Abstract
<p>Idiopathic Adolescent Scoliosis (AIS) is a 3D spinal deformity that arises approximately during puberty. In some cases, the curvature of AIS continues to progress toward more severe over adulthood, which generally requires an invasive surgery reconstruction. To investigate quality and status of life (QOL) in patients with idiopathic adolescent scoliosis (AIS). Inclusion criteria were patients with non-surgical treatment for AIS with Cobb angle over or 10º, and age &lt; 23 years old. A total of 45 patients with AIS were included and divided into three groups ( single main thoracic MT the curve group, n = 15); (single thoracolumbar curve TL/L group, n = 20); (double major thoracic lumbar curve DM group, n = 10), based on the location of the curve in skeletal maturity. Postero-anterior standing Formetric (Functional Analysis of the Musculoskeletal System), were evaluated at skeletal maturity. QOL was evaluated using the visual analogue scale (VAS) for back pain (BP) (maximum: 10 cm), the SRS -22, and the Oswestry Disability Index Questionnaire (ODIQ). In all groups, severe scoliosis progressed by approximately 0.5º/for year from the time of skeletal maturity. The TL/L and DM groups showed a significantly worse visual analogue scale, scores for back pain compared to MT group (p&lt;0.05). The groups involved showed significantly worse results for the SRS-22 self-imaging domain. The TL/L group showed worse outcomes for walking ability and areas of social function of the Oswestry Disability Index Questionnaire for the assessment of back pain (p&lt;0.005). AIS patients with single MT curve maintain equal QOL (Quality of life) status compared to the other groups. Patients with TL/L structural curves are likely to experience a greater annual curve progression due to substantial back pain or more specific back pain where the QOL status during the daily activity is deplorable.</p><p> </p><p><strong> Article visualizations:</strong></p><p><img src="/-counters-/edu_01/0951/a.php" alt="Hit counter" /></p>
Highlights
Scoliosis is defined as a lateral curvature of the spinal cord with Cob angle of 10 ° or more
The MT curve is significantly increased by approximately 10 o from the time of skeletal maturity to the time of the survey, and there were no significant differences of the annual progress of the curve between the groups
In terms of sagittal parameters, there were no significant differences between the 3 groups at the time of the study
Summary
Scoliosis is defined as a lateral curvature of the spinal cord with Cob angle of 10 ° or more. Patients with idiopathic scoliosis have reduced overall and asymmetric balance of the transversus abdominal muscles. Treatment strategies should be defined in perspective to prevent curve progression, with curve correction and long-term maintenance, we must base on the natural history of the AIS curve. In the case of non – operated AIS, curves that progress to 40-50o at skeletal maturity tend to continue to progress throughout adulthood, most often at a rate of approximately 1o per year, as assessed radiographically. Concerning quality of life (QOL), several studies have reported complications, including back pain, shortness of breath, difficulty in physical activity, psychological distress, and body shape self-awareness in subsequent long-term surveys. Various patient-assessed questionnaires have been widely used to assess QOL status in epidemiological or clinical research
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