Improvement in Quality of Life Following Surgery for Adolescent Idiopathic Scoliosis
| Autor: | Douglas Hedden, Benjamin A. Alman, James G. Wright, Derek Stephens, Andrew W. Howard, Sandra Donaldson |
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| Rok vydání: | 2007 |
| Předmět: |
Male
medicine.medical_specialty Adolescent medicine.medical_treatment Scoliosis Quality of life Surveys and Questionnaires medicine Humans Orthopedics and Sports Medicine Clinical significance Prospective Studies Prospective cohort study Rachis Braces business.industry Reproducibility of Results medicine.disease Surgery Spinal Fusion Treatment Outcome Spinal fusion Cohort Quality of Life Physical therapy Female Observational study Neurology (clinical) business Follow-Up Studies |
| Zdroj: | Spine. 32:2715-2718 |
| ISSN: | 0362-2436 |
| DOI: | 10.1097/brs.0b013e31815a51cd |
| Popis: | Study Design. We used the Climent Quality of Life for Spinal Deformities Scale prospectively in a nonrandomized prospective comparative cohort of operative versus observational management of adolescent idiopathic scoliosis. Objective. To compare the change in disease-specific quality of life associated with operating on adolescents with idiopathic scoliosis, to the change in disease-specific quality of life among observed scoliosis patients with a similar 2-year follow-up period. Summary of Background Data. The immediate effect of scoliosis surgery on quality of life from a patient perspective has not been properly documented but should play a role in the patient’s decision to operate. Methods. At a single tertiary referral children’s hospital spinal clinic, 119 patients undergoing scoliosis surgery and 42 patients undergoing observation only for scoliosis were enrolled in a prospective study, including preoperative and postoperative spine-specific quality of life. Change in quality of life after 2 years of follow-up among operated versus observed patients (adjusted for baseline quality of life) was used to estimate the short-term benefit of scoliosis surgery. Results. The operated group experienced an increase in quality of life of 4.3 points (95% confidence interval, 0.69–7.88) on the 115-point Climent scale. Although statistically significant, this increase was lower than the 5.5-point cutoff we had defined a priori as clinically significant. Conclusion. Scoliosis surgery results in a small increase in spine-related quality of life at 2 years. This increase is of questionable clinical significance. Decisions to operate on adolescents with scoliosis should acknowledge modest expectations about short-term gains in quality of life. |
| Databáze: | OpenAIRE |
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