TY - JOUR
T1 - Effect of spinal deformity on adolescent quality of life
T2 - Comparison of operative scheuermann kyphosis, adolescent idiopathic scoliosis, and normal controls
AU - Lonner, Baron
AU - Yoo, Andrew
AU - Terran, Jamie S.
AU - Sponseller, Paul
AU - Samdani, Amer
AU - Betz, Randy
AU - Shuffelbarger, Harry
AU - Shah, Suken A.
AU - Newton, Peter
PY - 2013/5/20
Y1 - 2013/5/20
N2 - Objective. To compare health-related quality of life (HRQOL) measures and sagittal deformity in operative Scheuermann kyphosis (SK), operative adolescent idiopathic scoliosis (AIS), and normal populations. Summary of Background Data. No study to date has evaluated patient reported HRQOL measures before surgery in operative patients with SK. Methods. HRQOL data were prospectively collected pretreatment for operative patients with SK using the SRS-22 outcomes instrument and visual analogue scale (VAS). Comparison was made with the SRS-22 from operative AIS and normal populations. Eighty-six patients with SK enrolled in the prospective study were compared with 184 patients with AIS from a prospective database and 31 normal controls. To study the correlation between T5-T12 kyphosis magnitude and SRS-22 score, patients with AIS and SK were pooled together to create a larger continuum of kyphosis. Analysis of covariance, Pearson correlation analysis, and Bonferroni pairwise comparisons were used to determine statistical differences between group demographics, HRQOL indicators, and radiographical variables. Results. Patients with SK had significantly lower scores in all domains of the SRS-22 than patients with AIS. Patients with SK with a thoracolumbar apex reported significantly lower mean scores in the pain domain than those with a thoracic apex. Significant negative correlations were found between all domains of the SRS-22 and T5-T12 kyphosis - the self-image domain demonstrated the highest correlation (r = 0.37). VAS score in the SK population correlated negatively to the pain, self-image, and mental health domains. Conclusion. Increasing sagittal plane deformity as a result of SK has a significant impact on HRQOL as determined by the SRS-22 outcome instrument. In this study, patients with SK reported significantly decreased (worse) scores in all subdomains of the SRS-22 compared with patients with AIS.
AB - Objective. To compare health-related quality of life (HRQOL) measures and sagittal deformity in operative Scheuermann kyphosis (SK), operative adolescent idiopathic scoliosis (AIS), and normal populations. Summary of Background Data. No study to date has evaluated patient reported HRQOL measures before surgery in operative patients with SK. Methods. HRQOL data were prospectively collected pretreatment for operative patients with SK using the SRS-22 outcomes instrument and visual analogue scale (VAS). Comparison was made with the SRS-22 from operative AIS and normal populations. Eighty-six patients with SK enrolled in the prospective study were compared with 184 patients with AIS from a prospective database and 31 normal controls. To study the correlation between T5-T12 kyphosis magnitude and SRS-22 score, patients with AIS and SK were pooled together to create a larger continuum of kyphosis. Analysis of covariance, Pearson correlation analysis, and Bonferroni pairwise comparisons were used to determine statistical differences between group demographics, HRQOL indicators, and radiographical variables. Results. Patients with SK had significantly lower scores in all domains of the SRS-22 than patients with AIS. Patients with SK with a thoracolumbar apex reported significantly lower mean scores in the pain domain than those with a thoracic apex. Significant negative correlations were found between all domains of the SRS-22 and T5-T12 kyphosis - the self-image domain demonstrated the highest correlation (r = 0.37). VAS score in the SK population correlated negatively to the pain, self-image, and mental health domains. Conclusion. Increasing sagittal plane deformity as a result of SK has a significant impact on HRQOL as determined by the SRS-22 outcome instrument. In this study, patients with SK reported significantly decreased (worse) scores in all subdomains of the SRS-22 compared with patients with AIS.
KW - Adolescent idiopathic scoliosis
KW - SRS-22
KW - Scheuermann kyphosis
KW - Visual analogue scale, preoperative.
UR - http://www.scopus.com/inward/record.url?scp=84879105963&partnerID=8YFLogxK
U2 - 10.1097/BRS.0b013e3182893c01
DO - 10.1097/BRS.0b013e3182893c01
M3 - Article
C2 - 23370683
AN - SCOPUS:84879105963
SN - 0362-2436
VL - 38
SP - 1049
EP - 1055
JO - Spine
JF - Spine
IS - 12
ER -