Abstract
ABSTRACT Objective: To evaluate the prognostic factors in the treatment of patients diagnosed with adolescent idiopathic scoliosis undergoing spinal fusion by the posterior approach. Methods: The study included 48 patients with idiopathic adolescent scoliosis (43 females and 5 males) who underwent spinal fusion by the posterior approach, with an average age at diagnosis of 12 years, and clinical signs of Risser between 3 and 4 at the time of surgery. Clinical and radiographic measurements were performed, the participants answered the SRS-30 questionnaire, and the analysis of the medical record data was performed in two occasions during the preoperative period and at the end of two years of follow-up. Results: All satisfaction measures showed statistically significant change after the procedure (p<0.05) with respect to the radiographic characteristics, except for the lumbar apical vertebral translation (p=0.540) and Cobb L1-L5 (p=0.225). Conclusion: In general, it was found that patients who received surgical treatment were more satisfied with their appearance than those who underwent conservative treatment.
Highlights
Adolescent idiopathic scoliosis (AIS) is a musculoskeletal disorder of unknown origin, considered to be the most common cause of spinal deviations and responsible for approximately 80% of all spinal deformities.[1]
Bearing in mind the small number of studies about predictive preoperative factors for the clinical results of patients with AIS who have undergone this surgical procedure, the objective of this study was to evaluate the prognostic factors for the quality of life and personal satisfaction of patients with adolescent idiopathic scoliosis submitted to posterior approach spinal fusion
The sample consisted of 48 subjects (43 females and 5 males) diagnosed with AIS who underwent posterior approach spinal fusion
Summary
Adolescent idiopathic scoliosis (AIS) is a musculoskeletal disorder of unknown origin, considered to be the most common cause of spinal deviations and responsible for approximately 80% of all spinal deformities.[1].
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