QUALITY OF LIFE IN PATIENTS WITH ADOLESCENT IDIOPATHIC SCOLIOSIS

Abstract

Idiopathic Adolescent Scoliosis (AIS) is a 3D spinal deformity that arises approximately during puberty. In some cases, the curvature of AIS continues to progress toward more severe over adulthood, which generally requires an invasive surgery reconstruction. To investigate quality and status of life (QOL) in patients with idiopathic adolescent scoliosis (AIS). Inclusion criteria were patients with non-surgical treatment for AIS with Cobb angle over or 10º, and age < 23 years old. A total of 45 patients with AIS were included and divided into three groups ( single main thoracic MT the curve group, n = 15); (single thoracolumbar curve TL/L group, n = 20); (double major thoracic lumbar curve DM group, n = 10), based on the location of the curve in skeletal maturity. Postero-anterior standing Formetric (Functional Analysis of the Musculoskeletal System), were evaluated at skeletal maturity. QOL was evaluated using the visual analogue scale (VAS) for  back pain (BP) (maximum: 10 cm), the SRS -22, and the Oswestry Disability Index Questionnaire (ODIQ). In all groups, severe scoliosis progressed by approximately 0.5º/for year from the time of skeletal maturity. The TL/L and  DM groups showed a significantly worse visual analogue scale, scores for back pain compared to MT group (p<0.05). The groups involved showed significantly worse results for the SRS-22 self-imaging domain. The TL/L group showed worse outcomes for walking ability and areas of social function of the Oswestry Disability Index Questionnaire for the assessment of back pain (p<0.005). AIS patients with single MT curve maintain equal QOL (Quality of life) status compared to the other groups. Patients with TL/L structural curves are likely to experience a greater annual curve progression due to substantial back pain or more specific back pain where the QOL status during the daily activity is deplorable.

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