Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2024 Jul 16;19(1):406.
doi: 10.1186/s13018-024-04912-8.

Determination of predictors associated with pain in non‑surgically treated adults with idiopathic scoliosis

Mehmet Yetiş  1 , Nazım Tolgahan Yildiz  2 , Mehmet Canli  3 , Hikmet Kocaman  2 , Hasan Yildirim  4 , Halil Alkan  5 , İrem Valamur  6
Affiliations

Determination of predictors associated with pain in non‑surgically treated adults with idiopathic scoliosis

Mehmet Yetiş et al. J Orthop Surg Res. .

Abstract

Background: It is recognized that pain related to adult individuals with idiopathic scoliosis (IS) substantially impacts individuals' daily activities and quality of life. The objective of this study was to identify the possible predictors of pain intensity in non‑surgically treated adults with IS.

Methods: This cross-sectional study included 58 adults individuals with Lenke type 1 IS. Participants' sociodemographic characteristics were recorded, and pain severity, curvature severity, trunk rotation angle, disability, spinal mobility, cosmetic deformity perception, and quality of life were assessed. Regression analyses with various models were performed to determine the predictors of pain severity and the best model was selected based on performance criteria.

Results: Strong associations were found between pain severity with curvature severity, spinal mobility, trunk rotation angle, perception of cosmetic deformity, disability, and quality of life (p < 0.05). It was observed that Lasso regression was the best model based on the performance criteria considered. According to this model, the primary predictors of pain intensity in adult IS were determined as curvature severity, spinal mobility, trunk rotation angle, cosmetic deformity perception, back-related disability and quality of life, in order of importance.

Conclusion: In accordance with the findings of this study, which examined for the first time the determinants of pain intensity in adult individuals with Lenke type 1 IS, we suggest that mentioned possible factors affecting and determining pain should be taken into consideration when establishing evaluation and treatment programs.

Keywords: Determinants; Pain; Relations; Scoliosis.

PubMed Disclaimer

Conflict of interest statement

The authors declare no competing interests.

Figures

Fig. 1
Fig. 1
The comparison of observed and predicted VAS scores based on forward and backward regression models
Fig. 2
Fig. 2
The comparison of observed and predicted VAS scores based on stepwise and ridge regression models
Fig. 3
Fig. 3
The comparison of observed and predicted VAS scores based on Lasso and elastic net regression models
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

References

    1. Cheng JC, et al. Adolescent idiopathic scoliosis. Nat Reviews Disease Primers. 2015;1(1):1–21. - PubMed
    1. Negrini S, et al. Why do we treat adolescent idiopathic scoliosis? What we want to obtain and to avoid for our patients. SOSORT 2005 Consensus paper. Scoliosis. 2006;1:1–14. doi: 10.1186/1748-7161-1-4. - DOI - PMC - PubMed
    1. Weinstein S, Zavala DC, Ponseti I. Idiopathic scoliosis: long-term follow-up and prognosis in untreated patients. JBJS. 1981;63(5):702–12. doi: 10.2106/00004623-198163050-00003. - DOI - PubMed
    1. Bettany-Saltikov J, et al. A comparison of patient-reported outcome measures following different treatment approaches for adolescents with severe idiopathic scoliosis: a systematic review. Asian Spine J. 2016;10(6):1170. doi: 10.4184/asj.2016.10.6.1170. - DOI - PMC - PubMed
    1. Schwab F, et al. Adult scoliosis: prevalence, SF-36, and nutritional parameters in an elderly volunteer population. Spine. 2005;30(9):1082–5. doi: 10.1097/01.brs.0000160842.43482.cd. - DOI - PubMed

LinkOut - more resources