A1 Refereed original research article in a scientific journal
Health-related quality of life after posterior vertebral column resection in children: comparison with healthy controls
Authors: Syvänen Johanna, Helenius Linda, Raitio Arimatias, Gerdhem Paul, Diarbakerli Elias, Helenius Ilkka
Publisher: Springer
Publication year: 2022
Journal: European Journal of Orthopaedic Surgery and Traumatology
Journal name in source: European journal of orthopaedic surgery & traumatology : orthopedie traumatologie
Journal acronym: Eur J Orthop Surg Traumatol
First page : 899
Last page: 907
ISSN: 1633-8065
eISSN: 1432-1068
DOI: https://doi.org/10.1007/s00590-021-03064-3(external)
Web address : https://link.springer.com/article/10.1007%2Fs00590-021-03064-3(external)
Self-archived copy’s web address: https://research.utu.fi/converis/portal/detail/Publication/66419918(external)
Purpose
Vertebral column resection (VCR) is a technique performed for short, angular spinal deformities. Several studies have reported good radiographic results with VCR regarding curve correction. However, only a few studies have reported the impact of this technique on the health-related quality-of-life measures (HRQoL).
MethodsA single surgeon series of 27 consecutive children (mean age at surgery 12.3 years, range 1.1–20.7 years) undergoing posterior VCR with a minimum of 2-year follow-up. The comparison was made to age- and gender-matched healthy controls. Outcome measures included Scoliosis Research Society (SRS) questionnaire both pre- and postoperatively, radiographic outcomes, and complications.
ResultsThe average major curve correction was 60.3% in the VCR patients. Complications were noted in 12 out of 27 (44%) of the VCR patients but all patients recovered fully during follow-up. The SRS pain domain scores improved significantly after VCR (p = 0.0002). The SRS total and domain scores were significantly lower than in the healthy controls especially in the self-image and function domains, but the pain and activity domains improved from preoperative to similar level than in the control group.
ConclusionsHRQoL showed significant improvement in pain scores despite 44% risk of transient complications after VCR in pediatric patients. This health-related quality-of-life improvement remained at a significantly lower level than in the healthy control group.
Downloadable publication This is an electronic reprint of the original article. |