Skip to main content

Advertisement

Log in

Changes in Health-Related Quality of Life (HRQOL) of a Specific Group of Adolescent Idiopathic Scoliosis (AIS) Patients Who Came Across Both Bracing and Surgery

  • Original Article
  • Published:
Indian Journal of Orthopaedics Aims and scope Submit manuscript

Abstract

Background/Purpose of the Study

Changes in health-related quality of life (HRQOL) of AIS patients coming across both bracing and surgery have not yet reported. These patients received two major clinical interventions and their HRQOL might be different from previous articles. The aim of this study is to evaluate the changes of HRQOL of a specific group of AIS patients who experienced both bracing and surgery.

Methods

One hundred and twenty-eight patients requiring surgery with prior bracing treatment were identified from the electronic record. SRS-22 questionnaire was completed at 7 time points crossing both interventions (namely “Before”, “Bracing ≤ 1 year”, “Bracing > 1 year”, “Pre-op”, “Post-op”, “Post-op ≤ 1 year, and “Post-op 1-2 years”).

Results

SRS-22 “Function”, “Pain” and “Self-image” scores were decreased from “Before” to “Bracing ≤ 1 year” when started bracing and raised at “Bracing > 1 year”. The 3 scores were dropped from “Bracing > 1 year” to “Pre-op”, particularly on “Self-image”. “Function” and “Pain” were significantly dropped from “Pre-op” to “Post-op” and kept raising until “Post-op 1–2 years”. “Self-image” was improving after “Pre-op”. “Mental” was relatively stable along the timeline.

Conclusion

This study described the changes in HRQOL of a specific group of AIS patients. Scores were dropped after the two major clinical interventions and recovered afterwards. Medical professionals were able to plan and provide appropriate supports on the expected changes in HRQOL, especially on function, pain and mental.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

References

  1. Scott, J. C. (1950). Scoliosis: Lecture delivered at the Royal College of Surgeons of England on 7th October, 1949. Annals of the Royal College of Surgeons of England, 6, 73–98.

    CAS  PubMed  PubMed Central  Google Scholar 

  2. Farady, J. A. (1983). Current principles in the nonoperative management of structural adolescent idiopathic scoliosis. Physical Therapy, 63, 512–523.

    Article  CAS  Google Scholar 

  3. Keiser, R. P., & Shufflebarger, H. L. (1976). The Milwaukee brace in idiopathic scoliosis: evaluation of 123 completed cases. Clinical Orthopaedics and Related Research. https://doi.org/10.1097/00003086-197607000-00005.

    Article  PubMed  Google Scholar 

  4. Winter, R. B. (1976). Spine deformity in children: Current concepts of diagnosis and treatment. Pediatric Annals, 5, 95–112.

    Article  CAS  Google Scholar 

  5. Dayer, R., Haumont, T., Belaieff, W., et al. (2013). Idiopathic scoliosis: Etiological concepts and hypotheses. Journal of Children's Orthopaedics, 7, 11–16.

    Article  Google Scholar 

  6. Weinstein, S. L., Dolan, L. A., Cheng, J. C. Y., et al. (2008). Adolescent idiopathic scoliosis. The Lancet, 371, 1527–1537.

    Article  Google Scholar 

  7. Rozek, K., Potaczek, T., Zarzycka, M., et al. (2016). Effectiveness of treatment of idiopathic scoliosis by SpineCor dynamic bracing with special physiotherapy programme in SpineCor system. Ortopedia Traumatologia Rehabilitacja, 18, 425–434.

    Article  Google Scholar 

  8. Dolan, L. A., & Weinstein, S. L. (2007). Surgical rates after observation and bracing for adolescent idiopathic scoliosis: an evidence-based review. Spine (Phila Pa 1976), 32, S91–S100.

    Article  Google Scholar 

  9. Sedgwick, P. (2013). Prospective cohort studies: advantages and disadvantages. BMJ : British Medical Journal, 347, f6726.

    Article  Google Scholar 

  10. Meng, Z. D., Li, T. P., Xie, X. H., et al. (2017). Quality of life in adolescent patients with idiopathic scoliosis after brace treatment: A meta-analysis. Medicine (Baltimore), 96, e6828.

    Article  Google Scholar 

  11. Bastrom, T. P., Yaszay, B., Shah, S. A., et al. (2019). Major complications at two years after surgery impact SRS scores for adolescent idiopathic scoliosis patients. Spine Deformity, 7, 93–99.

    Article  Google Scholar 

  12. Scoliosis_Research_Society. [Patient Outcome Questionnaires]. (2003). https://www.srs.org/professionals/online-education-and-resources/patient-outcome-questionnaires. Accessed 9 Oct 2018.

  13. Richards, B. S., Bernstein, R. M., D'Amato, C. R., et al. (2005). Standardization of criteria for adolescent idiopathic scoliosis brace studies: SRS Committee on Bracing and Nonoperative Management. Spine (Phila Pa 1976), 30, 2068–2075. (discussion 76-7).

    Article  Google Scholar 

  14. Asher, M., Min Lai, S., Burton, D., et al. (2003). The reliability and concurrent validity of the scoliosis research society-22 patient questionnaire for idiopathic scoliosis. Spine (Phila Pa 1976), 28, 63–69.

    Article  Google Scholar 

  15. Karavidas, N. (2019). Bracing in the treatment of adolescent idiopathic scoliosis: Evidence to date. Adolescent Health, Medicine and Therapeutics, 10, 153–172.

    Article  Google Scholar 

  16. Aghdasi, B., Bachmann, K. R., Clark, D., et al. (2019). Patient-reported outcomes following surgical intervention for adolescent idiopathic scoliosis: A systematic review and meta-analysis. Clin Spine Surg. https://doi.org/10.1097/BSD.0000000000000822.

    Article  Google Scholar 

  17. Weinstein, S. L., Dolan, L. A., Cheng, J. C., et al. (2008). Adolescent idiopathic scoliosis. Lancet, 371, 1527–1537.

    Article  Google Scholar 

  18. Asher, M. A., & Burton, D. C. (2006). Adolescent idiopathic scoliosis: natural history and long term treatment effects. Scoliosis, 1, 2.

    Article  Google Scholar 

  19. Larson, A. N., Baky, F., Ashraf, A., et al. (2019). Minimum 20-year health-related quality of life and surgical rates after the treatment of adolescent idiopathic scoliosis. Spine Deformity, 7, 417–427.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Contributions

W-WC: design, definition of intellectual content, literature search, data acquisition, data analysis, statistical analysis, manuscript preparation, manuscript editing, manuscript review, guarantor. AL-HH: concepts, design, definition of intellectual content, clinical studies, experimental studies, data acquisition, manuscript preparation, manuscript editing, manuscript review, guarantor.

Corresponding author

Correspondence to Alec Lik-Hang Hung.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical standard statement

This article does not contain any studies with human or animal subjects performed by the any of the authors.

Informed consent

The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Chau, WW., Hung, A.LH. Changes in Health-Related Quality of Life (HRQOL) of a Specific Group of Adolescent Idiopathic Scoliosis (AIS) Patients Who Came Across Both Bracing and Surgery. JOIO 55, 925–930 (2021). https://doi.org/10.1007/s43465-020-00229-w

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s43465-020-00229-w

Keywords

Navigation