Does spinal deformity affect adolescents' quality of life before we tell them it should?

Spine Deform

Pediatric Orthopedic Surgery Department, Stanford Hospital and Clinics, 300 Pasteur Dr. Edwards Building R107, Stanford, CA, 94305, USA.

Published: September 2023

AI Article Synopsis

  • The study aimed to understand if knowledge about scoliosis and counseling by orthopedic surgeons affects the health-related quality of life (HRQoL) in adolescents with scoliosis.
  • Patients aged 10-18 were evaluated using the SRS-22r questionnaire before and after their first orthopedic visit, with 52 participants showing no significant changes in their overall HRQoL scores.
  • Findings suggest that surgeon counseling has minimal impact on adolescents’ perceptions of their HRQoL concerning scoliosis.

Article Abstract

Purpose: The Scoliosis Research Society 22r Questionnaire(SRS-22r) is the standard for assessing health-related quality of life(HRQoL) in patients with adolescent idiopathic scoliosis. Here we investigate whether patients' perceptions of their HRQoL are influenced by knowledge of scoliosis and counseling by an orthopedic surgeon.

Methods: Patients ages 10-18 years referred for their first visit with an orthopaedic surgeon for scoliosis were enrolled from 9/30/19 to 10/22/20. Patients completed the SRS-22r pre- and post-visit. A Wilcoxon signed-rank test was used to analyze the SRS-22r scores.

Results: 52 patients participated in the study at a mean age of 14.3 years (95% CI 13.8-14.8 years) with an average major curve magnitude of 23.2 degrees (95% CI 19.4-27.0 degrees). SRS-22r scores were not correlated to curve magnitude pre- or post-visit. The SRS-22r Satisfaction with care domain exhibited a small increase from pre- to post-visit (pre: 3.3, post: 3.6). All other SRS-22r domains and total scores did not exhibit clinically significant differences.

Conclusion: Among new adolescent referrals for scoliosis, it is unlikely that counseling by a surgeon influences perceptions of HRQoL as measured by the SRS-22r.

Level Of Evidence: III.

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Source
http://dx.doi.org/10.1007/s43390-023-00691-0DOI Listing

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