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  • Title: Outcome at 10 years after treatment for adolescent idiopathic scoliosis.
    Author: Andersen MO, Christensen SB, Thomsen K.
    Journal: Spine (Phila Pa 1976); 2006 Feb 01; 31(3):350-4. PubMed ID: 16449910.
    Abstract:
    STUDY DESIGN: A total of 215 consecutive patients treated either by bracing or operation received a questionnaire after 9.7 years. OBJECTIVE: The aim of the present study was to elucidate the long-term outcome in a group of brace (BT) or surgical treated (ST) patients suffering AIS. SUMMARY OF BACKGROUND DATA: In adolescent idiopathic scoliosis (AIS), the options are BT or ST and, together with the disease itself, they may both be physically and psychologically demanding. METHODS: The main topics of a questionnaire were demographics, back pain, activities of daily living, and SF-36. RESULTS: A total of 181 replied. The mean age at follow-up was 26.0 years. The level of back or leg pain was relatively low, and the BT patients had more pain than their ST peers. We saw a generally high level of ADL and found no significant difference between BT and ST patients in the present study for any of the SF-36 variables. Compared with age-matched controls, the SF-36 scores were lower in the AIS patients. Brace related questions revealed a significant impact of the disease and the treatment on the patients' lives. CONCLUSIONS: The patients had moderately reduced perceived health status and activities of daily living, and increased pain with the ST patients generally at a better level than the BT.
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