Health-related quality of life and related factors in patients with adolescent idiopathic scoliosis after surgery : cross sectional study in two tertiary hospitals in Indonesia
Keywords:
adolescent idiopathic scoliosis, health-related quality of life, scoliosis research society, operative treatment, cross-sectional study, spinal deformityAbstract
Introduction:
Idiopathic Scoliosis (AIS) is a spinal deformity which may lead to physical and mental problems and can adversely affect the patient’s satisfaction and the quality of life. The aim of this study is to evaluate the health-related quality of life in scoliosis patients who had undergone surgical therapy. Methods: A cross sectional study was conducted in two tertiary hospitals in Jakarta, Indonesia, using Scoliosis Research Society-22 (SRS-22) and Short Form (SF)-36 questionnaire. This study evaluated 80 AIS patients operated in our center over the past five years with a minimum follow-up of one year. In addition, the participant’s medical records were reviewed to collect data on gender, age, curve type, severity of scoliosis curve (Cobb Angle), the percentage of curve correction, C7 plumb line, number of operations, blood loss, and operative time.
Results:
The overall score for SF-36 is 94.5 (46.3-100) and SRS-22 is 4.45 (3.58-4.84). The median age of the participants was 15 (10-26) years old. There were 10% (n=8) male and 90% (n=72) female. Nineteen participants (23.8%) had mild (40°–60°), 41.3% moderate (60°–80°), and 35% severe (>80°) scoliosis. The rate of curve correction of <50% were found in 30 (37.5%), 50-70% in 39 (48.8%), and >70% in 11 (13.8%) participants. More than half of the participants (57.5%, n=46) were in neutral balance and 34 (42.5 %) in positive balance. The total score of the SRS-22r differed significantly between the groups of gender (p=0.026), C7 plumb line (p = 0.018) and number of operation (p = 0.009). The total score of the SF-36 differed significantly between gender (p=0.019) and C7 plumb line (p = 0.026). In addition, self-image and satisfaction, two of the sub-domains of the SRS 22r, were positively correlated with C7 plumb line and number of operation.
Conclusion:
The overall score for HRQoL of the AIS patients who had undergone surgical therapy in our population showed good results. Gender, C7 plumb line, and number of operation were related to HRQoL scores of Indonesian adolescents with scoliosis. In addition, HRQoL in AIS patients can be affected by many factors which medical staff needs to consider in order to produce the best and the most effective treatment outcomes.
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