The Archives of Bone and Joint Surgery

The Archives of Bone and Joint Surgery

Evaluation of Patient Outcome and Satisfaction after Surgical Treatment of Adolescent Idiopathic Scoliosis Using Scoliosis Research Society-30

Document Type : RESEARCH PAPER

Authors
Hasan Ghandehari 1
Maryam Ameri Mahabadi 1
Seyed Mani Mahdavi 1
Seyed Hossein Vahid Tari 2
Ali Shahsavaripour 1
Farshad Safdari 3
1 Iran university of medical sciences
2 Iran University of medical sciences
3 Bone Joint and related tissue research center, Shahid Beheshti university of medical sciences
10.22038/abjs.2015.4107
Abstract
Background: 
 Adolescent idiopathic scoliosis (AIS) may lead to physical and mental problems. It also can adversely affect patient satisfaction and the quality of life. In this study, we assessed the outcomes and satisfaction rate after surgical treatment of AIS using scoliosis research society-30 questionnaire (SRS-30). 
  Methods: 
 We enrolled 135 patients with AIS undergoing corrective surgery. Patients were followed for at least 2 years. We compared pre- and post-operative x-rays in terms of Cobb’s angles and coronal balance. At the last visit, patients completed the SRS-30 questionnaire. We then assessed the correlation between radiographic measures, SRS-30 total score, and patient satisfaction. 
 Results: 
Cobb’s angle and coronal balance improved significantly after surgery (P <0.001). The scores of functional activity, pain, self-image/cosmesis, mental health, and satisfaction were 27±4.3, 26±2.5, 33±5.2, 23±3.5, and 13±1.8,  respectively. The total SRS-30 score was 127±13. Radiographic measures showed significant positive correlation with satisfaction and SRS-30 total scores ( P<0.05). There was also a positive correlation between. satisfaction and selfimage/cosmesis domain scores ( P<0.05). 
 Conclusions: 
 The greater radiographic angles were corrected the higher SRS-30 total score and patient satisfaction were. It is intuitive that the appearance and cosmesis is of most important factor associated with patient satisfaction. 
  
 
Keywords
Adolescent idiopathic scoliosis
Satisfaction
Scoliosis research society-30 questionnaire
Spinal deformity
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The Archives of Bone and Joint Surgery
Volume 3, Issue 2 - Serial Number 2
April 2015
Pages 109-113

  • Receive Date 12 January 2015
  • Revise Date 27 February 2015
  • Accept Date 12 March 2015