Andersen Mikkel O, Christensen Steen B, Thomsen Karsten
Spine Section, Department of Orthopaedic Surgery, University Hospital of Odense, Odense, Denmark.
Spine (Phila Pa 1976). 2006 Feb 1;31(3):350-4. doi: 10.1097/01.brs.0000197649.29712.de.
A total of 215 consecutive patients treated either by bracing or operation received a questionnaire after 9.7 years.
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.
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.
The main topics of a questionnaire were demographics, back pain, activities of daily living, and SF-36.
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.
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.
共有215例接受支具治疗或手术治疗的连续患者在9.7年后收到一份调查问卷。
本研究的目的是阐明一组患有特发性脊柱侧凸（AIS）的支具治疗（BT）或手术治疗（ST）患者的长期预后。
在青少年特发性脊柱侧凸（AIS）中，治疗选择为BT或ST，并且连同疾病本身一起，它们对身体和心理都可能有较高要求。
调查问卷的主要主题包括人口统计学、背痛、日常生活活动以及SF-36量表。
共有181人回复。随访时的平均年龄为26.0岁。背部或腿部疼痛程度相对较低，且BT组患者比ST组患者疼痛更多。我们发现日常生活活动水平普遍较高，并且在本研究中，BT组和ST组患者在任何SF-36变量上均未发现显著差异。与年龄匹配的对照组相比，AIS患者的SF-36评分较低。与支具相关的问题显示，疾病和治疗对患者生活有显著影响。
患者的健康状况感知和日常生活活动有适度降低，且ST组患者疼痛增加，总体情况通常比BT组更好。
