Lindsay Sarah E, Thompson Austin, Hummel Jenny, Halsey Matthew F, Yang Scott
Orthopaedics and Rehabilitation Department, Oregon Health & Science University, Portland, OR, USA.
Department of Orthopedics and Sports Medicine, Seattle Children's Hospital, Seattle, WA, USA.
J Patient Exp. 2024 Sep 30;11:23743735241282937. doi: 10.1177/23743735241282937. eCollection 2024.
Posterior spinal instrumented fusion (PSIF) is a treatment option for adolescent spinal deformity. PSIF leads to loss of spinal segment motion. It is unclear the extent to which spinal stiffness is perceived by adolescent patients after fusion. Focus groups of adolescents between ages 11 and 21 years who underwent PSIF for spinal deformity were performed. Focus groups were evaluated for common themes, and a 36-question survey was designed. Survey responses were analyzed relative to last instrumented vertebra (LIV) and Scoliosis Research Society-22 (SRS-22) scores. Five focus groups were held with 18 patients in total. Three main themes were identified by participants: 56% identified difficulty bending forward, 44% identified difficulty hunching while sitting, and 56% identified difficulty with twisting motions. Patients with more distal LIV reported significant more difficulty with self-care/grooming ( = .014) and chores ( < .001). SRS-22 function/activity scores correlated well with survey categories in self-care/grooming ( = .61; = .049) and recreation ( = .69; = .019). Focus groups suggest that spinal stiffness is frequently perceived and leads to alteration in daily tasks in adolescents after spinal fusion.
后路脊柱内固定融合术（PSIF）是青少年脊柱畸形的一种治疗选择。PSIF会导致脊柱节段活动度丧失。目前尚不清楚青少年患者在融合术后对脊柱僵硬的感知程度。对11至21岁因脊柱畸形接受PSIF治疗的青少年进行了焦点小组访谈。对焦点小组进行了常见主题评估，并设计了一份包含36个问题的调查问卷。根据最后固定椎体（LIV）和脊柱侧弯研究学会-22（SRS-22）评分对调查回复进行分析。共举行了五个焦点小组访谈，共有18名患者参与。参与者确定了三个主要主题：56%的人表示向前弯腰困难，44%的人表示坐着时驼背困难，56%的人表示扭转动作困难。LIV位置更低的患者在自我护理/梳洗（P = 0.014）和家务劳动（P < 0.001）方面报告的困难明显更多。SRS-22功能/活动评分与自我护理/梳洗（r = 0.61；P = 0.049）和娱乐（r = 0.69；P = 0.019）方面的调查类别相关性良好。焦点小组表明，脊柱融合术后青少年经常会感觉到脊柱僵硬，并导致日常活动发生改变。
