Hiroko Matsumoto1, David L Skaggs2, Behrooz A Akbarnia3, Jeff B Pawelek3, Tricia St Hilaire4, Sonya Levine1, Peter Sturm5, Francisco Javier Sanchez Perez-Grueso6, Scott J Luhmann7, Paul D Sponseller8, John T Smith9, Klane K White10, Michael G Vitale1. 1. Columbia University Medical Center, New York, NY, USA. 2. Children's Orthopedic Center, Children's Hospital Los Angeles, 4650 Sunset Blvd., MS #69, Los Angeles, CA, 90027, USA. DSkaggs@chla.usc.edu. 3. San Diego Spine Foundation, San Diego, CA, USA. 4. Children's Spine Foundation, Valley Forge, PA, USA. 5. Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA. 6. Hospital Universitario la Paz, Madrid, Spain. 7. Washington University-St. Louis, St Louis, MO, USA. 8. Johns Hopkins University, Baltimore, MD, USA. 9. Primary Children's Hospital, Salt Lake City, UT, USA. 10. Seattle Children's Hospital, Seattle, WA, USA.
Abstract
STUDY DESIGN: Multicenter retrospective cohort study. OBJECTIVES: To compare pre-operative and post-operative EOSQ-24 scores in magnetically controlled growing rods (MCGR) and traditional growing rod (TGR) patients. Since the introduction of MCGR, early-onset scoliosis patients have been afforded a reduction in the number of surgeries compared to the TGR technique. However, little is known about (health-related quality of life) and burden of care outcomes between these surgical techniques. METHODS: This is a retrospective cohort study using a multicenter registry on patients with EOS undergoing MCGR or TGR between 2008 and 2017. The EOSQ-24 was administered at preoperative and postoperative 2-year assessments. The EOSQ-24 scores were compared between MCGR and TGR as well as preoperatively and postoperatively within each procedure. RESULTS: 110 patients were analyzed in this study (TGR, N = 32; MCGR, N = 78). There were no significant differences in preoperative age, gender, etiology, main coronal curve or maximum kyphosis between TGR and MCGR groups. Patients with TGR had averaged 3.9 surgical lengthenings and MCGR had averaged 7.7 non-invasive lengthenings by the 2-year follow-up. When changes in preoperative to postoperative scores were compared, MCGR had more improvements in pain, emotion, child satisfaction and parent satisfaction than TGR although there were no statistical significance. When analyzed separately, MCGR cohort had improvement in scores for all four domains and four sub-domains; while, TGR cohort only had improvement in financial burden domain and pulmonary function sub-domain. CONCLUSION: Although there was no statistical significance, the improvement in pain, emotion and satisfaction scores was larger in MCGR than TGR. Since these areas can be influenced more by mental well-being than other sub-domains, the results may prove our hypothesis that compared to TGR, MCGR with reduced number of surgeries have better psychosocial effects. LEVEL OF EVIDENCE: III.
STUDY DESIGN: Multicenter retrospective cohort study. OBJECTIVES: To compare pre-operative and post-operative EOSQ-24 scores in magnetically controlled growing rods (MCGR) and traditional growing rod (TGR) patients. Since the introduction of MCGR, early-onset scoliosispatients have been afforded a reduction in the number of surgeries compared to the TGR technique. However, little is known about (health-related quality of life) and burden of care outcomes between these surgical techniques. METHODS: This is a retrospective cohort study using a multicenter registry on patients with EOS undergoing MCGR or TGR between 2008 and 2017. The EOSQ-24 was administered at preoperative and postoperative 2-year assessments. The EOSQ-24 scores were compared between MCGR and TGR as well as preoperatively and postoperatively within each procedure. RESULTS: 110 patients were analyzed in this study (TGR, N = 32; MCGR, N = 78). There were no significant differences in preoperative age, gender, etiology, main coronal curve or maximum kyphosis between TGR and MCGR groups. Patients with TGR had averaged 3.9 surgical lengthenings and MCGR had averaged 7.7 non-invasive lengthenings by the 2-year follow-up. When changes in preoperative to postoperative scores were compared, MCGR had more improvements in pain, emotion, child satisfaction and parent satisfaction than TGR although there were no statistical significance. When analyzed separately, MCGR cohort had improvement in scores for all four domains and four sub-domains; while, TGR cohort only had improvement in financial burden domain and pulmonary function sub-domain. CONCLUSION: Although there was no statistical significance, the improvement in pain, emotion and satisfaction scores was larger in MCGR than TGR. Since these areas can be influenced more by mental well-being than other sub-domains, the results may prove our hypothesis that compared to TGR, MCGR with reduced number of surgeries have better psychosocial effects. LEVEL OF EVIDENCE: III.
Entities:
Keywords:
Early-onset scoliosis; Health-related quality of life; Magnetically controlled growing rods; Traditional growing rods
Authors: Behrooz A Akbarnia; Jeff B Pawelek; Kenneth M C Cheung; Gokhan Demirkiran; Hazem Elsebaie; John B Emans; Charles E Johnston; Gregory M Mundis; Hilali Noordeen; David L Skaggs; Paul D Sponseller; George H Thompson; Burt Yaszay; Muharrem Yazici Journal: Spine Deform Date: 2014-10-27
Authors: Shay Bess; Behrooz A Akbarnia; George H Thompson; Paul D Sponseller; Suken A Shah; Hazem El Sebaie; Oheneba Boachie-Adjei; Lawrence I Karlin; Sarah Canale; Connie Poe-Kochert; David L Skaggs Journal: J Bone Joint Surg Am Date: 2010-10-01 Impact factor: 5.284
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