Abstract
Objective: To evaluate the impact of congenital scoliosis on spinal curvature severity and quality of life in patients treated at a single center in Pakistan, with a focus on demographic distribution, Cobb angle, and quality of life outcomes. Methodology: A retrospective cohort study was conducted from June 2013 to June 2023 at the Orthopedics and Spine Department, Hayatabad Medical Complex, Peshawar. The study included 100 patients aged 1 to 30 years diagnosed with congenital scoliosis. Data on demographics, Cobb angle measurements, and quality of life (using the SRS-22 questionnaire) were collected. Statistical analyses, including t-tests and chi-square tests, were performed to examine associations between gender, Cobb angle, and quality of life, with significance set at p < 0.05. Results: The mean age of participants was 15.2 years (SD = 8.4), with an even gender distribution (52% male). The average Cobb angle was 49.7 degrees (SD = 18.6), indicating moderate to severe scoliosis, with no significant difference between genders (mean Cobb angle: males = 51.2°, females = 48.1°; p = 0.26). Quality of life scores averaged 3.7 (SD = 0.9), and a moderate negative correlation was found between Cobb angle and quality of life score (r = -0.35), suggesting that more severe curvature is associated with lower quality of life. A chi-square test also indicated no significant association between gender and scoliosis severity (p = 0.99). Conclusion: This study emphasizes the impact of congenital scoliosis on quality of life, with severity of spinal curvature correlating with reduced well-being. The findings highlight the need for early diagnosis and targeted intervention to optimize outcomes. This foundational data contributes to the understanding and management of congenital scoliosis in similar healthcare settings.
Published Version
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