Refereed journal article or data article (A1)

Health-related quality of life outcomes in adolescent Scheuermann's kyphosis patients treated with posterior spinal fusion: A comparison with age- and sex-matched controls




List of AuthorsSuominen Eetu N, Saarinen Antti J, Syvänen Johanna, Diarbakerli Elias, Helenius Linda, Gerdhem Paul, Helenius Ilkka

PublisherSAGE PUBLICATIONS INC

Publication year2022

JournalJournal of Children's Orthopaedics

Journal name in sourceJOURNAL OF CHILDRENS ORTHOPAEDICS

Journal acronymJ CHILD ORTHOP

Volume number16

Issue number4

Start page290

End page296

Number of pages7

ISSN1863-2521

DOIhttp://dx.doi.org/10.1177/18632521221106384

URLhttps://doi.org/10.1177/18632521221106384

Self-archived copy’s web addresshttps://research.utu.fi/converis/portal/detail/Publication/176302548


Abstract

Purpose: To assess the health-related quality of life and radiographic outcomes of surgically treated adolescent Scheuermann's kyphosis patients after minimum of 2-year follow-up and to compare the health-related quality of life with age- and sex-matched healthy controls.

Methods: Twenty-two consecutive adolescents (mean age = 16.7 years) undergoing posterior spinal fusion for Scheuermann's kyphosis were included and matched by age and sex with two healthy controls. The health-related quality of life was evaluated using the Scoliosis Research Society-24 questionnaire. Radiographic parameters were measured for comparison preoperatively and at 6 months and 2-year follow-ups. The health-related quality of life parameters were compared with healthy controls at 2 years of follow-up.

Results: The mean maximal thoracic kyphosis improved from 79° (range = 75°-90°) to 55° (range = 45°-75°) (p < 0.001), and the mean lumbar lordosis was reduced from 71° (range = 51°-107°) to 52° (range = 34°-68°) (p < 0.001) after 2 years postoperatively. Incidence of proximal junctional kyphosis (PJK) was 18%. The scores of the Scoliosis Research Society-24 improved, with statistical significance observed in pain and self-image domains from preoperative to 2-year follow-up (p = 0.002 in both domains). The self-image and function were significantly lower in the operated patients at their 2-year follow-up visit compared to controls (p = 0.023 for self-image and p < 0.001 for function).

Conclusion: Instrumented posterior spinal fusion improves the health-related quality of life of Scheuermann's kyphosis patients during the 2-year follow-up. The greatest improvement is observed in pain and self-image domains. The health-related quality of life in pain and activity domains reaches the level of healthy individuals, while function and self-image remain at a statistically lower level.


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Last updated on 2022-27-09 at 14:50