Effect of spinal deformity on adolescent quality of life

Comparison of operative scheuermann kyphosis, adolescent idiopathic scoliosis, and normal controls

Baron Lonner, Andrew Yoo, Jamie S. Terran, Paul David Sponseller, Amer Samdani, Randy Betz, Harry Shuffelbarger, Suken A. Shah, Peter Newton

Research output: Contribution to journalArticle

Abstract

Objective. To compare health-related quality of life (HRQOL) measures and sagittal deformity in operative Scheuermann kyphosis (SK), operative adolescent idiopathic scoliosis (AIS), and normal populations. Summary of Background Data. No study to date has evaluated patient reported HRQOL measures before surgery in operative patients with SK. Methods. HRQOL data were prospectively collected pretreatment for operative patients with SK using the SRS-22 outcomes instrument and visual analogue scale (VAS). Comparison was made with the SRS-22 from operative AIS and normal populations. Eighty-six patients with SK enrolled in the prospective study were compared with 184 patients with AIS from a prospective database and 31 normal controls. To study the correlation between T5-T12 kyphosis magnitude and SRS-22 score, patients with AIS and SK were pooled together to create a larger continuum of kyphosis. Analysis of covariance, Pearson correlation analysis, and Bonferroni pairwise comparisons were used to determine statistical differences between group demographics, HRQOL indicators, and radiographical variables. Results. Patients with SK had significantly lower scores in all domains of the SRS-22 than patients with AIS. Patients with SK with a thoracolumbar apex reported significantly lower mean scores in the pain domain than those with a thoracic apex. Significant negative correlations were found between all domains of the SRS-22 and T5-T12 kyphosis - the self-image domain demonstrated the highest correlation (r = 0.37). VAS score in the SK population correlated negatively to the pain, self-image, and mental health domains. Conclusion. Increasing sagittal plane deformity as a result of SK has a significant impact on HRQOL as determined by the SRS-22 outcome instrument. In this study, patients with SK reported significantly decreased (worse) scores in all subdomains of the SRS-22 compared with patients with AIS.

Original languageEnglish (US)
Pages (from-to)1049-1055
Number of pages7
JournalSpine
Volume38
Issue number12
DOIs
StatePublished - May 20 2013

Fingerprint

Scheuermann Disease
Scoliosis
Quality of Life
Kyphosis
Visual Analog Scale
Population
Pain

Keywords

  • Adolescent idiopathic scoliosis
  • Scheuermann kyphosis
  • SRS-22
  • Visual analogue scale, preoperative.

ASJC Scopus subject areas

  • Clinical Neurology
  • Orthopedics and Sports Medicine
  • Medicine(all)

Cite this

Effect of spinal deformity on adolescent quality of life : Comparison of operative scheuermann kyphosis, adolescent idiopathic scoliosis, and normal controls. / Lonner, Baron; Yoo, Andrew; Terran, Jamie S.; Sponseller, Paul David; Samdani, Amer; Betz, Randy; Shuffelbarger, Harry; Shah, Suken A.; Newton, Peter.

In: Spine, Vol. 38, No. 12, 20.05.2013, p. 1049-1055.

Research output: Contribution to journalArticle

Lonner, Baron ; Yoo, Andrew ; Terran, Jamie S. ; Sponseller, Paul David ; Samdani, Amer ; Betz, Randy ; Shuffelbarger, Harry ; Shah, Suken A. ; Newton, Peter. / Effect of spinal deformity on adolescent quality of life : Comparison of operative scheuermann kyphosis, adolescent idiopathic scoliosis, and normal controls. In: Spine. 2013 ; Vol. 38, No. 12. pp. 1049-1055.
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abstract = "Objective. To compare health-related quality of life (HRQOL) measures and sagittal deformity in operative Scheuermann kyphosis (SK), operative adolescent idiopathic scoliosis (AIS), and normal populations. Summary of Background Data. No study to date has evaluated patient reported HRQOL measures before surgery in operative patients with SK. Methods. HRQOL data were prospectively collected pretreatment for operative patients with SK using the SRS-22 outcomes instrument and visual analogue scale (VAS). Comparison was made with the SRS-22 from operative AIS and normal populations. Eighty-six patients with SK enrolled in the prospective study were compared with 184 patients with AIS from a prospective database and 31 normal controls. To study the correlation between T5-T12 kyphosis magnitude and SRS-22 score, patients with AIS and SK were pooled together to create a larger continuum of kyphosis. Analysis of covariance, Pearson correlation analysis, and Bonferroni pairwise comparisons were used to determine statistical differences between group demographics, HRQOL indicators, and radiographical variables. Results. Patients with SK had significantly lower scores in all domains of the SRS-22 than patients with AIS. Patients with SK with a thoracolumbar apex reported significantly lower mean scores in the pain domain than those with a thoracic apex. Significant negative correlations were found between all domains of the SRS-22 and T5-T12 kyphosis - the self-image domain demonstrated the highest correlation (r = 0.37). VAS score in the SK population correlated negatively to the pain, self-image, and mental health domains. Conclusion. Increasing sagittal plane deformity as a result of SK has a significant impact on HRQOL as determined by the SRS-22 outcome instrument. In this study, patients with SK reported significantly decreased (worse) scores in all subdomains of the SRS-22 compared with patients with AIS.",
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T1 - Effect of spinal deformity on adolescent quality of life

T2 - Comparison of operative scheuermann kyphosis, adolescent idiopathic scoliosis, and normal controls

AU - Lonner, Baron

AU - Yoo, Andrew

AU - Terran, Jamie S.

AU - Sponseller, Paul David

AU - Samdani, Amer

AU - Betz, Randy

AU - Shuffelbarger, Harry

AU - Shah, Suken A.

AU - Newton, Peter

PY - 2013/5/20

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N2 - Objective. To compare health-related quality of life (HRQOL) measures and sagittal deformity in operative Scheuermann kyphosis (SK), operative adolescent idiopathic scoliosis (AIS), and normal populations. Summary of Background Data. No study to date has evaluated patient reported HRQOL measures before surgery in operative patients with SK. Methods. HRQOL data were prospectively collected pretreatment for operative patients with SK using the SRS-22 outcomes instrument and visual analogue scale (VAS). Comparison was made with the SRS-22 from operative AIS and normal populations. Eighty-six patients with SK enrolled in the prospective study were compared with 184 patients with AIS from a prospective database and 31 normal controls. To study the correlation between T5-T12 kyphosis magnitude and SRS-22 score, patients with AIS and SK were pooled together to create a larger continuum of kyphosis. Analysis of covariance, Pearson correlation analysis, and Bonferroni pairwise comparisons were used to determine statistical differences between group demographics, HRQOL indicators, and radiographical variables. Results. Patients with SK had significantly lower scores in all domains of the SRS-22 than patients with AIS. Patients with SK with a thoracolumbar apex reported significantly lower mean scores in the pain domain than those with a thoracic apex. Significant negative correlations were found between all domains of the SRS-22 and T5-T12 kyphosis - the self-image domain demonstrated the highest correlation (r = 0.37). VAS score in the SK population correlated negatively to the pain, self-image, and mental health domains. Conclusion. Increasing sagittal plane deformity as a result of SK has a significant impact on HRQOL as determined by the SRS-22 outcome instrument. In this study, patients with SK reported significantly decreased (worse) scores in all subdomains of the SRS-22 compared with patients with AIS.

AB - Objective. To compare health-related quality of life (HRQOL) measures and sagittal deformity in operative Scheuermann kyphosis (SK), operative adolescent idiopathic scoliosis (AIS), and normal populations. Summary of Background Data. No study to date has evaluated patient reported HRQOL measures before surgery in operative patients with SK. Methods. HRQOL data were prospectively collected pretreatment for operative patients with SK using the SRS-22 outcomes instrument and visual analogue scale (VAS). Comparison was made with the SRS-22 from operative AIS and normal populations. Eighty-six patients with SK enrolled in the prospective study were compared with 184 patients with AIS from a prospective database and 31 normal controls. To study the correlation between T5-T12 kyphosis magnitude and SRS-22 score, patients with AIS and SK were pooled together to create a larger continuum of kyphosis. Analysis of covariance, Pearson correlation analysis, and Bonferroni pairwise comparisons were used to determine statistical differences between group demographics, HRQOL indicators, and radiographical variables. Results. Patients with SK had significantly lower scores in all domains of the SRS-22 than patients with AIS. Patients with SK with a thoracolumbar apex reported significantly lower mean scores in the pain domain than those with a thoracic apex. Significant negative correlations were found between all domains of the SRS-22 and T5-T12 kyphosis - the self-image domain demonstrated the highest correlation (r = 0.37). VAS score in the SK population correlated negatively to the pain, self-image, and mental health domains. Conclusion. Increasing sagittal plane deformity as a result of SK has a significant impact on HRQOL as determined by the SRS-22 outcome instrument. In this study, patients with SK reported significantly decreased (worse) scores in all subdomains of the SRS-22 compared with patients with AIS.

KW - Adolescent idiopathic scoliosis

KW - Scheuermann kyphosis

KW - SRS-22

KW - Visual analogue scale, preoperative.

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