Postoperative perceived health status in adolescent following idiopathic scoliosis surgical treatment: Results using the adapted French version of scoliosis research society outcomes Questionnaire (SRS-22) - 30/04/13

Doi : 10.1016/j.otsr.2013.03.012

Y. Chaib, M. Bachy, S. Zakine, P. Mary, N. Khouri, R. Vialle ^⁎
Department of Pediatric Orthopaedics, Paris 6 Pierre-et-Marie-Curie University, Armand Trousseau Hospital, 26, avenue du Dr-Arnold-Netter, 75571 Paris cedex 12, France

^*Corresponding author. Tel.: +33 1 44 73 61 25; fax: +33 1 44 73 63 24.

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En prensa. Pruebas corregidas por el autor. Disponible en línea desde el Tuesday 30 April 2013
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Summary

Purpose

Assessing functional outcome from patient-based outcomes questionnaires are essential to the evaluation of adolescent idiopathic scoliosis surgical treatment

Methods

At the minimum follow-up of 2 years, 45 operated on adolescent idiopathic scoliosis patients were mailed the French version of the Scoliosis Research Society Outcome Instrument (SRS-22) questionnaires containing items on pain, activities of daily living, and satisfaction.

Results

Mean values of the SRS-22 domains were 3,66 for the Pain domain, 3,85 for the Self-perceived image domain, 4,32 for the Function domain, 3,52 for the Mental health domain and 4,12 for the Global satisfaction with management domain. Mean value of the global SRS-22 score was 3,88. We showed no differences in functional SRS-22 health status in patients according to the type of curve (Lenke classification). We showed statistically significant correlations between the gain of Cobb angle and Patients self-image and function domain scores. There was a statistically significant correlation between preoperative Cobb angle and patient satisfaction with management.

Conclusions

Even if Function and Self-image scores in our patients are close to control group values, indicating good short to mid-term outcome of surgical treatment, scores for pain and mental health status were significantly lower in patients than controls. Long-term follow-up studies conducted by multiple surgeons over successive generations are mandatory to assess clinical significance of these differences.