Skip to main content
Top
Published in: Scoliosis and Spinal Disorders 1/2018

Open Access 01-12-2018 | Research

A retrospective analysis of health-related quality of life in adolescent idiopathic scoliosis children treated by anterior instrumentation and fusion

Authors: Balaji Zacharia, Dhiyaneswaran Subramaniyam, Sadiqueali Padinharepeediyekkal

Published in: Scoliosis and Spinal Disorders | Issue 1/2018

Login to get access

Abstract

Background

Idiopathic scoliosis is the most common type of spinal deformity. Scoliosis is defined as a lateral curvature of the spine greater than 10° accompanied by rotation of the vertebrae. The treatment available for adolescent idiopathic scoliosis is observation, orthosis, and surgery. The surgical options include open anterior release and instrumentation, posterior instrumentation, and thoracoscopic approaches. The Scoliosis Research Society Questionnaire (SRS-30) is a specific instrument to measure health-related quality of life in patients with scoliosis, who had or had not undergone surgery. The purpose was to assess the post-operative functional outcome using SRS-30 in children who underwent anterior release, instrumentation, and fusion using autogenous rib graft for adolescent idiopathic scoliosis (AIS).

Methods

In a retrospective cohort study, 25 patients between the ages of 11 and 17 years, who underwent anterior release, instrumentation, and fusion using autogenous rib graft for adolescent idiopathic scoliosis (AIS) between 2008 and 2014, were included in the study.

Results

The total average score was 4.26 with a SD of 0.014 and had maximum average score 4.5 (for pain) and minimum average score 3.8 (for self-image).

Conclusion

Anterior release, instrumentation, and fusion using autogenous rib graft is having good functional outcome in all domains.
Literature
1.
go back to reference Lonstein JE. Idiopathic scoliosis. In: Lonstein JE, Bradford DS, Winter RB, Ogilvie J, editors. Moe’s textbook of scoliosis and other spinal deformities. 3rd ed. Philadelphia: WB Saunders; 1995. p. 219–56. Lonstein JE. Idiopathic scoliosis. In: Lonstein JE, Bradford DS, Winter RB, Ogilvie J, editors. Moe’s textbook of scoliosis and other spinal deformities. 3rd ed. Philadelphia: WB Saunders; 1995. p. 219–56.
2.
go back to reference Brian V. REAMY, LT COL, USAF, MC, Malcolm Grow Medical Center, Andrews Air Force Base, Maryland JOSEPH B. SLAKEY, CDR, MC, USNR, Naval Medical Center, Portsmouth, Virginia Am Fam Physician. Adolescent idiopathic scoliosis: review and current concepts. 2001;64(1):111–7. Brian V. REAMY, LT COL, USAF, MC, Malcolm Grow Medical Center, Andrews Air Force Base, Maryland JOSEPH B. SLAKEY, CDR, MC, USNR, Naval Medical Center, Portsmouth, Virginia Am Fam Physician. Adolescent idiopathic scoliosis: review and current concepts. 2001;64(1):111–7.
3.
go back to reference William C, Warner, Jeffery R, Sawyer, Kelly DM. Scoliosis and kyphosis. Campbell’s operative orthopaedics, twelfth edition Chapter 41. 2012. p. 1703–54. William C, Warner, Jeffery R, Sawyer, Kelly DM. Scoliosis and kyphosis. Campbell’s operative orthopaedics, twelfth edition Chapter 41. 2012. p. 1703–54.
4.
go back to reference Rogala EJ, Drummond DS, Gurr J. Scoliosis: incidence and natural history—a prospective epidemiological study. J Bone Joint Surg Am. 1978;60(2):173–6.CrossRefPubMed Rogala EJ, Drummond DS, Gurr J. Scoliosis: incidence and natural history—a prospective epidemiological study. J Bone Joint Surg Am. 1978;60(2):173–6.CrossRefPubMed
5.
go back to reference Lonstein JE, Bjorklund S, Wanninger MH, et al. Voluntary school screening for scoliosis in Minnesota. J Bone Joint Surg Am. 1982;64(4):481–8.CrossRefPubMed Lonstein JE, Bjorklund S, Wanninger MH, et al. Voluntary school screening for scoliosis in Minnesota. J Bone Joint Surg Am. 1982;64(4):481–8.CrossRefPubMed
6.
go back to reference Miyanji F. Adolescent idiopathic scoliosis: current perspectives. Orthopedic Res Rev Dovepress J. 2014;6:17–26.CrossRef Miyanji F. Adolescent idiopathic scoliosis: current perspectives. Orthopedic Res Rev Dovepress J. 2014;6:17–26.CrossRef
7.
go back to reference Stephens Richards B, Sucato DJ, Johnston CE. Scoliosis. Tachdjian’s paediatric orthopaedics, vol. 1. 5th ed; 2014. p. 206–13. chapter 12 Stephens Richards B, Sucato DJ, Johnston CE. Scoliosis. Tachdjian’s paediatric orthopaedics, vol. 1. 5th ed; 2014. p. 206–13. chapter 12
8.
go back to reference Liljenqvist U, Lepsien U, Hackenberg L, et al. Comparative analysis of pedicle screw and hook instrumentation in posterior correction and fusion of idiopathic thoracic scoliosis. Eur Spine J. 2002;11(4):336–43.CrossRefPubMedPubMedCentral Liljenqvist U, Lepsien U, Hackenberg L, et al. Comparative analysis of pedicle screw and hook instrumentation in posterior correction and fusion of idiopathic thoracic scoliosis. Eur Spine J. 2002;11(4):336–43.CrossRefPubMedPubMedCentral
9.
go back to reference Liljenqvist UR, Link TM, Halm HF. Morphometric analysis of thoracic and lumbar vertebrae in idiopathic scoliosis. Spine. 2000;25(10):1247–53.CrossRefPubMed Liljenqvist UR, Link TM, Halm HF. Morphometric analysis of thoracic and lumbar vertebrae in idiopathic scoliosis. Spine. 2000;25(10):1247–53.CrossRefPubMed
10.
go back to reference Sevastik B, Xiong B, Hedlund R, et al. The position of the aorta in relation to the vertebra in patients with idiopathic thoracic scoliosis. SurgRadiolAnat. 1996;18(1):51–6. Sevastik B, Xiong B, Hedlund R, et al. The position of the aorta in relation to the vertebra in patients with idiopathic thoracic scoliosis. SurgRadiolAnat. 1996;18(1):51–6.
11.
go back to reference Bunnell WP. The natural history of idiopathic scoliosis before skeletal maturity. Spine. 1986;11:773–6. 70CrossRefPubMed Bunnell WP. The natural history of idiopathic scoliosis before skeletal maturity. Spine. 1986;11:773–6. 70CrossRefPubMed
12.
go back to reference Lonstein JE, Carlson JM. The prediction of curve progression in untreated idiopathic scoliosis during growth. J Bone Joint Surg Am. 1984;66:1061–71.CrossRefPubMed Lonstein JE, Carlson JM. The prediction of curve progression in untreated idiopathic scoliosis during growth. J Bone Joint Surg Am. 1984;66:1061–71.CrossRefPubMed
13.
go back to reference Nachemson AL, Peterson LE. Effectiveness of treatment with a brace in girls who have adolescent idiopathic scoliosis. A prospective, controlled study based on data from the brace study of the Scoliosis Research Society. J Bone Joint Surg Am. 1995;77(6):815–22.CrossRefPubMed Nachemson AL, Peterson LE. Effectiveness of treatment with a brace in girls who have adolescent idiopathic scoliosis. A prospective, controlled study based on data from the brace study of the Scoliosis Research Society. J Bone Joint Surg Am. 1995;77(6):815–22.CrossRefPubMed
14.
go back to reference Ascani E, Bartolozzi P, Logroscino CA, Marchetti PG, Ponte A, Savini R, Travaglini F, Binazzi R, Di Silvestre M. (Phila Pa 1976)Natural history of untreated idiopathic scoliosis after skeletal maturity. Spine. 1986;11(8):784–9.CrossRefPubMed Ascani E, Bartolozzi P, Logroscino CA, Marchetti PG, Ponte A, Savini R, Travaglini F, Binazzi R, Di Silvestre M. (Phila Pa 1976)Natural history of untreated idiopathic scoliosis after skeletal maturity. Spine. 1986;11(8):784–9.CrossRefPubMed
16.
go back to reference Ramirez N, Johnston CE, Browne RH. The prevalence of back pain in children who have idiopathic scoliosis. J Bone Joint Surg Am. 1997;79(3):364–8.CrossRefPubMed Ramirez N, Johnston CE, Browne RH. The prevalence of back pain in children who have idiopathic scoliosis. J Bone Joint Surg Am. 1997;79(3):364–8.CrossRefPubMed
17.
go back to reference Ponseti IV, Friedman B. Prognosis in idiopathic scoliosis. J Bone Joint Surgery American. 1950;32:381–95.CrossRef Ponseti IV, Friedman B. Prognosis in idiopathic scoliosis. J Bone Joint Surgery American. 1950;32:381–95.CrossRef
18.
go back to reference King HA, Moe JH, Bradford DS, Winter RB. The selection of fusion levels in thoracic idiopathic scoliosis. J Bone Joint Surg Am. 1983;65(9):1302–13.CrossRefPubMed King HA, Moe JH, Bradford DS, Winter RB. The selection of fusion levels in thoracic idiopathic scoliosis. J Bone Joint Surg Am. 1983;65(9):1302–13.CrossRefPubMed
19.
go back to reference Lenke LG, Betz RR, Harms J, et al. Adolescent idiopathic scoliosis: a new classification to determine extent of spinal arthrodesis. J Bone Joint Surg Am. 2001;83(8):1169–81. urg Am. 1997 Mar;79(3):364–8CrossRefPubMed Lenke LG, Betz RR, Harms J, et al. Adolescent idiopathic scoliosis: a new classification to determine extent of spinal arthrodesis. J Bone Joint Surg Am. 2001;83(8):1169–81. urg Am. 1997 Mar;79(3):364–8CrossRefPubMed
20.
go back to reference Nachemson AL, Peterson LE. Effectiveness of treatment with a brace in girls who have adolescent idiopathic scoliosis: a prospective, controlled study based on data from the brace study of the Scoliosis Research Society. J Bone Joint Surg Am. 1995;77(6):815–22.CrossRefPubMed Nachemson AL, Peterson LE. Effectiveness of treatment with a brace in girls who have adolescent idiopathic scoliosis: a prospective, controlled study based on data from the brace study of the Scoliosis Research Society. J Bone Joint Surg Am. 1995;77(6):815–22.CrossRefPubMed
21.
go back to reference Danielsson AJ, Hasserius R, Ohlin A, Nachemson AL. A prospective study of brace treatment versus observation alone in adolescent scoliosis: a follow-up means of 16 years after maturity. Spine (Phila Pa 1976). 2007;32(20):2198–207.CrossRef Danielsson AJ, Hasserius R, Ohlin A, Nachemson AL. A prospective study of brace treatment versus observation alone in adolescent scoliosis: a follow-up means of 16 years after maturity. Spine (Phila Pa 1976). 2007;32(20):2198–207.CrossRef
22.
go back to reference Focarile FA, Bonaldi A, Giarolo MA, Ferrari U, Zilioli E, Otta-viani C. Effectiveness of nonsurgical treatment for idiopathic scoliosis: overview of available evidence. Spine (Phila Pa 1976). 1991;16(4):395–401.CrossRef Focarile FA, Bonaldi A, Giarolo MA, Ferrari U, Zilioli E, Otta-viani C. Effectiveness of nonsurgical treatment for idiopathic scoliosis: overview of available evidence. Spine (Phila Pa 1976). 1991;16(4):395–401.CrossRef
23.
go back to reference Goldberg CJ, Moore DP, Fogarty EE, Dowling FE. Adolescent idiopathic scoliosis: the effect of brace treatment on the incidence of surgery. Spine. 2001;26(1):42–7.CrossRefPubMed Goldberg CJ, Moore DP, Fogarty EE, Dowling FE. Adolescent idiopathic scoliosis: the effect of brace treatment on the incidence of surgery. Spine. 2001;26(1):42–7.CrossRefPubMed
24.
25.
go back to reference Dubousset J, Herring JA, Shufflebarger H. The crankshaft phenomenon. J PediatrOrthop. 1989;9(5):541–50. Dubousset J, Herring JA, Shufflebarger H. The crankshaft phenomenon. J PediatrOrthop. 1989;9(5):541–50.
26.
go back to reference Tao F, Zhao Y, Wu Y, et al. The effect of differing spinal fusion instrumentation on the occurrence of postoperative crankshaft 75 phenomenon in adolescent idiopathic scoliosis. J Spinal Disord Tech. 2010;23(8):e75–80.CrossRefPubMed Tao F, Zhao Y, Wu Y, et al. The effect of differing spinal fusion instrumentation on the occurrence of postoperative crankshaft 75 phenomenon in adolescent idiopathic scoliosis. J Spinal Disord Tech. 2010;23(8):e75–80.CrossRefPubMed
27.
go back to reference Dwyer AF. Experience of anterior correction of scoliosis. Clin Orthop. 1973;93:191–206.CrossRef Dwyer AF. Experience of anterior correction of scoliosis. Clin Orthop. 1973;93:191–206.CrossRef
29.
32.
go back to reference Haher T, GorupJ, Shin T, et al. Results of the Scoliosis Research Society instrument for evaluation of surgical outcome in adolescent idiopathic scoliosis. Spine. 1999;24:1435–40.CrossRefPubMed Haher T, GorupJ, Shin T, et al. Results of the Scoliosis Research Society instrument for evaluation of surgical outcome in adolescent idiopathic scoliosis. Spine. 1999;24:1435–40.CrossRefPubMed
33.
go back to reference Asher M, Lai S, Burton D. Further development and validation of the Scoliosis Research Society (SRS) outcomes instrument. Spine. 2000;25:2381–6.CrossRefPubMed Asher M, Lai S, Burton D. Further development and validation of the Scoliosis Research Society (SRS) outcomes instrument. Spine. 2000;25:2381–6.CrossRefPubMed
34.
go back to reference Asher M, Lai S, Glattes C, et al. Refinement of the SRS-22 health-related quality of life questionnaire function domain. Spine. 2006;31:593–7.CrossRefPubMed Asher M, Lai S, Glattes C, et al. Refinement of the SRS-22 health-related quality of life questionnaire function domain. Spine. 2006;31:593–7.CrossRefPubMed
35.
go back to reference Newton PO, White KK, Faro F, Gaynor T. The success of thoracoscopic anterior fusion in a consecutive series of 112 pediatric spinal deformity cases. Spine (Phila Pa 1976). 2005;30(4):392–8.CrossRef Newton PO, White KK, Faro F, Gaynor T. The success of thoracoscopic anterior fusion in a consecutive series of 112 pediatric spinal deformity cases. Spine (Phila Pa 1976). 2005;30(4):392–8.CrossRef
37.
go back to reference Sudo H, Ito M, Kaneda K, Shono Y, Abumi K. Long-term outcomes of anterior dual-rod instrumentation for thoracolumbar and lumbar curves in adolescent idiopathic scoliosis a twelve to twenty-three year follow-up study. J Bone Joint Surg Am. 2013;95(8):e49. 1–8CrossRefPubMed Sudo H, Ito M, Kaneda K, Shono Y, Abumi K. Long-term outcomes of anterior dual-rod instrumentation for thoracolumbar and lumbar curves in adolescent idiopathic scoliosis a twelve to twenty-three year follow-up study. J Bone Joint Surg Am. 2013;95(8):e49. 1–8CrossRefPubMed
38.
go back to reference Sweet FA, Lenke LG, Bridwell KH, Blanke KM, Whorton J. Prospective radiographic and clinical outcomes and complications of single solid rod instrumented anterior spinal fusion in adolescent idiopathic scoliosis. Spine (Phila Pa 1976). 2001;26(18):1956–65.CrossRef Sweet FA, Lenke LG, Bridwell KH, Blanke KM, Whorton J. Prospective radiographic and clinical outcomes and complications of single solid rod instrumented anterior spinal fusion in adolescent idiopathic scoliosis. Spine (Phila Pa 1976). 2001;26(18):1956–65.CrossRef
39.
go back to reference Kelly DM, McCarthy RE, McCullough FL, Kelly HR. Long-term outcomes of anterior spinal fusion with instrumentation for thoracolumbar and lumbar curves in adolescent idiopathic scoliosis. Spine (Phila Pa 1976). 2010;35(2):194–8.CrossRef Kelly DM, McCarthy RE, McCullough FL, Kelly HR. Long-term outcomes of anterior spinal fusion with instrumentation for thoracolumbar and lumbar curves in adolescent idiopathic scoliosis. Spine (Phila Pa 1976). 2010;35(2):194–8.CrossRef
40.
go back to reference Crawford JR, Izatt MT, Adam CJ, Labrom RD, Askin GN. A prospective assessment of SRS-24 scores after endoscopic anterior instrumentation for scoliosis. Spine (Phila Pa 1976). 2006;31(21):E817–22.CrossRef Crawford JR, Izatt MT, Adam CJ, Labrom RD, Askin GN. A prospective assessment of SRS-24 scores after endoscopic anterior instrumentation for scoliosis. Spine (Phila Pa 1976). 2006;31(21):E817–22.CrossRef
41.
go back to reference Chan CYW, Ortho MS, et al. Comparison of Srs-24 and Srs-22 scores in thirty eight adolescent idiopathic scoliosis patients who had undergone surgical correctional. Malaysian Orthopaedic Journal. 2009;3:56–9. No 1CrossRef Chan CYW, Ortho MS, et al. Comparison of Srs-24 and Srs-22 scores in thirty eight adolescent idiopathic scoliosis patients who had undergone surgical correctional. Malaysian Orthopaedic Journal. 2009;3:56–9. No 1CrossRef
Metadata
Title
A retrospective analysis of health-related quality of life in adolescent idiopathic scoliosis children treated by anterior instrumentation and fusion
Authors
Balaji Zacharia
Dhiyaneswaran Subramaniyam
Sadiqueali Padinharepeediyekkal
Publication date
01-12-2018
Publisher
BioMed Central
Published in
Scoliosis and Spinal Disorders / Issue 1/2018
Electronic ISSN: 2397-1789
DOI
https://doi.org/10.1186/s13013-018-0162-2

Other articles of this Issue 1/2018

Scoliosis and Spinal Disorders 1/2018 Go to the issue