PMID- 28796720
OWN - NLM
STAT- MEDLINE
DCOM- 20180522
LR  - 20220318
IS  - 1528-1159 (Electronic)
IS  - 0362-2436 (Linking)
VI  - 42
IP  - 16
DP  - 2017 Aug 15
TI  - SRS-22r Scores in Nonoperated Adolescent Idiopathic Scoliosis Patients With 
      Curves Greater Than Forty Degrees.
PG  - 1233-1240
LID - 10.1097/BRS.0000000000002004 [doi]
AB  - STUDY DESIGN: Case control comparative series. OBJECTIVE: Describe surgical range 
      adolescent idiopathic scoliosis (AIS) patients electing to forgo surgery and 
      compare health-related quality-of-life outcomes to a similar cohort of operated 
      AIS patients by the same single surgeon. SUMMARY OF BACKGROUND DATA: No data have 
      been published either documenting SRS-22r scores of nonoperated patients with 
      curves >/=40 degrees  or comparing these scores to a demographically similar operated 
      cohort. METHODS: Individuals with curves >/=40 degrees , age >/=18 years, and electing to 
      forgo surgery were identified. All patients completed an SRS-22r questionnaire. 
      This nonoperated cohort's SRS-22r scores were compared to those of a large 
      demographically similar cohort operated by the same surgeon. Group differences 
      between the SRS-22r scores were evaluated by comparing these to published Minimal 
      Clinically Important Differences (MCID) for the SRS-22r. RESULTS: One hundred 
      ninety subjects with nonoperated curves were compared to 166 individuals who 
      underwent surgery. The nonoperated cohort averaged 23.5 years of age, averaged 
      7.7 years since curve reached 40 degrees , and had an average 50 degrees  Cobb angle at last 
      follow-up. No statistical significant differences were found between the groups 
      on the Pain, Function, or Mental Health domains of the SRS-22r. Statistically 
      significant differences in favor of the operative cohort were found for 
      self-image, satisfaction, and total score. The observed group differences did not 
      meet the established thresholds for minimal clinically important differences in 
      any of the domain scores, the average total score, or raw scores. CONCLUSION: 
      There are no meaningful clinically significant differences in SRS-22r scores at 
      average 8-year follow-up between AIS patients with curves >/=40 degrees  treated with or 
      without surgery. These data in conjunction with an absence of long-term evidence 
      of serious medical consequences with nonsurgical management of curves >/=40 degrees  should 
      encourage surgeons to reevaluate the benefits of routine surgical care. LEVEL OF 
      EVIDENCE: 3.
FAU - Ward, W Timothy
AU  - Ward WT
AD  - Pediatric Orthopaedic Division, Children's Hospital of Pittsburgh, University of 
      Pittsburgh, Pittsburgh, PA.
FAU - Friel, Nicole A
AU  - Friel NA
FAU - Kenkre, Tanya S
AU  - Kenkre TS
FAU - Brooks, Maria M
AU  - Brooks MM
FAU - Londino, Joanne A
AU  - Londino JA
FAU - Roach, James W
AU  - Roach JW
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Spine (Phila Pa 1976)
JT  - Spine
JID - 7610646
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Cohort Studies
MH  - Female
MH  - Humans
MH  - Kyphosis/*surgery
MH  - Male
MH  - Mental Health
MH  - Pain
MH  - Quality of Life
MH  - Scoliosis/diagnosis/*surgery
MH  - Self Concept
MH  - Surveys and Questionnaires
MH  - Young Adult
EDAT- 2017/08/11 06:00
MHDA- 2018/05/23 06:00
CRDT- 2017/08/11 06:00
PHST- 2017/08/11 06:00 [entrez]
PHST- 2017/08/11 06:00 [pubmed]
PHST- 2018/05/23 06:00 [medline]
AID - 00007632-201708150-00013 [pii]
AID - 10.1097/BRS.0000000000002004 [doi]
PST - ppublish
SO  - Spine (Phila Pa 1976). 2017 Aug 15;42(16):1233-1240. doi: 
      10.1097/BRS.0000000000002004.