Tsutomu Akazawa1,2, Toshiaki Kotani3, Tsuyoshi Sakuma3, Shohei Minami3, Yoshiaki Torii4, Sumihisa Orita5, Kazuhide Inage5, Kazuki Fujimoto5, Yasuhiro Shiga5, Gen Inoue6, Masayuki Miyagi6, Wataru Saito6, Seiji Ohtori5, Hisateru Niki4. 1. Department of Orthopaedic Surgery, St. Marianna University School of Medicine, 2-16-1 Sugao, Miyamae-ku, Kawasaki, Kanagawa, 216-8511, Japan. cds00350@par.odn.ne.jp. 2. Department of Orthopedic Surgery, Seirei Sakura Citizen Hospital, Sakura, Japan. cds00350@par.odn.ne.jp. 3. Department of Orthopedic Surgery, Seirei Sakura Citizen Hospital, Sakura, Japan. 4. Department of Orthopaedic Surgery, St. Marianna University School of Medicine, 2-16-1 Sugao, Miyamae-ku, Kawasaki, Kanagawa, 216-8511, Japan. 5. Department of Orthopaedic Surgery, Graduate School of Medicine, Chiba University, Chiba, Japan. 6. Department of Orthopaedic Surgery, Kitasato University School of Medicine, Sagamihara, Japan.
Abstract
PURPOSE: Our previous study reported a good health-related quality of life (HRQOL) in adolescent idiopathic scoliosis (AIS) patients 21 years or more after surgery. The purpose of this study is to investigate midlife changes in HRQOL among AIS patients who passed further 5 years from the previous survey. METHODS: Subjects were 252 individuals who underwent spinal fusion for AIS between 1968 and 1988. The survey was administered twice-in 2009 and in 2014 using Scoliosis Research Society Patient Questionnaire (SRS-22). We analysed survey responses from 42 individuals (39 females, 3 males) who responded to both surveys. RESULTS: The average scores for each respective domain of the SRS-22 in 2009 and 2014, respectively, were: function, 4.3 and 4.2; pain, 4.3 and 4.3; self-image, 3.0 and 2.9; mental, 3.9 and 3.8; satisfaction, 3.6 and 3.5. There were no significant differences in any domain of the SRS-22 between 2009 and 2014. Comparing non-fused segments of the lumbar spine of patients with fewer than four discs remaining with patients with four discs or more remaining, SRS-22 satisfaction score decreased more in patients with fewer than four discs (change in patients with four discs or more: -0.02; change in patients with fewer than four discs: -0.38; P = 0.05). CONCLUSION: Each SRS-22 subscore was similar between 2009 and 2014 surveys. Those scoliosis patients who underwent spinal fusion during adolescence had good HRQOL scores in midlife. Even after five years passed, good conditions were maintained.
PURPOSE: Our previous study reported a good health-related quality of life (HRQOL) in adolescent idiopathic scoliosis (AIS) patients 21 years or more after surgery. The purpose of this study is to investigate midlife changes in HRQOL among AISpatients who passed further 5 years from the previous survey. METHODS: Subjects were 252 individuals who underwent spinal fusion for AIS between 1968 and 1988. The survey was administered twice-in 2009 and in 2014 using Scoliosis Research Society Patient Questionnaire (SRS-22). We analysed survey responses from 42 individuals (39 females, 3 males) who responded to both surveys. RESULTS: The average scores for each respective domain of the SRS-22 in 2009 and 2014, respectively, were: function, 4.3 and 4.2; pain, 4.3 and 4.3; self-image, 3.0 and 2.9; mental, 3.9 and 3.8; satisfaction, 3.6 and 3.5. There were no significant differences in any domain of the SRS-22 between 2009 and 2014. Comparing non-fused segments of the lumbar spine of patients with fewer than four discs remaining with patients with four discs or more remaining, SRS-22 satisfaction score decreased more in patients with fewer than four discs (change in patients with four discs or more: -0.02; change in patients with fewer than four discs: -0.38; P = 0.05). CONCLUSION: Each SRS-22 subscore was similar between 2009 and 2014 surveys. Those scoliosispatients who underwent spinal fusion during adolescence had good HRQOL scores in midlife. Even after five years passed, good conditions were maintained.
Authors: Leah Y Carreon; James O Sanders; Mohammad Diab; Daniel J Sucato; Peter F Sturm; Steven D Glassman Journal: Spine (Phila Pa 1976) Date: 2010-11-01 Impact factor: 3.468
Authors: Christian Götze; Ulf R Liljenqvist; Astrid Slomka; Hans Guenther Götze; Joern Steinbeck Journal: Spine (Phila Pa 1976) Date: 2002-07-01 Impact factor: 3.468