| Peer-Reviewed

Influence of Preoperative Disease Course on the Quality of Life of Adolescent Idiopathic Scoliosis Patients

Received: 4 February 2016    Accepted:     Published: 4 February 2016
Views:       Downloads:
Abstract

To study the influence of preoperative disease course on the operation and postoperative quality of life of adolescent idiopathic scoliosis (AIS) patients. Patients who were treated with simple posterior correction and pedicle-screw internal fixation were divided into two groups according to their preoperative disease courses: a short course group with preoperative course < 2 years (S group), and a long course group with preoperative course ≥ 2 years (L group). The gender, Lenke type, and major curve cob angle were matchable between the two groups, and 112 cases were included in each group. Various radiographic measurements and indices like fusion level, intraoperative blood loss and blood transfusion scores of SRS-22 were compared between the two groups during preoperative, postoperative and follow-up periods. The preoperative side scoliosis angle Cobb in S group was less than that in L group (P=0.040). The coronal plane and sagittal plane radiographic parameters were similar after operation, and there were no statistical differences between the volume of intraoperative blood loss and blood transfusion. The preoperative major scoliosis Cobb angles were similar between the two groups, but the flexibility of the major scoliosis in S group was larger than that in L group (P=0.039). The number of fused vertebrae in L group was higher than that in S group (P=0.024). The function/activity, pain, self-image/appearance, and mental health in the SRS-22 scales of the two groups had no statistical differences during follow-up, and L group had a lower satisfaction rate of treatment compared with S group (P = 0.037). The scoliosis flexibility decreased with increasing disease course. Disease course might be a risk factor for side scoliosis progression and it affected the quality of life of AIS patients after operation.

Published in Journal of Surgery (Volume 3, Issue 6)
DOI 10.11648/j.js.20150306.16
Page(s) 83-87
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Adolescent Idiopathic Scoliosis, Orthopedic Surgery, Quality of Life

References
[1] Hwang SW, Dubaz OM, Ames R, Rothkrug A, Kimball JS, Samdani AF. The impact of direct vertebral body derotation on the lumbar prominence in Lenke Type 5C curves. J Neurosurg Spine 2012, 17: 308-313.
[2] Weiss HR. Adolescent idiopathic scoliosis (AIS) - an indication for surgery? A systematic review of the literature. Disabil Rehabil 2008, 30: 799-807.
[3] Manella KJ, Torres J, Field-Fote EC. Restoration of walking function in an individual with chronic complete (AIS A) spinal cord injury. J Rehabil Med 2010, 42: 795-798.
[4] Ding Q, Qiu Y, Sun X, Wang B, Zhu ZZ, Yu Y, et al. [Risk factors of thoracic curve decompensation after anterior selective fusion in adolescent idiopathic scoliosis with major thoracolumbar or lumbar curve]. Zhonghua Wai Ke Za Zhi 2012, 50: 518-523.
[5] Wang WW, Xia CW, Zhu F, Zhu ZZ, Wang B, Wang SF, et al. Correlation of Risser sign, radiographs of hand and wrist with the histological grade of iliac crest apophysis in girls with adolescent idiopathic scoliosis. Spine (Phila Pa 1976) 2009, 34: 1849-1854.
[6] Samdani AF, Ranade A, Sciubba DM, Cahill PJ, Antonacci MD, Clements DH, et al. Accuracy of free-hand placement of thoracic pedicle screws in adolescent idiopathic scoliosis: how much of a difference does surgeon experience make? Eur Spine J 2010, 19: 91-95.
[7] Kundnani VK, Zhu L, Tak H, Wong H. Multimodal intraoperative neuromonitoring in corrective surgery for adolescent idiopathic scoliosis: Evaluation of 354 consecutive cases. Indian J Orthop 2010, 44: 64-72.
[8] Beausejour M, Joncas J, Goulet L, Roy-Beaudry M, Parent S, Grimard G, et al. Reliability and validity of adapted French Canadian version of Scoliosis Research Society Outcomes Questionnaire (SRS-22) in Quebec. Spine (Phila Pa 1976) 2009, 34: 623-628.
[9] Lee CF, Fong DY, Cheung KM, Cheng JC, Ng BK, Lam TP, et al. Referral criteria for school scoliosis screening: assessment and recommendations based on a large longitudinally followed cohort. Spine (Phila Pa 1976) 2010, 35: E1492-1498.
[10] Luk KD, Cheung WY, Wong Y, Cheung KM, Wong YW, Samartzis D. The predictive value of the fulcrum bending radiograph in spontaneous apical vertebral derotation in adolescent idiopathic scoliosis. Spine (Phila Pa 1976) 2012, 37: E922-926.
[11] Hwang SW, Samdani AF, Lonner B, Miyanji F, Stanton P, Marks MC, et al. Impact of direct vertebral body derotation on rib prominence: are preoperative factors predictive of changes in rib prominence? Spine (Phila Pa 1976) 2012, 37: E86-89.
[12] Cheung WY, Lenke LG, Luk KD. Prediction of scoliosis correction with thoracic segmental pedicle screw constructs using fulcrum bending radiographs. Spine (Phila Pa 1976) 2010, 35: 557-561.
[13] Larson AN, Fletcher ND, Daniel C, Richards BS. Lumbar curve is stable after selective thoracic fusion for adolescent idiopathic scoliosis: a 20-year follow-up. Spine (Phila Pa 1976) 2012, 37: 833-839.
[14] Weiss HR, Werkmann M. Rate of surgery in a sample of patients fulfilling the SRS inclusion criteria treated with a Cheneau brace of actual standard. Stud Health Technol Inform 2012, 176: 407-410.
[15] Karakaya I, Sismanlar SG, Atmaca H, Gok U, Sarlak AY. Outcome in early adolescent idiopathic scoliosis after deformity correction: assessed by SRS-22, psychometric and generic health measures. J Pediatr Orthop B 2012, 21: 317-321.
[16] Sathira-Angkura V, Pithankuakul K, Sakulpipatana S, Piyaskulkaew C, Kunakornsawat S. Validity and reliability of an adapted Thai version of Scoliosis Research Society-22 questionnaire for adolescent idiopathic scoliosis. Spine (Phila Pa 1976) 2012, 37: 783-787.
[17] Carlson JA, Sarkin AJ, Levack AE, Sklar M, Tally SR, Gilmer TP, et al. Evaluating a measure of social health derived from two mental health recovery measures: the California Quality of Life (CA-QOL) and Mental Health Statistics Improvement Program Consumer Survey (MHSIP). Community Ment Health J 2011, 47: 454-462.
[18] Polimeni AM, Moore SM, Gruenert S. Mental health improvements of substance-dependent clients after 4 months in a Therapeutic Community. Drug Alcohol Rev 2010, 29: 546-550.
[19] Pike NA, Evangelista LS, Doering LV, Koniak-Griffin D, Lewis AB, Child JS. Clinical profile of the adolescent/adult Fontan survivor. Congenit Heart Dis 2011, 6: 9-17.
[20] Barriga AQ, Sullivan-Cosetti M, Gibbs JC. Moral cognitive correlates of empathy in juvenile delinquents. Crim Behav Ment Health 2009, 19: 253-264.
[21] Soroceanu A, Ching A, Abdu W, McGuire K. Relationship between preoperative expectations, satisfaction, and functional outcomes in patients undergoing lumbar and cervical spine surgery: a multicenter study. Spine (Phila Pa 1976) 2012, 37: E103-108.
[22] Forchheimer MB, Richards JS, Chiodo AE, Bryce TN, Dyson-Hudson TA. Cut point determination in the measurement of pain and its relationship to psychosocial and functional measures after traumatic spinal cord injury: a retrospective model spinal cord injury system analysis. Arch Phys Med Rehabil 2011, 92: 419-424.
[23] Peppa M, Koliaki C, Raptis SA. Adrenal incidentalomas and cardiometabolic morbidity: an emerging association with serious clinical implications. J Intern Med 2010, 268: 555-566.
[24] Mousavi SJ, Mobini B, Mehdian H, Akbarnia B, Bouzari B, Askary-Ashtiani A, et al. Reliability and validity of the persian version of the scoliosis research society-22r questionnaire. Spine (Phila Pa 1976) 2010, 35: 784-789.
Cite This Article
  • APA Style

    Yuewen Wang, Ruilian Ma. (2016). Influence of Preoperative Disease Course on the Quality of Life of Adolescent Idiopathic Scoliosis Patients. Journal of Surgery, 3(6), 83-87. https://doi.org/10.11648/j.js.20150306.16

    Copy | Download

    ACS Style

    Yuewen Wang; Ruilian Ma. Influence of Preoperative Disease Course on the Quality of Life of Adolescent Idiopathic Scoliosis Patients. J. Surg. 2016, 3(6), 83-87. doi: 10.11648/j.js.20150306.16

    Copy | Download

    AMA Style

    Yuewen Wang, Ruilian Ma. Influence of Preoperative Disease Course on the Quality of Life of Adolescent Idiopathic Scoliosis Patients. J Surg. 2016;3(6):83-87. doi: 10.11648/j.js.20150306.16

    Copy | Download

  • @article{10.11648/j.js.20150306.16,
      author = {Yuewen Wang and Ruilian Ma},
      title = {Influence of Preoperative Disease Course on the Quality of Life of Adolescent Idiopathic Scoliosis Patients},
      journal = {Journal of Surgery},
      volume = {3},
      number = {6},
      pages = {83-87},
      doi = {10.11648/j.js.20150306.16},
      url = {https://doi.org/10.11648/j.js.20150306.16},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20150306.16},
      abstract = {To study the influence of preoperative disease course on the operation and postoperative quality of life of adolescent idiopathic scoliosis (AIS) patients. Patients who were treated with simple posterior correction and pedicle-screw internal fixation were divided into two groups according to their preoperative disease courses: a short course group with preoperative course < 2 years (S group), and a long course group with preoperative course ≥ 2 years (L group). The gender, Lenke type, and major curve cob angle were matchable between the two groups, and 112 cases were included in each group. Various radiographic measurements and indices like fusion level, intraoperative blood loss and blood transfusion scores of SRS-22 were compared between the two groups during preoperative, postoperative and follow-up periods. The preoperative side scoliosis angle Cobb in S group was less than that in L group (P=0.040). The coronal plane and sagittal plane radiographic parameters were similar after operation, and there were no statistical differences between the volume of intraoperative blood loss and blood transfusion. The preoperative major scoliosis Cobb angles were similar between the two groups, but the flexibility of the major scoliosis in S group was larger than that in L group (P=0.039). The number of fused vertebrae in L group was higher than that in S group (P=0.024). The function/activity, pain, self-image/appearance, and mental health in the SRS-22 scales of the two groups had no statistical differences during follow-up, and L group had a lower satisfaction rate of treatment compared with S group (P = 0.037). The scoliosis flexibility decreased with increasing disease course. Disease course might be a risk factor for side scoliosis progression and it affected the quality of life of AIS patients after operation.},
     year = {2016}
    }
    

    Copy | Download

  • TY  - JOUR
    T1  - Influence of Preoperative Disease Course on the Quality of Life of Adolescent Idiopathic Scoliosis Patients
    AU  - Yuewen Wang
    AU  - Ruilian Ma
    Y1  - 2016/02/04
    PY  - 2016
    N1  - https://doi.org/10.11648/j.js.20150306.16
    DO  - 10.11648/j.js.20150306.16
    T2  - Journal of Surgery
    JF  - Journal of Surgery
    JO  - Journal of Surgery
    SP  - 83
    EP  - 87
    PB  - Science Publishing Group
    SN  - 2330-0930
    UR  - https://doi.org/10.11648/j.js.20150306.16
    AB  - To study the influence of preoperative disease course on the operation and postoperative quality of life of adolescent idiopathic scoliosis (AIS) patients. Patients who were treated with simple posterior correction and pedicle-screw internal fixation were divided into two groups according to their preoperative disease courses: a short course group with preoperative course < 2 years (S group), and a long course group with preoperative course ≥ 2 years (L group). The gender, Lenke type, and major curve cob angle were matchable between the two groups, and 112 cases were included in each group. Various radiographic measurements and indices like fusion level, intraoperative blood loss and blood transfusion scores of SRS-22 were compared between the two groups during preoperative, postoperative and follow-up periods. The preoperative side scoliosis angle Cobb in S group was less than that in L group (P=0.040). The coronal plane and sagittal plane radiographic parameters were similar after operation, and there were no statistical differences between the volume of intraoperative blood loss and blood transfusion. The preoperative major scoliosis Cobb angles were similar between the two groups, but the flexibility of the major scoliosis in S group was larger than that in L group (P=0.039). The number of fused vertebrae in L group was higher than that in S group (P=0.024). The function/activity, pain, self-image/appearance, and mental health in the SRS-22 scales of the two groups had no statistical differences during follow-up, and L group had a lower satisfaction rate of treatment compared with S group (P = 0.037). The scoliosis flexibility decreased with increasing disease course. Disease course might be a risk factor for side scoliosis progression and it affected the quality of life of AIS patients after operation.
    VL  - 3
    IS  - 6
    ER  - 

    Copy | Download

Author Information
  • Department of Orthopaedics, Affiliated Hospital of Inner Mongolia Medical University, Hohhot, China

  • Department of Pharmacy, Affiliated Hospital of Inner Mongolia Medical University, Hohhot, China

  • Sections