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Health-Related Quality of Life in Untreated Versus Brace-Treated Patients With Adolescent Idiopathic Scoliosis: A Long-term Follow-up.

Danielsson, Aina J; Hasserius, Ralph LU ; Ohlin, Acke LU and Nachemson, Alf L (2010) In Spine 35(2). p.199-205
Abstract
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,... (More)
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. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Spine
volume
35
issue
2
pages
199 - 205
publisher
Lippincott Williams & Wilkins
external identifiers
  • wos:000274245300012
  • pmid:20038869
  • scopus:77749299073
ISSN
0362-2436
DOI
10.1097/BRS.0b013e3181c89f4a
language
English
LU publication?
yes
id
54ea1274-884c-4e74-af2c-82260d0f0db3 (old id 1523230)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/20038869?dopt=Abstract
date added to LUP
2010-01-11 14:07:33
date last changed
2018-05-29 10:03:44
@article{54ea1274-884c-4e74-af2c-82260d0f0db3,
  abstract     = {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.},
  author       = {Danielsson, Aina J and Hasserius, Ralph and Ohlin, Acke and Nachemson, Alf L},
  issn         = {0362-2436},
  language     = {eng},
  number       = {2},
  pages        = {199--205},
  publisher    = {Lippincott Williams & Wilkins},
  series       = {Spine},
  title        = {Health-Related Quality of Life in Untreated Versus Brace-Treated Patients With Adolescent Idiopathic Scoliosis: A Long-term Follow-up.},
  url          = {http://dx.doi.org/10.1097/BRS.0b013e3181c89f4a},
  volume       = {35},
  year         = {2010},
}