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Back Pain and Quali...
Back Pain and Quality of Life 10 Years After Segmental Pedicle Screw Instrumentation for Adolescent Idiopathic Scoliosis
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- Ahonen, Matti (author)
- Univ Helsinki, Dept Pediat Surg Orthoped & Traumatol, Helsinki, Finland.;Helsinki Univ Hosp, Helsinki, Finland.;Univ Helsinki, Dept Pediat Surg Orthoped & Traumatol, Stenbackinkatu 9, Helsinki 00029, Finland.;Helsinki Univ Hosp, Stenbackinkatu 9, Helsinki 00029, Finland.
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- Syvanen, Johanna (author)
- Univ Turku, Dept Pediat Orthoped, Turku, Finland.;Turku Univ Hosp, Turku, Finland.
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- Helenius, Linda (author)
- Turku Univ Hosp, Turku, Finland.;Univ Turku, Dept Anesthes & Intens Care, Turku, Finland.
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- Mattila, Mikko (author)
- Univ Helsinki, Dept Pediat Surg Orthoped & Traumatol, Helsinki, Finland.;Helsinki Univ Hosp, Helsinki, Finland.
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- Perokorpi, Tanja (author)
- Univ Helsinki, Dept Pediat Surg Orthoped & Traumatol, Helsinki, Finland.;Helsinki Univ Hosp, Helsinki, Finland.
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- Diarbakerli, Elias (author)
- Karolinska Institutet
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- Gerdhem, Paul (author)
- Karolinska Institutet,Uppsala universitet,Institutionen för kirurgiska vetenskaper,Karolinska Inst, Dept Clin Sci Intervent & Technol CLINTEC, Stockholm, Sweden.;Uppsala Univ Hosp, Dept Orthoped & Hand Surg, Uppsala, Sweden.
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- Helenius, Ilkka (author)
- Helsinki Univ Hosp, Helsinki, Finland.;Univ Helsinki, Dept Orthoped & Traumatol, Helsinki, Finland.
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Univ Helsinki, Dept Pediat Surg Orthoped & Traumatol, Helsinki, Finland;Helsinki Univ Hosp, Helsinki, Finland.;Univ Helsinki, Dept Pediat Surg Orthoped & Traumatol, Stenbackinkatu 9, Helsinki 00029, Finland.;Helsinki Univ Hosp, Stenbackinkatu 9, Helsinki 00029, Finland. Univ Turku, Dept Pediat Orthoped, Turku, Finland.;Turku Univ Hosp, Turku, Finland. (creator_code:org_t)
- Ovid Technologies (Wolters Kluwer Health), 2023
- 2023
- English.
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In: Spine. - : Ovid Technologies (Wolters Kluwer Health). - 0362-2436 .- 1528-1159. ; 48:10, s. 665-671
- Related links:
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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
Subject headings
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- Study Design.Comparative cohort study. Objective.The aim of the present study was to evaluate pain and health-related quality of life (HRQoL) in surgically managed patients with a minimum follow-up of 10 years compared with patients with untreated adolescent idiopathic scoliosis (AIS) and a healthy control group. Summary of Background Data.Posterior spinal fusion with pedicle screws is the standard treatment for AIS, although it remains unclear whether this procedure results in improved long-term HRQoL compared with untreated patients with AIS. Patients and Methods.Sixty-four consecutive patients at a minimum follow-up of 10 years, who underwent posterior pedicle screw instrumentation for AIS were prospectively enrolled. Fifty-three (83%) of these patients completed Scoliosis Research Society (SRS) 24 questionnaires, clinical examination, and standing spinal radiographs. Pain and HRQoL were compared with age and sex-matched patients with untreated AIS and healthy individuals. Results.The mean major curve was 57 degrees preoperatively and 15 degrees at the 10-year follow-up. SRS-24 self-image domain score showed a significant improvement from preoperative to 2 years and remained significantly better at the 10-year follow-up (P < 0.001). Patients fused to L3 or below had lower pain, satisfaction, and total score than patients fused to L2 or above (P < 0.05), but self-image, function, and activity scores did not differ between groups at 10-year follow-up. Pain, self-image, general activity, and total SRS domains were significantly better at 10-year follow-up in the surgically treated patients as compared with untreated patients (all P < 0.05). Healthy controls had significantly higher total scores than those surgically treated at 10-year follow-ups (P < 0.001). Conclusion.Patients undergoing segmental pedicle screw instrumentation for AIS maintain high-level HRQoL during a 10-year follow-up. Their HRQoL was significantly better than in the untreated patients with AIS, except for the function domain. However, HRQoL remained at a lower level than in healthy controls.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kirurgi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Surgery (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Ortopedi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Orthopaedics (hsv//eng)
Keyword
- adolescent idiopathic scoliosis
- fusion level
- health-related quality of life
- healthy controls
- pedicle screw instrumentation
- posterior spinal fusion
- untreated patients
Publication and Content Type
- ref (subject category)
- art (subject category)
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