Lerman Joel A, Sullivan Elroy, Haynes Richard J
Shriners Hospitals for Children, Houston, Texas, USA.
Spine (Phila Pa 1976). 2002 Sep 15;27(18):2052-7; discussion 2057-8. doi: 10.1097/00007632-200209150-00016.
An initial examination of functional assessment scores in scoliosis and kyphosis populations.
Examination of scores from the Pediatric Outcomes Data Collection Instrument for patients with idiopathic scoliosis, congenital scoliosis, and congenital kyphosis, comparing scores with those of children without orthopedic disabilities.
Little information has been presented regarding performance of scoliosis patients on the Pediatric Outcomes Data Collection Instrument.
A total of 102 patients with adolescent idiopathic scoliosis, 47 with congenital scoliosis without kyphosis, and 9 with congenital kyphosis completed the Pediatric Outcomes Data Collection Instrument. Responses were compared with those from a "normal" population. Subgroup analyses were performed for patients with adolescent idiopathic scoliosis. A P value <0.05 was considered statistically significant.
Scores in Transfers, Sports, Comfort, and Happiness were significantly lower than "normal" in adolescent idiopathic scoliosis. In congenital scoliosis without kyphosis, scores in all categories except Happiness were significantly lower than "normal." All category scores were significantly lower than "normal" in congenital kyphosis. In adolescent idiopathic scoliosis, age and curve location did not influence Comfort scores. Comfort scores were significantly lower than "normal" for all curve locations and for all ranges of Cobb angle. Happiness scores were significantly lower in adolescent idiopathic scoliosis patients with Cobb angles >50 degrees who had not received surgery when compared with either patients who had received surgery or patients with Cobb angles <50 degrees.
These findings provide some normative values for the Pediatric Outcomes Data Collection Instrument for three specific diagnoses. Patients with adolescent idiopathic scoliosis, congenital scoliosis, and congenital kyphosis gave responses significantly different from "normal" children. Pain appeared to be a common finding with these diagnoses.
对脊柱侧凸和后凸患者的功能评估分数进行初步检查。
检查特发性脊柱侧凸、先天性脊柱侧凸和先天性后凸患者的儿科结局数据收集工具分数，并将其与无骨科残疾儿童的分数进行比较。
关于脊柱侧凸患者在儿科结局数据收集工具上的表现，目前提供的信息很少。
共有102例青少年特发性脊柱侧凸患者、47例无后凸的先天性脊柱侧凸患者和9例先天性后凸患者完成了儿科结局数据收集工具。将回答与“正常”人群的回答进行比较。对青少年特发性脊柱侧凸患者进行亚组分析。P值<0.05被认为具有统计学意义。
青少年特发性脊柱侧凸患者在转移、运动、舒适度和幸福感方面的分数显著低于“正常”水平。在无后凸的先天性脊柱侧凸患者中，除幸福感外，所有类别的分数均显著低于“正常”水平。先天性后凸患者的所有类别分数均显著低于“正常”水平。在青少年特发性脊柱侧凸患者中，年龄和侧弯位置不影响舒适度分数。所有侧弯位置和所有Cobb角范围内的舒适度分数均显著低于“正常”水平。与接受手术的患者或Cobb角<50度的患者相比，Cobb角>50度且未接受手术的青少年特发性脊柱侧凸患者的幸福感分数显著更低。
这些发现为三种特定诊断的儿科结局数据收集工具提供了一些标准值。青少年特发性脊柱侧凸、先天性脊柱侧凸和先天性后凸患者的回答与“正常”儿童有显著差异。疼痛似乎是这些诊断中的常见表现。
