Health-Related Quality of Life in Nonoperated Patients With Adolescent Idiopathic Scoliosis in the Middle Years
| Autor: | Kazuhiro Hasegawa, Tatsuki Mizouchi, Masayuki Ohashi, Naoto Endo, Hideki Tashi, Keitaro Minato, Keiichi Katsumi, Kei Watanabe, Toru Hirano |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male Pediatrics medicine.medical_specialty Adolescent Idiopathic scoliosis Lumbar vertebrae Thoracic Vertebrae 03 medical and health sciences 0302 clinical medicine Quality of life Surveys and Questionnaires medicine Humans Orthopedics and Sports Medicine Mobility Limitation Retrospective Studies Health related quality of life 030222 orthopedics Lumbar Vertebrae business.industry Follow up studies Case-control study Retrospective cohort study Middle Aged Self Concept humanities medicine.anatomical_structure Scoliosis Case-Control Studies Thoracic vertebrae Disease Progression Quality of Life Female Neurology (clinical) business Low Back Pain 030217 neurology & neurosurgery Follow-Up Studies |
| Zdroj: | Spine. 45:E83-E89 |
| ISSN: | 1528-1159 0362-2436 |
| DOI: | 10.1097/brs.0000000000003216 |
| Popis: | A retrospective long-term follow-up study.To investigate the health-related quality of life (HRQOL) status in middle-aged patients with adolescent idiopathic scoliosis (AIS) treated non-surgically.The HRQOL status using various established questionnaires for non-operated AIS patients has not been fully investigated in long-term follow-up surveys.Inclusion criteria were non-surgical treatment for AIS, more than or equl to 30° major scoliosis at skeletal maturity (Risser grade ≥4), and age more than or equl to 30 years at the time of the survey. A total of 107 AIS patients were included and divided into three groups (single main thoracic [MT] curve group; n = 50, single thoracolumbar/lumbar [TL/L] curve group; n = 19, and double-major [DM] curve group; n = 38) based on curve location at skeletal maturity. Age- and sex-matched volunteers were selected as the control group.There were no significant differences in age at survey, body mass index, bone mineral density of the femoral neck, and skeletal muscle mass index among the groups. In all groups, major scoliosis progressed by approximately 0.5°/yr from the time of skeletal maturity to the survey. The thoracolumbar (TL/L) and double-major (DM) groups showed significantly worse visual analog scale scores for low back pain compared with the main thoracice (MT) group (P 0.05). The all-scoliosis groups showed significantly worse scores for self-image domain of the Scoliosis Research Society Outcome Instrument-22 (SRS-22) than the control group (P 0.0001). The TL/L group showed significantly worse scores for walking ability and social function domains of the Japanese Orthopaedic Association Back Pain Evaluation Questionnaire (JOABPEQ) (P 0.05). There were no significant differences in Oswestory Disability Index and Short-Form-12 among the four groups.AIS patients with single MT curve maintain equal HRQOL status compared with healthy controls. Patients with structural TL/L curves are likely to experience greater annual TL/L curve progression and have substantial low back pain or worse low back pain-specific HRQOL status during middle age.4. |
| Databáze: | OpenAIRE |
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