PMID- 30587327
OWN - NLM
STAT- MEDLINE
DCOM- 20190418
LR  - 20200109
IS  - 2212-1358 (Electronic)
IS  - 2212-134X (Linking)
VI  - 7
IP  - 1
DP  - 2019 Jan
TI  - Major Complications at Two Years After Surgery Impact SRS Scores for Adolescent 
      Idiopathic Scoliosis Patients.
PG  - 93-99
LID - S2212-134X(18)30086-8 [pii]
LID - 10.1016/j.jspd.2018.05.009 [doi]
AB  - STUDY DESIGN: Retrospective review of prospectively collected data. OBJECTIVE: To 
      determine whether adolescent idiopathic scoliosis (AIS) patients with active 
      complications at two-year follow-up demonstrate lower Scoliosis Research Society 
      (SRS-22) questionnaire scores. SUMMARY OF BACKGROUND DATA: There is limited 
      evidence as to whether the SRS-22 is sensitive to complications in postoperative 
      AIS patients. METHODS: Surgical patients with SRS-22 scores completed at two-year 
      follow-up were included. Five groups were created: no complication, minor 
      complication resolved by 2 years, major complication resolved by 2 years, minor 
      complication active, and major complication active at 2 years. Likelihood of 
      reaching a minimal clinically important difference (MCID) for pain (0.20) and 
      self-image (0.98) was evaluated. RESULTS: 1,481 patients were identified. Major 
      complications active at two years existed in 2.2% of patients. These patients had 
      the lowest score in all domains and total scores (p < .05). If a minor 
      complication was active, scores were impacted for pain, self-image, satisfaction, 
      and total (p < .05). No differences were found between no complication and 
      resolved complications. Patients with active major complications were more likely 
      to have a pain score that worsened from pre- to two years reaching MCID (52%) 
      compared to the other four groups (range 18%-29%, odds ratio [OR] 3.6, p < .001). 
      They also had a nonsignificant decreased rate of improvement of self-image score 
      at an MCID level (42% vs. range 51%-66%, OR 0.56, p = .10). CONCLUSIONS: When 
      timing is considered, the SRS-22 demonstrates the ability to discriminate between 
      patients with and without a complication. Active experience of a major 
      complication impacted SRS-22 scores, in particular, the rate of worsening scores 
      for pain, self-image, function, and total score. LEVEL OF EVIDENCE: Level III.
CI  - Copyright (c) 2018 Scoliosis Research Society. Published by Elsevier Inc. All 
      rights reserved.
FAU - Bastrom, Tracey P
AU  - Bastrom TP
AD  - Rady Children's Hospital-San Diego, 3020 Children's Way, San Diego, CA 92123, 
      USA.
FAU - Yaszay, Burt
AU  - Yaszay B
AD  - Rady Children's Hospital-San Diego, 3020 Children's Way, San Diego, CA 92123, 
      USA. Electronic address: byaszay.rady@gmail.com.
FAU - Shah, Suken A
AU  - Shah SA
AD  - Alfred I. duPont Hospital for Children, 1600 Rockland Rd, Wilmington, DE 19803, 
      USA.
FAU - Miyanji, Firoz
AU  - Miyanji F
AD  - British Columbia Children's Hospital, 4480 Oak St, Vancouver, BC V6H 3N1, Canada.
FAU - Lonner, Baron S
AU  - Lonner BS
AD  - Scoliosis and Spine Associates, 820 2nd Ave, New York, NY 10017, USA.
FAU - Kelly, Michael P
AU  - Kelly MP
AD  - Washington University, 1 Brookings Dr, St. Louis, MO 63130, USA.
FAU - Samdani, Amer
AU  - Samdani A
AD  - Shriner's Hospital for Children, 3551 N Broad St, Philadelphia, PA 19140, USA.
FAU - Asghar, Jahangir
AU  - Asghar J
AD  - Nicklaus Children's Hospital, 3100 S.W. 62nd Ave, Miami, FL 33155, USA.
FAU - Newton, Peter O
AU  - Newton PO
AD  - Rady Children's Hospital-San Diego, 3020 Children's Way, San Diego, CA 92123, 
      USA.
LA  - eng
PT  - Journal Article
PT  - Multicenter Study
PT  - Research Support, Non-U.S. Gov't
PL  - England
TA  - Spine Deform
JT  - Spine deformity
JID - 101603979
SB  - IM
MH  - Adolescent
MH  - Female
MH  - Humans
MH  - Male
MH  - Postoperative Complications/etiology/*psychology
MH  - Postoperative Period
MH  - Prospective Studies
MH  - Quality of Life
MH  - Retrospective Studies
MH  - Scoliosis/psychology/*surgery
MH  - Self Concept
MH  - *Severity of Illness Index
MH  - *Sickness Impact Profile
MH  - Spinal Fusion/*adverse effects
MH  - Surveys and Questionnaires
MH  - Time Factors
OTO - NOTNLM
OT  - Adolescent idiopathic scoliosis
OT  - Complication
OT  - Outcomes
OT  - Scoliosis Research Society Questionnaire
OT  - Spinal fusion
EDAT- 2018/12/28 06:00
MHDA- 2019/04/19 06:00
CRDT- 2018/12/28 06:00
PHST- 2017/10/26 00:00 [received]
PHST- 2018/03/16 00:00 [revised]
PHST- 2018/05/06 00:00 [accepted]
PHST- 2018/12/28 06:00 [entrez]
PHST- 2018/12/28 06:00 [pubmed]
PHST- 2019/04/19 06:00 [medline]
AID - S2212-134X(18)30086-8 [pii]
AID - 10.1016/j.jspd.2018.05.009 [doi]
PST - ppublish
SO  - Spine Deform. 2019 Jan;7(1):93-99. doi: 10.1016/j.jspd.2018.05.009.