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Health-related quality-of-life in adolescent idiopathic scoliosis patients 25 years after treatment

BACKGROUND: Since 1962 to the mid eighties the Harrington Rod instrumentation was the Golden standard for surgical treatment of Adolescent Idiopathic Scoliosis (AIS). The Boston braces were introduced in the 1970´s and are still used as a conservative treatment, for curves less than 40°. Very few lo...

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Autores principales: Simony, Ane, Hansen, Emil Jesper, Carreon, Leah Y., Christensen, Steen Bach, Andersen, Mikkel Osterheden
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4502518/
https://www.ncbi.nlm.nih.gov/pubmed/26180541
http://dx.doi.org/10.1186/s13013-015-0045-8
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author Simony, Ane
Hansen, Emil Jesper
Carreon, Leah Y.
Christensen, Steen Bach
Andersen, Mikkel Osterheden
author_facet Simony, Ane
Hansen, Emil Jesper
Carreon, Leah Y.
Christensen, Steen Bach
Andersen, Mikkel Osterheden
author_sort Simony, Ane
collection PubMed
description BACKGROUND: Since 1962 to the mid eighties the Harrington Rod instrumentation was the Golden standard for surgical treatment of Adolescent Idiopathic Scoliosis (AIS). The Boston braces were introduced in the 1970´s and are still used as a conservative treatment, for curves less than 40°. Very few long-term studies exists, focusing on the health related quality of life. The purpose of this study was to evaluate the long-term health related outcome, in a cohort of AIS patients, treated 25 years ago. METHOD: 219 consecutive patients treated with Boston brace (Brace) or posterior spinal fusion (PSF) using Harrington- DDT instrumentation between 1983 and 1990 at Rigshospitalet Copenhagen, were invited to participate in a long-term evaluation study. A validated Danish version of the Scoliosis Research Society 22R (SRS22R) and Short Form-36 (SF36v1) were administrated to the patients two weeks before the clinical and radiological examination. RESULTS: 159 (72,6 %) patients participated in the clinical follow up and questionnaires, 11 patients participated only in the questionnaires, 8 emigrated, 4 were excluded due to progressive neurological disease and 2 were deceased. The total follow up was 170 patients (83 %), and the average follow up was 24.5 years (22–30 years). SRS22R domain scores were within the range described as normal for the general population with no statistical difference between the groups except in the Satisfaction domain, where the PSF group had better scores than the braced group. The SF36 PCS and MCS scores in both AIS cohorts were similar to the scores for the general population. CONCLUSION: HRQOLs, as measured by the SRS22R and SF-36, of adult AIS patients treated with Boston brace or PSF during adolescence were similar to the general population. No clinical progression of the deformity has been detected during the 25-year follow up period. The PSF group had a small but statistically significant higher score in the Satisfaction domain compared to the braced group. TRIAL REGISTRATION: S-20110025 Regional Committees on Health Research Ethics for Southern Denmark.
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spelling pubmed-45025182015-07-16 Health-related quality-of-life in adolescent idiopathic scoliosis patients 25 years after treatment Simony, Ane Hansen, Emil Jesper Carreon, Leah Y. Christensen, Steen Bach Andersen, Mikkel Osterheden Scoliosis Research BACKGROUND: Since 1962 to the mid eighties the Harrington Rod instrumentation was the Golden standard for surgical treatment of Adolescent Idiopathic Scoliosis (AIS). The Boston braces were introduced in the 1970´s and are still used as a conservative treatment, for curves less than 40°. Very few long-term studies exists, focusing on the health related quality of life. The purpose of this study was to evaluate the long-term health related outcome, in a cohort of AIS patients, treated 25 years ago. METHOD: 219 consecutive patients treated with Boston brace (Brace) or posterior spinal fusion (PSF) using Harrington- DDT instrumentation between 1983 and 1990 at Rigshospitalet Copenhagen, were invited to participate in a long-term evaluation study. A validated Danish version of the Scoliosis Research Society 22R (SRS22R) and Short Form-36 (SF36v1) were administrated to the patients two weeks before the clinical and radiological examination. RESULTS: 159 (72,6 %) patients participated in the clinical follow up and questionnaires, 11 patients participated only in the questionnaires, 8 emigrated, 4 were excluded due to progressive neurological disease and 2 were deceased. The total follow up was 170 patients (83 %), and the average follow up was 24.5 years (22–30 years). SRS22R domain scores were within the range described as normal for the general population with no statistical difference between the groups except in the Satisfaction domain, where the PSF group had better scores than the braced group. The SF36 PCS and MCS scores in both AIS cohorts were similar to the scores for the general population. CONCLUSION: HRQOLs, as measured by the SRS22R and SF-36, of adult AIS patients treated with Boston brace or PSF during adolescence were similar to the general population. No clinical progression of the deformity has been detected during the 25-year follow up period. The PSF group had a small but statistically significant higher score in the Satisfaction domain compared to the braced group. TRIAL REGISTRATION: S-20110025 Regional Committees on Health Research Ethics for Southern Denmark. BioMed Central 2015-07-16 /pmc/articles/PMC4502518/ /pubmed/26180541 http://dx.doi.org/10.1186/s13013-015-0045-8 Text en © Simony et al. 2015 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research
Simony, Ane
Hansen, Emil Jesper
Carreon, Leah Y.
Christensen, Steen Bach
Andersen, Mikkel Osterheden
Health-related quality-of-life in adolescent idiopathic scoliosis patients 25 years after treatment
title Health-related quality-of-life in adolescent idiopathic scoliosis patients 25 years after treatment
title_full Health-related quality-of-life in adolescent idiopathic scoliosis patients 25 years after treatment
title_fullStr Health-related quality-of-life in adolescent idiopathic scoliosis patients 25 years after treatment
title_full_unstemmed Health-related quality-of-life in adolescent idiopathic scoliosis patients 25 years after treatment
title_short Health-related quality-of-life in adolescent idiopathic scoliosis patients 25 years after treatment
title_sort health-related quality-of-life in adolescent idiopathic scoliosis patients 25 years after treatment
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4502518/
https://www.ncbi.nlm.nih.gov/pubmed/26180541
http://dx.doi.org/10.1186/s13013-015-0045-8
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