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Órgano Oficial de Difusión Científica de la Federación Mexicana de Colegios de Ortopedia y Traumatología, A.C. (FEMECOT)

2023, Number 2

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Ortho-tips 2023; 19 (2)

Quality of life in surgically managed patients with adolescent idiopathic scoliosis

Pinzón LCY, Vilchis SH

Language: Spanish
References: 28
Page: 77-81
PDF size: 129.66 Kb.


ABSTRACT

Introduction: deciding on the management of adolescent idiopathic scoliosis is not always easy, it requires a joint decision between the medical team, family members and the patient. Patient-reported outcome measures have gained interest in recent years to assess treatment results, and could help us to have tools to decide the best option for each patient. Objective: to assess quality of life with posterior pedicle screw fusion treatment by completing a patient-filled outcome questionnaire Scoliosis Research Society-22. Material and methods: retrospective longitudinal cohort design, patients diagnosed with adolescent idiopathic scoliosis surgically managed between 2016 and 2021 at the Lomas Verdes Hospital in Naucalpan, Mexico were included. The patient filled out the Scoliosis Research Society-22 questionnaire before the surgical procedure and for at least 12 months afterwards. Results: data were obtained from 54 patients, 44 women (74%) and 10 men (18%) with an age range at the time of surgery between 10 and 17 years (average 14.5 years), cobb angle between 45 and 94 degrees in its main curvature (average 63.2 degrees). The mean time elapsed between the procedure and the completion of the questionnaire was 2.5 years. Statistical significance was obtained both in the total score and in each of its individual items in the questionnaire, body image (<0.001), total score (< 0.001), pain (< 0.001), mental health (< 0.001), function (< 0.001). With satisfaction with the surgical treatment of 4.8. Conclusions: patients diagnosed with adolescent idiopathic scoliosis managed with posterior fusion with transpedicular screws show improvement in both the total score and the individual items of the Scoliosis Research Society-22 questionnaire after the surgical procedure at 2.5 years, all with statistical significance, with a high degree of satisfaction reported by patients.


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