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Saudi patients outcomes after surgical treatment of adolescent idiopathic scoliosis

BACKGROUND: In order to improve post-operative patient’s quality-of-life, attention must be paid to the identification of factors that play a role in patient’s satisfaction with surgical treatment. Patient satisfaction with the outcomes of scoliosis surgery has not been addressed so comprehensively...

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Autores principales: Alzakri, Abdulmajeed, AlMuhid, Faisal, Almousa, Nasser, Aljehani, Muaath, Alhalabi, Hashem
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10290359/
https://www.ncbi.nlm.nih.gov/pubmed/37353815
http://dx.doi.org/10.1186/s13018-023-03925-z
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author Alzakri, Abdulmajeed
AlMuhid, Faisal
Almousa, Nasser
Aljehani, Muaath
Alhalabi, Hashem
author_facet Alzakri, Abdulmajeed
AlMuhid, Faisal
Almousa, Nasser
Aljehani, Muaath
Alhalabi, Hashem
author_sort Alzakri, Abdulmajeed
collection PubMed
description BACKGROUND: In order to improve post-operative patient’s quality-of-life, attention must be paid to the identification of factors that play a role in patient’s satisfaction with surgical treatment. Patient satisfaction with the outcomes of scoliosis surgery has not been addressed so comprehensively in Saudi literature, as well as the effect of patient satisfaction on the different domains of the SRS-22 questionnaire and radiographic parameters is yet to be reported locally. The aim of this study is to explore such findings especially in our population. METHODS: A retrospective cohort study was conducted at two of the largest centers of spine surgery in the Kingdom of Saudi Arabia. A total of 316 eligible patients were selected via consecutive sampling technique. Data were collected from eligible patients who fit our inclusion criteria, which includes patients with adolescent idiopathic scoliosis aged from 10 to 21 years. Student t test, Pearson’s and Spearman’s correlation coefficients statistical tests were used. RESULTS: There were 283 (89.6%) females and 33 (10.4%) male patients with a mean age of 15.09 (± 2.27 SD) years. All the domains of SRS-22 showed significantly higher scores 2-year postoperatively, when compared with preoperative values (P < 0.001). The change in all SRS-22 domains correlated positively and significantly with the 2-year postoperative satisfaction using Pearson’s correlation coefficient (P < 0.05); the total score showed the highest correlation followed by the self-image domain. The major Cobb angle correction percentage correlated significantly (P < 0.05) solely with the change in pain domain. CONCLUSION: Self-image correlated highly and significantly with patient satisfaction postoperatively. It also had the biggest influence SRS-22 scores postoperatively in conjunction with satisfaction scores. That is an indication of the role it plays in patient satisfaction and quality-of-life postoperatively, which may influence the surgical decision making. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s13018-023-03925-z.
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spelling pubmed-102903592023-06-25 Saudi patients outcomes after surgical treatment of adolescent idiopathic scoliosis Alzakri, Abdulmajeed AlMuhid, Faisal Almousa, Nasser Aljehani, Muaath Alhalabi, Hashem J Orthop Surg Res Research Article BACKGROUND: In order to improve post-operative patient’s quality-of-life, attention must be paid to the identification of factors that play a role in patient’s satisfaction with surgical treatment. Patient satisfaction with the outcomes of scoliosis surgery has not been addressed so comprehensively in Saudi literature, as well as the effect of patient satisfaction on the different domains of the SRS-22 questionnaire and radiographic parameters is yet to be reported locally. The aim of this study is to explore such findings especially in our population. METHODS: A retrospective cohort study was conducted at two of the largest centers of spine surgery in the Kingdom of Saudi Arabia. A total of 316 eligible patients were selected via consecutive sampling technique. Data were collected from eligible patients who fit our inclusion criteria, which includes patients with adolescent idiopathic scoliosis aged from 10 to 21 years. Student t test, Pearson’s and Spearman’s correlation coefficients statistical tests were used. RESULTS: There were 283 (89.6%) females and 33 (10.4%) male patients with a mean age of 15.09 (± 2.27 SD) years. All the domains of SRS-22 showed significantly higher scores 2-year postoperatively, when compared with preoperative values (P < 0.001). The change in all SRS-22 domains correlated positively and significantly with the 2-year postoperative satisfaction using Pearson’s correlation coefficient (P < 0.05); the total score showed the highest correlation followed by the self-image domain. The major Cobb angle correction percentage correlated significantly (P < 0.05) solely with the change in pain domain. CONCLUSION: Self-image correlated highly and significantly with patient satisfaction postoperatively. It also had the biggest influence SRS-22 scores postoperatively in conjunction with satisfaction scores. That is an indication of the role it plays in patient satisfaction and quality-of-life postoperatively, which may influence the surgical decision making. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s13018-023-03925-z. BioMed Central 2023-06-23 /pmc/articles/PMC10290359/ /pubmed/37353815 http://dx.doi.org/10.1186/s13018-023-03925-z Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research Article
Alzakri, Abdulmajeed
AlMuhid, Faisal
Almousa, Nasser
Aljehani, Muaath
Alhalabi, Hashem
Saudi patients outcomes after surgical treatment of adolescent idiopathic scoliosis
title Saudi patients outcomes after surgical treatment of adolescent idiopathic scoliosis
title_full Saudi patients outcomes after surgical treatment of adolescent idiopathic scoliosis
title_fullStr Saudi patients outcomes after surgical treatment of adolescent idiopathic scoliosis
title_full_unstemmed Saudi patients outcomes after surgical treatment of adolescent idiopathic scoliosis
title_short Saudi patients outcomes after surgical treatment of adolescent idiopathic scoliosis
title_sort saudi patients outcomes after surgical treatment of adolescent idiopathic scoliosis
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10290359/
https://www.ncbi.nlm.nih.gov/pubmed/37353815
http://dx.doi.org/10.1186/s13018-023-03925-z
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