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Surgical and Health...
Surgical and Health-related Quality of life Outcomes in Children With Congenital Scoliosis During 5-year Follow-up. Comparison to Age and Sex-matched Healthy Controls
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- Haapala, Hermanni (författare)
- Univ Helsinki, Dept Pediat Surg Pediat Orthopaed & Traumatol, Helsinki, Finland.;Univ Helsinki, Dept Orthopaed & Traumatol, Helsinki, Finland.;Helsinki Univ Hosp, Helsinki, Finland.;Univ Helsinki, Dept Pediat Surg Pediat Orthopaed & Traumatol, Stenbackinkatu 9, Helsinki 00029, Finland.;Helsinki Univ Hosp, Stenbackinkatu 9, Helsinki 00029, Finland.
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- Heiskanen, Susanna (författare)
- Univ Turku, Dept Pediat Surg & Orthopaed, Turku, Finland.
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- Syvanen, Johanna (författare)
- Univ Turku, Dept Pediat Surg & Orthopaed, Turku, Finland.
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- Raitio, Arimatias (författare)
- Univ Turku, Dept Pediat Surg & Orthopaed, Turku, Finland.
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- Helenius, Linda (författare)
- Univ Turku, Dept Anesthes & Intens Care, Turku, Finland.;Turku Univ Hosp, Turku, Finland.
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- Ahonen, Matti (författare)
- Univ Helsinki, Dept Pediat Surg Pediat Orthopaed & Traumatol, Helsinki, Finland.
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- Diarbakerli, Elias (författare)
- Karolinska Institutet
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- Gerdhem, Paul (författare)
- Karolinska Institutet,Uppsala universitet,Institutionen för kirurgiska vetenskaper,Karolinska Inst, Dept Clin Sci Intervent & Technol CLINTEC, Stockholm, Sweden.
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- Helenius, Ilkka (författare)
- Univ Helsinki, Dept Orthopaed & Traumatol, Helsinki, Finland.;Helsinki Univ Hosp, Helsinki, Finland.
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Univ Helsinki, Dept Pediat Surg Pediat Orthopaed & Traumatol, Helsinki, Finland;Univ Helsinki, Dept Orthopaed & Traumatol, Helsinki, Finland.;Helsinki Univ Hosp, Helsinki, Finland.;Univ Helsinki, Dept Pediat Surg Pediat Orthopaed & Traumatol, Stenbackinkatu 9, Helsinki 00029, Finland.;Helsinki Univ Hosp, Stenbackinkatu 9, Helsinki 00029, Finland. Univ Turku, Dept Pediat Surg & Orthopaed, Turku, Finland. (creator_code:org_t)
- Ovid Technologies (Wolters Kluwer Health), 2023
- 2023
- Engelska.
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Ingår i: Journal of Pediatric Orthopaedics. - : Ovid Technologies (Wolters Kluwer Health). - 0271-6798 .- 1539-2570. ; 43:6, s. E451-E457
- Relaterad länk:
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https://doi.org/10.1...
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https://urn.kb.se/re...
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https://doi.org/10.1...
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http://kipublication...
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Abstract
Ämnesord
Stäng
- Background:Congenital spinal anomalies represent a heterogeneous group of spinal deformities, of which only progressive or severe curves warrant surgical management. Only a limited number of studies have investigated the impact of surgery on the health-related quality of life and very limited data exists comparing these outcomes to healthy controls.Methods:A single surgeon series of 67 consecutive children with congenital scoliosis (mean age at surgery 8.0 y, range: 1.0 to 18.3 y, 28 girls) undergoing hemivertebrectomy (n = 34), instrumented spinal fusion (n = 20), or vertical expandable prosthetic titanium rib procedure (n = 13) with a mean follow-up of 5.8 years (range: 2 to 13 y). The comparison was made to age and sex-matched healthy controls. Outcome measures included the Scoliosis Research Society questionnaire both pre and postoperatively, radiographic outcomes, and complications.Results:The average major curve correction was significantly better in the hemivertebrectomy (60%) and instrumented spinal fusion (51%) than in the vertical expandable prosthetic titanium rib group (24%), respectively (P < 0.001). Complications were noted in 8 of 67 (12%) children, but all patients recovered fully during follow-up. Pain, self-image, and function domains improved numerically from preoperative to final follow-up, but the pain score was the only one with a statistically significant change (P = 0.033). The Scoliosis Research Society pain, self-image, and function domain scores remained at a significantly lower level at the final follow-up than in the healthy controls (P <= 0.05), while activity scores improved to a similar level.Conclusions:Surgery for congenital scoliosis improved angular spinal deformities with a reasonable risk of complications. Health-related quality of life outcomes improved from preoperative to final follow-up, but especially pain and function domains remained at a significantly lower level than in the age and sex-matched healthy controls.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Ortopedi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Orthopaedics (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kirurgi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Surgery (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Pediatrik (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Pediatrics (hsv//eng)
Nyckelord
- congenital scoliosis
- hemivertebrectomy
- VEPTR
- health-related quality of life
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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