Document Type : Original Article
neurosurgery, faculty of medicine, Suez canal university, ismailia, Egypt
Neurosurgery Department, Faculty of Medicine, Suez Canal University, Ismailia, Egypt.
Professor in Neurosurgery, Suez Canal University, Egypt
neurosurgery department, Suez canal university
Background Data: Adolescent Idiopathic Scoliosis (AIS) is a spinal deformity that may interfere with patients’ quality of life. Many previous studies tried to assess the health-related quality of life (HRQoL) using the patient-reported outcome measures. The Arabic version of Scoliosis Research Society 22 (SRS-22r) questionnaire is known to be reliable and a valid tool to assess the quality of life in patients with AIS.
Purpose: To evaluate quality of life of patients with AIS after surgical correction using the Arabic version of Scoliosis Research Society 22 (SRS-22r) questionnaire.
Study Design: Prospective cohort study.
Patients and Methods: Between 2016 and 2018, twenty-five patients were surgically treated for AIS with Cobb’s angle >45 degrees. All patients underwent posterior derotation and instrumented correction and fusion technique. In this study, we used the Arabic version of SRS-22 questionnaire to evaluate the clinical patient’s outcome. Whole spine plain X-ray was utilized to assess the radiological outcome. All patients underwent postoperative follow-up for at least 6 months with the SRS-22r questionnaire conducted in the last visit.
Results: Twenty-five patients were recruited for this study including 22 females and 3 males with mean age of 14.7±1.7 (range, 11–18) years. Significant improvement was reported 6 months after surgical correction in the following radiological parameters: Cobb’s angle of the primary curve from 55.81±8.72 to 7.98±2.26; pelvic incidence from 62.24±7.33 to 57.96±6.14; pelvic tilt from 26.14±3.41 to 20.76±3.74; lumbar lordosis from 33.21±8.63 to 36.6±8.79. The scores of functional activity, pain, self-image/appearance, mental health, and satisfaction were 4.31±0.28, 4.57±0.27, 4.85±0.31, 4.85±0.17, and 4.96±0.21, respectively, at the last follow-up visit. The total SRS-22 score was 4.45±0.16. Correlation between different domains of SRS-22 questionnaire after surgical correction shows that only function/activity score revealed a positive significant correlation with the mental health domain (r=0.417) (P=0.038).
Conclusion: The Arabic version of SRS-22 questionnaire was very useful in terms of measuring patients’ perceptions. Self-image domain was showing the highest increase among all other domains. (2019ESJ195)