AI Article Synopsis
- Bracing is a common treatment for adolescent idiopathic scoliosis, but when it fails, corrective surgery may be necessary, and this study focuses on the outcomes of patients who underwent surgery after failed brace treatment.
- The study involved 94 Chinese patients divided into two groups: those who received brace treatment before surgery and those who did not, analyzing various radiological parameters and quality of life post-surgery.
- Results showed that while the brace group had a higher preoperative minor curve angle and more fused vertebrae, both groups had similar surgical outcomes in terms of function, pain, and mental health, with the brace group reporting slightly better self-image scores.
Article Abstract
Bracing is frequently used for the treatment of adolescent idiopathic scoliosis. Such treatment is not always effective, and corrective surgery may be warranted. Brace treatment has been suggested to negatively affect quality of life. This study assessed postoperative quality of life and surgical outcome in Chinese patients with adolescent idiopathic scoliosis and failed brace treatment. Ninety-four patients with adolescent idiopathic scoliosis who underwent simple posterior corrective surgery and pedicle screw fixation were studied. The patients were divided into 2 groups: brace and surgery treatment (BS group) and surgery with no brace treatment (S group). Radiological parameters were assessed preoperatively, immediately postoperatively, and >2 years postoperatively. Postoperative quality of life was determined using the Scoliosis Research Society-22 (SRS-22) questionnaire. The preoperative minor curve Cobb angle was significantly greater in the BS group (34.9 degrees vs 29.4 degrees ; P=.037). Postoperative radiological parameters in the coronal and sagittal planes were similar. There were a significantly higher number of fused vertebrae in BS compared to S group patients (10.3 vs 9.6; P=.044). There were no significant postoperative differences between groups in function/activity, pain, mental health, or satisfaction of management as determined by the SRS-22. Self-image/appearance scores were significantly higher in BS compared to S group patients (4.0 vs 3.8; P=.010). Preoperative brace treatment may be a risk factor for minor curve progression but does not appear to significantly influence surgical outcome. Postoperative self-perceived quality of life is not negatively affected by preoperative brace treatment.
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| http://dx.doi.org/10.3928/01477447-20090624-10 | DOI Listing |
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