TY - JOUR
T1 - Health-Related Quality of Life in Untreated Versus Brace-Treated Patients With Adolescent Idiopathic Scoliosis: A Long-term Follow-up.
AU - Danielsson, Aina J
AU - Hasserius, Ralph
AU - Ohlin, Acke
AU - Nachemson, Alf L
PY - 2010
Y1 - 2010
N2 - STUDY DESIGN.: The previous Scoliosis Research Society brace study (JBJS-A, 1995) included patients with adolescent idiopathic scoliosis (AIS) with moderate curve sizes (25 degrees -35 degrees ). The Swedish patients in this study were examined in a long-term follow-up. OBJECTIVE.: The aim was to analyze and compare quality of life in adulthood between AIS patients who were only observed or treated with a brace during adolescence. SUMMARY OF BACKGROUND DATA.: Quality of life as measured by the SRS-22 has not previously been presented for adult untreated AIS patients. METHODS.: Forty patients who were only observed (due to a curve increase of less than 6 degrees until maturity), and 37 brace-treated patients attended the complete follow-up, including clinical and radiologic examination, and answered 2 quality of life questionnaires (SRS-22 and Short Form-36 [SF-36]). RESULTS.: No differences were found between the groups in terms of age at follow-up (mean: 32 years), follow-up time after maturity (mean: 16.0 years), and curve size at inclusion (mean: 30 degrees ) or at follow-up (mean: 35 degrees ). The SRS-22/total score was a mean of 4.2 for braced patients and 4.1 for only observed patients. Neither total scores/subscales of the SRS-22 or SF-36 differed significantly between the groups. For the SF-36, no differences in relation to the Swedish age-matched norm scales were found for either group. CONCLUSION.: Patients with moderate AIS report good quality of life in their 30s, as measured by both the SRS-22 and SF-36, regardless of whether they received no active treatment or were brace treated during adolescence. Neither of the groups displayed any difference compared with the age-matched norm groups for the SF-36.
AB - STUDY DESIGN.: The previous Scoliosis Research Society brace study (JBJS-A, 1995) included patients with adolescent idiopathic scoliosis (AIS) with moderate curve sizes (25 degrees -35 degrees ). The Swedish patients in this study were examined in a long-term follow-up. OBJECTIVE.: The aim was to analyze and compare quality of life in adulthood between AIS patients who were only observed or treated with a brace during adolescence. SUMMARY OF BACKGROUND DATA.: Quality of life as measured by the SRS-22 has not previously been presented for adult untreated AIS patients. METHODS.: Forty patients who were only observed (due to a curve increase of less than 6 degrees until maturity), and 37 brace-treated patients attended the complete follow-up, including clinical and radiologic examination, and answered 2 quality of life questionnaires (SRS-22 and Short Form-36 [SF-36]). RESULTS.: No differences were found between the groups in terms of age at follow-up (mean: 32 years), follow-up time after maturity (mean: 16.0 years), and curve size at inclusion (mean: 30 degrees ) or at follow-up (mean: 35 degrees ). The SRS-22/total score was a mean of 4.2 for braced patients and 4.1 for only observed patients. Neither total scores/subscales of the SRS-22 or SF-36 differed significantly between the groups. For the SF-36, no differences in relation to the Swedish age-matched norm scales were found for either group. CONCLUSION.: Patients with moderate AIS report good quality of life in their 30s, as measured by both the SRS-22 and SF-36, regardless of whether they received no active treatment or were brace treated during adolescence. Neither of the groups displayed any difference compared with the age-matched norm groups for the SF-36.
U2 - 10.1097/BRS.0b013e3181c89f4a
DO - 10.1097/BRS.0b013e3181c89f4a
M3 - Article
C2 - 20038869
SN - 0362-2436
VL - 35
SP - 199
EP - 205
JO - Spine
JF - Spine
IS - 2
ER -