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Is quality of life after surgery for adolescent idiopathic scoliosis affected by the presence of a concomitant low-grade isthmic spondylolisthesis non-surgically treated? A retrospective cohort study

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Abstract

Purpose

The HRQoL after surgery for adolescent idiopathic scoliosis (AIS) is not affected by the presence of concomitant isthmic spondylolisthesis non-surgically treated. Improvement in QoL after surgery was similar for AIS patients with and without concomitant spondylolisthesis. The purpose is to compare preoperative and postoperative Health-Related Quality of Life (HRQoL) scores in operated AIS patients with and without concomitant isthmic spondylolisthesis.

Methods

A retrospective study of a prospective cohort of 464 individuals undergoing AIS surgery between 2008 and 2018 was performed. All patients undergoing surgery for AIS with a minimum 2-year follow-up were included. We excluded patients with prior or concomitant surgery for spondylolisthesis. HRQoL scores were measured using the SRS-22 questionnaire. Comparisons were performed between AIS patients with versus without concomitant spondylolisthesis treated non-surgically.

Results

AIS surgery was performed for 36 patients (15.2 ± 2.5 y.o) with concomitant isthmic spondylolisthesis, and 428 patients (15.5 ± 2.4 y.o) without concomitant spondylolisthesis. The two groups were similar in terms of age, sex, preoperative and postoperative Cobb angles. Preoperative and postoperative HRQoL scores were similar between the two groups. HRQoL improved significantly for all domains in both groups, except for pain in patients with spondylolisthesis. There was no need for surgical treatment of the spondylolisthesis and no slip progression during the follow-up duration after AIS surgery.

Conclusion

Patients undergoing surgical treatment of AIS with non-surgical management of a concomitant isthmic grade I spondylolisthesis can expect improvement in HRQoL scores, similar to that observed in patients without concomitant spondylolisthesis.

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Availability of data and materials

Measurements and analysis done at the CHU Sainte-Justine are on a password-protected server. Access may be arranged through application to the REB.

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Funding

Bourse de jumelage de fonds du CHU Sainte-Justine.

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Authors and Affiliations

  1. Université de Montréal, Montréal, QC, H3T 1C5, Canada

    Matias Pereira Duarte, Stefan Parent, Hubert Labelle & Jean-Marc Mac-Thiong

  2. CHU Sainte-Justine, Montréal, QC, Canada

    Matias Pereira Duarte, Julie Joncas, Stefan Parent, Hubert Labelle, Soraya Barchi & Jean-Marc Mac-Thiong

Authors
  1. Matias Pereira Duarte
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  2. Julie Joncas
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  3. Stefan Parent
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  4. Hubert Labelle
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  5. Soraya Barchi
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  6. Jean-Marc Mac-Thiong
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Corresponding author

Correspondence to Jean-Marc Mac-Thiong.

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Conflict of interest

MDP, JJ, and SB declare that they have no conflict of interest. SP has received royalties from EOS imaging, he is Co-founder of the company Spinologics Inc., he received consultancy fees from K2M, Medtronic and DePuy Synthes Spine, he received grants from DePuy Synthes Spine, Canadian Institutes of Health Research, Pediatric Orthopaedic Society of North America, Scoliosis Research Society, Medtronic, EOS imaging, Canadian Foundation for Innovation, Setting Scoliosis Straight Foundation, Natural Sciences and Engineering Council of Canada, Fonds de recherche Québec—Santé, grants and Orthopaedic Research and Education Foundation, he received fellowship support from DePuy Synthes and Medtronic, he is the holder of the Academic Chair in Pediatric Spinal Deformities of CHU Ste-Justine, and he is member of speaker bureau of Orthopaediatrics. JMMT is Co-founder of the company Spinologics Inc. HL has received a grant from Canadian Institutes of Health Research and is Co-founder of the company Spinologics Inc.

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Duarte, M.P., Joncas, J., Parent, S. et al. Is quality of life after surgery for adolescent idiopathic scoliosis affected by the presence of a concomitant low-grade isthmic spondylolisthesis non-surgically treated? A retrospective cohort study. Eur Spine J 31, 3042–3049 (2022). https://doi.org/10.1007/s00586-022-07281-0

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  • DOI: https://doi.org/10.1007/s00586-022-07281-0

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