References 8 publications

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“…The SRS-22r instrument has been used to measure QOL before and after treatment and this has been validated in patients with AIS [13]. The same questionnaire has been used to quantity patients' perception of clinical outcomes in other types of spinal deformity in the absence of disease-specific QOL outcome measures [14]. The SRS-22r comprises 22 questions, which are divided into 5 domains assessing function, pain, self-image, mental health and patient satisfaction.…”

Section: Questionnairesmentioning

confidence: 99%

Long-Term Health-Related Quality of Life (QOL) after Paediatric Spinal Deformity Surgery and Comparison with the General Population

Tsirikos,

García-Martínez

2023

JCM

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QOL questionnaires assess patients’ perception on surgical outcomes. We reviewed 1354 patients with spinal deformity. Four hundred and twenty-eight patients had >10 years of follow-up. The SRS-22r questionnaire was completed before surgery, at 6/12/24 months, 5–10 years and >10 years postoperatively. Patients with >10 years of follow-up completed the EQ-5D VAS/index and the VAS for back/leg pain. We used QOL data reporting in the general population of 20–29 and 30–39 years of age to compare against our patient cohort. Among the patients, 993 had AIS, 80 congenital scoliosis, 102 syndromic or secondary scoliosis, 105 Scheuermann kyphosis and 40 low-grade and 34 high-grade spondylolisthesis. SRS-22r total and domain scores improved from preoperative to follow-up in all diagnosis categories. At >10 years after surgery, patients with congenital scoliosis and Scheuermann kyphosis had better SRS-22r total/domain and EQ-5D (index/VAS) scores along with lower VAS back/leg pain scores compared to the other groups. Patients with congenital scoliosis and Scheuermann kyphosis had comparable SRS-22r total/domain, EQ-5D (index/VAS) and VAS back/leg pain scores to the general population in the 20–29 year category and better scores than the 30–39 year group. Patients with AIS, syndromic/secondary scoliosis and low/high-grade spondylolisthesis had reduced SRS-22r total/domain and EQ-5D (index/VAS) scores and higher VAS back/leg pain scores compared to the 20–29 year group but comparable scores to the 30–39 year group. Patients with spinal deformity reported improved QOL and high satisfaction after surgery which was maintained at >10 years of follow-up. Patients with congenital scoliosis and Scheuermann kyphosis had better QOL outcomes (comparable to the general population of similar age) as opposed to other types of scoliosis or lumbosacral spondylolisthesis.

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Section: Questionnairesmentioning

confidence: 99%

Long-Term Health-Related Quality of Life (QOL) after Paediatric Spinal Deformity Surgery and Comparison with the General Population

Tsirikos,

García-Martínez

2023

JCM

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“…Girls were nearly six times more likely to have a high symptom profile. Gender disparities were also observed by McKean and Tsirikos, 90 who found males fared better in pain and function 2 years after surgery. Anxiety and pain catastrophizing behavior between parent and child can parallel each other too, although this relationship was weak.…”

Section: Fusion Surgerymentioning

confidence: 54%

Back pain in adolescent idiopathic scoliosis: A comprehensive review

Berman

Schulz

2023

Journal of Children's Orthopaedics

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Purpose: Adolescent idiopathic scoliosis (AIS) is a common spinal deformity that affects millions of children worldwide. A variety of treatment algorithms exist for patients based on radiographic parameters such as the Cobb angle and the Risser stage. However, there has been a growing focus on nonradiographic outcomes such as back pain, which can cause functional disability and reduced quality of life for patients. In spite of this, back pain in AIS is poorly characterized in the literature. We aimed to summarize various factors that may influence back pain in AIS and the impact of different treatment methods on pain reduction. Methods: A comprehensive systematic review was undertaken using the PubMed and Cochrane database. Keywords that were utilized and combined with “Adolescent Idiopathic Scoliosis” included, “back pain,” “treatment,” “biomechanics,” “biochemistry,” “epidemiology,” and “biopsychosocial.” The literature was subsequently evaluated and deemed relevant or not relevant for inclusion. Results: A total of 93 articles were ultimately included in this review. A variety of contradictory literature was present for all sections related to epidemiology, underlying biomechanics and biochemistry, biopsychosocial factors, and treatment methodologies. Conclusion: Back pain in AIS is common but remains difficult to predict and treat. The literature pertaining to causative factors and treatment options is heterogeneous and inconclusive. Longer-term prospective studies combining biopsychosocial intervention in conjunction with existing curve correction techniques would be meaningful.

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“…The SRS-22 is responsive to changes in both pediatric and adult scoliosis patients, and is also being used to compare the effects of treatment on patients of different ages. [ 33 34 77 78 ] Durand et al . examined the relationship between age, lumbar stiffness after fusion surgery and SRS-22 satisfaction score among patients who underwent deformity surgery and he found that the patient satisfaction and SRS-22 score were markedly more associated with lumbar stiffness among younger (<60-years-old) versus older patients (> 60-years-old).…”

Section: Discussionmentioning

confidence: 99%

Patient-reported outcome measures in spine surgery

Mathkour

Beighley

Zhang

et al. 2022

Journal of Craniovertebral Junction and Spine

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Background: Steadily increasing expenditure in the United States health-care system has led to a shift toward a value-based model that focuses on quality of care and cost-effectiveness. Operations involving the spine rank among some of the most common and expensive procedures performed in operating rooms nationwide. Patient-reported outcomes measures (PROMs) are a useful tool for reporting levels of outcome and analyzing patient recovery but are both under-utilized and nonstandardized in spine surgery. Methods: We conducted a systematic review of the literature using the PubMed database, focusing on the most commonly utilized PROMs for spine disease as well as spinal deformity. The benefits and drawbacks of these PROMs were then summarized and compared. Results: Spine-specific PROMs were based on the class of disease. The most frequently utilized PROMs were the Neck Disability Index and the modified Japanese Orthopaedic Association scale; the Oswestry Disability Index and the Roland-Morris Disability Questionnaire; and the Scoliosis Research Society 22-item questionnaire (SRS-22) for cervicothoracic spine disease, lumbar spine disease, and spinal deformity, respectively. Conclusion: We found limited, though effective, use of PROMs targeting specific classes of disease within spine surgery. Therefore, we advocate for increased use of PROMs in spine surgery, in both the research and clinical settings. PROM usage can help physicians assess subjective outcomes in standard ways that can be compared across patients and institutions, more uniquely tailor treatment to individual patients, and engage patients in their own medical care.

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Quality of life in children and adolescents undergoing spinal deformity surgery

Cited by 7 publications

References 8 publications

Long-Term Health-Related Quality of Life (QOL) after Paediatric Spinal Deformity Surgery and Comparison with the General Population

Long-Term Health-Related Quality of Life (QOL) after Paediatric Spinal Deformity Surgery and Comparison with the General Population

Back pain in adolescent idiopathic scoliosis: A comprehensive review

Patient-reported outcome measures in spine surgery

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