Merola Andrew A, Haher Thomas R, Brkaric Mario, Panagopoulos Georgia, Mathur Samir, Kohani Omid, Lowe Thomas G, Lenke Larry G, Wenger Dennis R, Newton Peter O, Clements David H, Betz Randal R
Department of Orthopedic Surgery, SUNY Downstate Medical Center, Brooklyn, New York, USA.
Spine (Phila Pa 1976). 2002 Sep 15;27(18):2046-51. doi: 10.1097/00007632-200209150-00015.
A multicenter study of the outcomes of the surgical treatment of adolescent idiopathic scoliosis using the Scoliosis Research Society Questionnaire (SRS 24).
To evaluate the patient based outcome of the surgical treatment of adolescent idiopathic scoliosis.
A paucity of information exists with respect to patient measures of outcome regarding the surgical treatment of adolescent idiopathic scoliosis. To our knowledge, no prospective outcome study on this topic thus far exists.
Using the SRS 24 questionnaire, seven scoliosis centers agreed to prospectively assess outcome for surgically treated patients with adolescent idiopathic scoliosis. Data were collected before surgery and at 24 months after surgery. Data were analyzed using paired and independent samples t test for all seven SRS 24 questionnaire domains (Pain, General Self-Image, Postoperative Self-Image, Postoperative Function, Function From Back Condition, General Level of Activity, and Satisfaction) using Statistical Package for Social Science. The domains were analyzed with respect to the total cohort, gender, curve magnitude, and type of surgery using independent-samples t tests.
A total of 242 patients were included in our analysis. A baseline preoperative pain level of 3.68 of 5 was found. This improved to 4.63 after surgery, representing an improvement of 0.95 points. Surgical intervention was associated with improving outcome when compared with preoperative status. Pain, General Self-Image, Function From Back Condition, and Level of Activity all demonstrated statistically significant improvement as compared with preoperative status (P < 0. 001). Overall, patients were highly satisfied with the results of surgery.
Preoperative pain exists in our adolescent scoliosis population. Pain scores were improved in our study population at the 2-year postsurgical follow-up. Statistically significant improvements were likewise seen in the General Self-Image, Function From Back Condition, and Level of Activity domains. The present study demonstrates the ability of surgery to improve the outcome of patients afflicted with adolescent idiopathic scoliosis.
一项使用脊柱侧弯研究协会问卷（SRS 24）对青少年特发性脊柱侧弯手术治疗结果的多中心研究。
评估青少年特发性脊柱侧弯手术治疗基于患者的结果。
关于青少年特发性脊柱侧弯手术治疗的患者结局测量信息匮乏。据我们所知，迄今为止尚无关于该主题的前瞻性结局研究。
七个脊柱侧弯中心同意使用SRS 24问卷对接受手术治疗的青少年特发性脊柱侧弯患者的结局进行前瞻性评估。在手术前和手术后24个月收集数据。使用社会科学统计软件包对SRS 24问卷的所有七个领域（疼痛、总体自我形象、术后自我形象、术后功能、背部状况功能、总体活动水平和满意度）进行配对和独立样本t检验分析数据。使用独立样本t检验对整个队列、性别、侧弯程度和手术类型进行领域分析。
我们的分析共纳入242例患者。术前基线疼痛水平为5分制中的3.68分。术后改善至4.63分，改善了0.95分。与术前状态相比，手术干预与结局改善相关。与术前状态相比，疼痛、总体自我形象、背部状况功能和活动水平均显示出统计学上的显著改善（P < 0.001）。总体而言，患者对手术结果高度满意。
我们的青少年脊柱侧弯患者存在术前疼痛。在我们的研究人群中，术后2年随访时疼痛评分有所改善。在总体自我形象、背部状况功能和活动水平领域同样观察到统计学上的显著改善。本研究证明了手术改善青少年特发性脊柱侧弯患者结局的能力。
