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Orthop Traumatol Surg Res. 2013 Jun;99(4):441-7. doi: 10.1016/j.otsr.2013.03.012. Epub 2013 Apr 29.

Postoperative perceived health status in adolescent following idiopathic scoliosis surgical treatment: results using the adapted French version of Scoliosis Research Society Outcomes questionnaire (SRS-22).

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1
Department of Pediatric Orthopaedics, Paris 6 Pierre-et-Marie-Curie University, Armand Trousseau Hospital, 26, avenue du Dr-Arnold-Netter, 75571 Paris cedex 12, France.

Abstract

PURPOSE:

Assessing functional outcome from patient-based outcomes questionnaires are essential to the evaluation of adolescent idiopathic scoliosis surgical treatment

METHODS:

At the minimum follow-up of 2 years, 45 operated on adolescent idiopathic scoliosis patients were mailed the French version of the Scoliosis Research Society Outcome Instrument (SRS-22) questionnaires containing items on pain, activities of daily living, and satisfaction.

RESULTS:

Mean values of the SRS-22 domains were 3,66 for the Pain domain, 3,85 for the Self-perceived image domain, 4,32 for the Function domain, 3,52 for the Mental health domain and 4,12 for the Global satisfaction with management domain. Mean value of the global SRS-22 score was 3,88. We showed no differences in functional SRS-22 health status in patients according to the type of curve (Lenke classification). We showed statistically significant correlations between the gain of Cobb angle and Patients self-image and function domain scores. There was a statistically significant correlation between preoperative Cobb angle and patient satisfaction with management.

CONCLUSIONS:

Even if Function and Self-image scores in our patients are close to control group values, indicating good short to mid-term outcome of surgical treatment, scores for pain and mental health status were significantly lower in patients than controls. Long-term follow-up studies conducted by multiple surgeons over successive generations are mandatory to assess clinical significance of these differences.

LEVEL OF EVIDENCE:

Level IV. Retrospective study.

PMID:
23639761
DOI:
10.1016/j.otsr.2013.03.012
[Indexed for MEDLINE]
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