PATIENT SELF-ASSESSMENT OF LONG-TERM RESULTS OF SURGERY FOR IDIOPATHIC AND CONGENITAL SCOLIOSIS
https://doi.org/10.14531/ss2012.4.19-25
Abstract
Objective. To analyze long-term results of surgical correction of idiopathic scoliosis and congenital spinal deformity using the patient self-assessment SRS-24 questionnaires.
Material and Methods. The study included 121 patients operated on for idiopathic (106) and congenital (15) scoliosis using third generation segmental instrumentation (112 cases) and Harrington distraction rod (9 cases). Patients completed the SRS-24 questionnaire in 6, 12, 24 and more than 60 months after surgery. A total number of 448 questionnaires were analyzed.
Results. Girls’ assessment of surgery outcome at five year follow-up was in whole higher, though they had more pronounced pain syndrome. Patients with congenital scoliosis gave lower estimates in most domains than those with idiopathic scoliosis. Segmental instrumentation in all seven domains had the advantage of the Harrington distraction rod. As the follow-up period increased the estimate of the achieved effect raised. Rib hump resection caused increase in patient self-assessment of the treatment result in all cases.
Conclusion. Patient-reported outcome survey using SRS-24 questionnaire is simple, easy to interpret, and effective method. The obtained data showed the high quality of achieved results.
About the Authors
Mikhail Vitalievich MikhailovskyRussian Federation
Elena Vladimirovna Gubina
Russian Federation
Aleksandr Yurievich Sergunin
Russian Federation
Vyacheslav Viktorovich Novikov
Russian Federation
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Review
For citations:
Mikhailovsky M.V., Gubina E.V., Sergunin A.Yu., Novikov V.V. PATIENT SELF-ASSESSMENT OF LONG-TERM RESULTS OF SURGERY FOR IDIOPATHIC AND CONGENITAL SCOLIOSIS. Russian Journal of Spine Surgery (Khirurgiya Pozvonochnika). 2012;(4):19-25. (In Russ.) https://doi.org/10.14531/ss2012.4.19-25