Does the Quality of Life in Operated Patients with Adolescent Idiopathic Scoliosis correspond with the Radiographic Parameters?
- Author:
Hisam MA
;
Siti NS
;
Jou NP
;
Ghaneshinee S
;
Shaharuddin AR
;
Azmi B
;
Mohd KFMM
- Publication Type:Journal Article
- Keywords:
Quality of life;
SRS-22;
adolescent idiopathic scoliosis
- MeSH:
Scoliosis;
Spinal Diseases
- From:Malaysian Orthopaedic Journal
2015;9(2):37-40
- CountryMalaysia
- Language:English
-
Abstract:
Objectives: Traditionally, scoliosis surgery is aimed at
attaining a fused, balanced and painless spine. With
improvement in surgical and instrumentation techniques,
spine surgeons strive to achieve higher degree of Cobb’s
angle and rib hump correction with the idea of greater
patient satisfaction. The aim of this study was to determine
the patients’ satisfaction using SRS-22 questionnaire and
their correlations with the radiographic changes.
Materials and methods: A prospective study was conducted
in a tertiary referral centre using the Scoliosis Research
Society-22 (SRS-22) questionnaire during the patients’
annual follow up, between February to April 2014. Thirtyseven
patients who met the inclusion criteria were enrolled.
Results: The mean pre-operative Cobb’s angles were 57.8o ±
12.7o and mean post-operative angle of 20.0o ± 10.4o,
resulting in average correction of 65.9 ± 14.4%. Mean preoperative
rib hump was 61.1 ± 15.4 mm with mean postoperative
rib hump of 15.8 ± 17.8 mm, resulting in average
reduction of 77.7 ± 23.7%. Mean of post-operative total SRS
score was 4.1 ± 0.5. Using Spearman rank correlation, the
percentage of Cobb’s angle correction versus the SRS-22
score showed correlation of 0.17 (P=0.33) while the
percentage of rib hump reduction versus SRS-22 score
showed a correlation of 0.11 (P=0.53).
Conclusion: In this study, the average total SRS-22 score
was 4.1 ± 0.5 (range, 3.1-4.9) post-operatively indicating
very high satisfaction rate overall. Despite attempts at
greater curve correction and rib hump reduction, there is no
direct correlation between patient satisfaction and
radiographic parameters.
- Full text:P020151027567838301351.pdf
