Health-related quality of life in patients with adolescent idiopathic scoliosis after treatment: short-term effects after brace or surgical treatment
Open Access
- 12 April 2006
- journal article
- research article
- Published by Springer Science and Business Media LLC in European Spine Journal
- Vol. 16 (1), 83-89
- https://doi.org/10.1007/s00586-006-0097-9
Abstract
For treatment of teenagers with progressive adolescent idiopathic scoliosis in an early stage, two options are generally considered: treatment with a brace or observation followed by surgery if necessary. Many doctors and patients prefer conservative treatment (i.e. brace treatment) to surgical treatment, because surgery of the spine is generally considered a drastic intervention. Because potential differences in health-related quality of life (HRQoL) after treatment between braced and surgically treated patients are not well explored, this study aimed to determine whether short-term differences exist in HRQoL between adolescents treated with a brace or treated surgically. A cross-sectional analysis of HRQoL was made of 109 patients with adolescent idiopathic scoliosis who, after completing treatment, filled out the Dutch SRS-22 Patient Questionnaire. All patients had been treated either with a brace or surgery, or with a brace followed by surgery. Patients treated surgically had significantly higher mean scores in the satisfaction with management domain than those treated with a brace. No other consistent differences in HRQoL were found between patients treated with a brace and patients treated surgically. Gender, curve type and curve size had no relevant effect on HRQoL. We conclude that short-term differences in HRQoL after treatment in adolescent patients with idiopathic scoliosis are negligible and cannot support preference of one treatment above the other.Keywords
This publication has 19 references indexed in Scilit:
- Does Gender Affect Outcome of Surgery in Adolescent Idiopathic Scoliosis?Spine, 2005
- Back Pain and Function 22 Years After Brace Treatment for Adolescent Idiopathic Scoliosis: A Case-Control Study—Part ISpine, 2003
- The Reliability and Concurrent Validity of the Scoliosis Research Society-22 Patient Questionnaire for Idiopathic ScoliosisSpine, 2003
- Scoliosis Research Society-22 Patient QuestionnaireSpine, 2003
- Discrimination Validity of the Scoliosis Research Society-22 Patient QuestionnaireSpine, 2003
- Health-related quality of life in patients with adolescent idiopathic scoliosis: a matched follow-up at least 20 years after treatment with brace or surgeryEuropean Spine Journal, 2001
- Measuring quality of life: Using quality of life measures in the clinical settingBMJ, 2001
- Adolescent Idiopathic ScoliosisSpine, 2001
- Results of the Scoliosis Research Society Instrument for Evaluation of Surgical Outcome in Adolescent Idiopathic ScoliosisSpine, 1999
- Natural History of Untreated Idiopathic Scoliosis After Skeletal MaturitySpine, 1986