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. 2017 May-Jun;25(3):85-89.
doi: 10.1590/1413-785220172503157788.

Adolescent idiopathic scoliosis: surgical treatment and quality of life

Luciano Miller Reis Rodrigues  1 , Alberto Ofenhejm Gotfryd  2 , André Nunes Machado  1 , Matheus Defino  1 , Leonardo Yukio Jorge Asano  1
Affiliations

Adolescent idiopathic scoliosis: surgical treatment and quality of life

Luciano Miller Reis Rodrigues et al. Acta Ortop Bras. 2017 May-Jun.

Abstract
in English, Portuguese

Objectives: The purpose of this study was to determine the influence of perioperative factors and their impact on clinical and functional outcomes in Brazilian patients with adolescent idiopathic scoliosis (AIS).

Methods: We performed a prospective study with 49 consecutive AIS patients who underwent spine fusion and had a minimum 2 year follow-up. Clinical and radiographic data were correlated to SRS-30 scores in order to predict postoperative results.

Results: There was a negative association between patient age at the time of surgery and back pain. We also observed higher scores in the "satisfaction" domain in patients who underwent surgery after 15 years of age (p < 0.05). The average SRS-30 "mental health" score was significantly higher in males than in females (p= 0.035). Patients treated with braces had worse results than those who did not use them (p= 0.005).

Conclusions: Posterior spine fusion led to improvement of all domains of the SRS-30 questionnaire. Clinical results were influenced by age, sex and the use of braces prior to surgery. There was no correlation between curve correction and presence of perioperative complications. Level of Evidence IV, Case Series.

Objetivo: A finalidade deste estudo foi determinar a influência dos fatores perioperatórios e seu impacto sobre os desfechos clínicos e funcionais em pacientes brasileiros com escoliose idiopática do adolescente (EIA).

Métodos: Foi realizado um estudo prospectivo com 49 pacientes consecutivos com EIA submetidos à fusão da coluna vertebral, com seguimento de no mínimo dois anos. Os dados clínicos e radiográficos foram correlacionados com o escore SRS-30 para predizer os resultados pós-operatórios.

Resultados: Houve uma associação negativa entre a idade do paciente no momento da cirurgia e dor nas costas. Observamos também escore mais alto no domínio "satisfação" nos pacientes operados depois dos 15 anos de idade (p < 0,05). O escore médio de "saúde mental" do SRS-30 foi significativamente superior em homens com relação às mulheres (p= 0,035). Os pacientes tratados com órteses tiveram resultados piores comparados com aqueles que não usaram (p= 0,005).

Conclusão: Artrodese posterior levou à melhora de todos os domínios do questionário SRS-30. Os resultados clínicos foram influenciados por idade, sexo e uso de órtese antes da cirurgia. Não houve correlação entre a correção da curva e a presença de complicações perioperatórias. Nível de Evidência IV, Série de Casos.

Keywords: Adolescent; Pedicle screws; Scoliosis; Spinal fusion; Treatment outcome.

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Conflict of interest statement

All authors declare no potential conflict of interest related to this article.

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