Health‐related Quality of Life (HRQOL) Outcomes of Selective/Nonselective Thoracic Fusion for Lenke 1C Adolescent Idiopathic Scoliosis (AIS) Patients with a Minimum 4‐year Follow‐up
Objective Both the selective thoracic fusion (STF) and nonselective thoracic fusion (NSTF) are treatments for Lenke 1C adolescent idiopathic scoliosis (AIS). To date, the impacts of the two surgical strategies on patients' long‐term quality of life remain unclear. Therefore, the purpose of this...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2024-02-01
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| Series: | Orthopaedic Surgery |
| Subjects: | |
| Online Access: | https://doi.org/10.1111/os.13977 |
| _version_ | 1797335237704810496 |
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| author | Chuan Luo Zhipeng Deng Junhu Li Zhuhai Li Lihang Wang Liyu Ran Yueming Song Shishu Huang Lei Wang Litai Ma |
| author_facet | Chuan Luo Zhipeng Deng Junhu Li Zhuhai Li Lihang Wang Liyu Ran Yueming Song Shishu Huang Lei Wang Litai Ma |
| author_sort | Chuan Luo |
| collection | DOAJ |
| description | Objective Both the selective thoracic fusion (STF) and nonselective thoracic fusion (NSTF) are treatments for Lenke 1C adolescent idiopathic scoliosis (AIS). To date, the impacts of the two surgical strategies on patients' long‐term quality of life remain unclear. Therefore, the purpose of this study was to explore the long‐term effects of STF/NSTF on the quality of life in Lenke 1C AIS patients through a 4–10‐year follow‐up. Methods From January 2011 to April 2018, according to the inclusion and exclusion criteria, a retrospective single‐center study of 75 surgical patients with Lenke 1C curves was performed (n = 75). They all underwent posterior fusion, and patients were divided into the selective thoracic fusion (STF) group (n = 42) and the nonselective thoracic fusion (NSTF) group (n = 33) based on their surgical approach. All participants received the survey of the visual analogue scale (VAS), SRS30, SF12, and Oswestry disability index (ODI) scales. Patients' gender, age, body mass index (BMI), surgical approach (STF/NSTF), surgical segments (UIV and LIV), follow‐up time, complications, preoperative, postoperative, and last follow‐up Cobb angles, and health‐related quality of life (HRQOL) outcomes were collected, and analyzed through the Shapiro‐Wilks test, Wilcoxon rank‐sum test, t‐test, and χ2 test. Results The mean follow‐up of the entire cohort was 73 ± 5.6 months. The lumbar Cobb angle in the STF group improved from 31.8 ± 6.5° to 11.5 ± 5.1° after the operation and 10.3 ± 6.9° at the last follow‐up. The postoperative correction rate of the lumbar curve was 63.8%, which increased to 67.7% at the last follow‐up. In the NSTF group, the lumbar Cobb angle improved from 34.3 ± 11.3° to 4.3 ± 3.7° after the operation, and was 5.1 ± 3.1° at the last follow‐up. The postoperative correction rate of the lumbar curve was 87.4%, and 85.1% at the last follow‐up. At the last follow‐up, the STF group had higher overall HRQOL scores than the NSTF group, and there were statistically differences between the different groups (STF/NSTF) in SRS‐30‐Mental health (p = 0.03), SRS‐30‐Satisfaction with management (p = 0.02), SRS‐30‐Pain (p = 0.03), ODI (p = 0.01), SF‐12 PCS (p = 0.03), VAS back pain (p = 0.005) and VAS leg pain (p = 0.001). No statistically differences were found in SF12 MCS, SRS‐30‐Self‐image/Appearance and SRS‐30 Function/activity. Conclusion After 4–10 years of follow‐up, we found that the STF group achieved satisfactory correction results, and compared with the NSTF group, their overall HRQOL scores were higher, especially in terms of pain and satisfaction, where the STF group shows a significant advantage. |
| first_indexed | 2024-03-08T08:34:03Z |
| format | Article |
| id | doaj.art-21f0a3defa514fd08472520172c35cb5 |
| institution | Directory Open Access Journal |
| issn | 1757-7853 1757-7861 |
| language | English |
| last_indexed | 2024-03-08T08:34:03Z |
| publishDate | 2024-02-01 |
| publisher | Wiley |
| record_format | Article |
| series | Orthopaedic Surgery |
| spelling | doaj.art-21f0a3defa514fd08472520172c35cb52024-02-02T01:54:28ZengWileyOrthopaedic Surgery1757-78531757-78612024-02-0116242943610.1111/os.13977Health‐related Quality of Life (HRQOL) Outcomes of Selective/Nonselective Thoracic Fusion for Lenke 1C Adolescent Idiopathic Scoliosis (AIS) Patients with a Minimum 4‐year Follow‐upChuan Luo0Zhipeng Deng1Junhu Li2Zhuhai Li3Lihang Wang4Liyu Ran5Yueming Song6Shishu Huang7Lei Wang8Litai Ma9Department of Orthopedics, Orthopedic Research Institute West China Hospital, Sichuan University Chengdu ChinaDepartment of Orthopedics, Orthopedic Research Institute West China Hospital, Sichuan University Chengdu ChinaDepartment of Orthopedics, Orthopedic Research Institute West China Hospital, Sichuan University Chengdu ChinaDepartment of Orthopedics, Orthopedic Research Institute West China Hospital, Sichuan University Chengdu ChinaDepartment of Orthopedics, Orthopedic Research Institute West China Hospital, Sichuan University Chengdu ChinaDepartment of Orthopedics, Orthopedic Research Institute West China Hospital, Sichuan University Chengdu ChinaDepartment of Orthopedics, Orthopedic Research Institute West China Hospital, Sichuan University Chengdu ChinaDepartment of Orthopedics, Orthopedic Research Institute West China Hospital, Sichuan University Chengdu ChinaDepartment of Orthopedics, Orthopedic Research Institute West China Hospital, Sichuan University Chengdu ChinaDepartment of Orthopedics, Orthopedic Research Institute West China Hospital, Sichuan University Chengdu ChinaObjective Both the selective thoracic fusion (STF) and nonselective thoracic fusion (NSTF) are treatments for Lenke 1C adolescent idiopathic scoliosis (AIS). To date, the impacts of the two surgical strategies on patients' long‐term quality of life remain unclear. Therefore, the purpose of this study was to explore the long‐term effects of STF/NSTF on the quality of life in Lenke 1C AIS patients through a 4–10‐year follow‐up. Methods From January 2011 to April 2018, according to the inclusion and exclusion criteria, a retrospective single‐center study of 75 surgical patients with Lenke 1C curves was performed (n = 75). They all underwent posterior fusion, and patients were divided into the selective thoracic fusion (STF) group (n = 42) and the nonselective thoracic fusion (NSTF) group (n = 33) based on their surgical approach. All participants received the survey of the visual analogue scale (VAS), SRS30, SF12, and Oswestry disability index (ODI) scales. Patients' gender, age, body mass index (BMI), surgical approach (STF/NSTF), surgical segments (UIV and LIV), follow‐up time, complications, preoperative, postoperative, and last follow‐up Cobb angles, and health‐related quality of life (HRQOL) outcomes were collected, and analyzed through the Shapiro‐Wilks test, Wilcoxon rank‐sum test, t‐test, and χ2 test. Results The mean follow‐up of the entire cohort was 73 ± 5.6 months. The lumbar Cobb angle in the STF group improved from 31.8 ± 6.5° to 11.5 ± 5.1° after the operation and 10.3 ± 6.9° at the last follow‐up. The postoperative correction rate of the lumbar curve was 63.8%, which increased to 67.7% at the last follow‐up. In the NSTF group, the lumbar Cobb angle improved from 34.3 ± 11.3° to 4.3 ± 3.7° after the operation, and was 5.1 ± 3.1° at the last follow‐up. The postoperative correction rate of the lumbar curve was 87.4%, and 85.1% at the last follow‐up. At the last follow‐up, the STF group had higher overall HRQOL scores than the NSTF group, and there were statistically differences between the different groups (STF/NSTF) in SRS‐30‐Mental health (p = 0.03), SRS‐30‐Satisfaction with management (p = 0.02), SRS‐30‐Pain (p = 0.03), ODI (p = 0.01), SF‐12 PCS (p = 0.03), VAS back pain (p = 0.005) and VAS leg pain (p = 0.001). No statistically differences were found in SF12 MCS, SRS‐30‐Self‐image/Appearance and SRS‐30 Function/activity. Conclusion After 4–10 years of follow‐up, we found that the STF group achieved satisfactory correction results, and compared with the NSTF group, their overall HRQOL scores were higher, especially in terms of pain and satisfaction, where the STF group shows a significant advantage.https://doi.org/10.1111/os.13977Adolescent scoliosisHealth‐related quality of lifeSelective thoracic fusion |
| spellingShingle | Chuan Luo Zhipeng Deng Junhu Li Zhuhai Li Lihang Wang Liyu Ran Yueming Song Shishu Huang Lei Wang Litai Ma Health‐related Quality of Life (HRQOL) Outcomes of Selective/Nonselective Thoracic Fusion for Lenke 1C Adolescent Idiopathic Scoliosis (AIS) Patients with a Minimum 4‐year Follow‐up Orthopaedic Surgery Adolescent scoliosis Health‐related quality of life Selective thoracic fusion |
| title | Health‐related Quality of Life (HRQOL) Outcomes of Selective/Nonselective Thoracic Fusion for Lenke 1C Adolescent Idiopathic Scoliosis (AIS) Patients with a Minimum 4‐year Follow‐up |
| title_full | Health‐related Quality of Life (HRQOL) Outcomes of Selective/Nonselective Thoracic Fusion for Lenke 1C Adolescent Idiopathic Scoliosis (AIS) Patients with a Minimum 4‐year Follow‐up |
| title_fullStr | Health‐related Quality of Life (HRQOL) Outcomes of Selective/Nonselective Thoracic Fusion for Lenke 1C Adolescent Idiopathic Scoliosis (AIS) Patients with a Minimum 4‐year Follow‐up |
| title_full_unstemmed | Health‐related Quality of Life (HRQOL) Outcomes of Selective/Nonselective Thoracic Fusion for Lenke 1C Adolescent Idiopathic Scoliosis (AIS) Patients with a Minimum 4‐year Follow‐up |
| title_short | Health‐related Quality of Life (HRQOL) Outcomes of Selective/Nonselective Thoracic Fusion for Lenke 1C Adolescent Idiopathic Scoliosis (AIS) Patients with a Minimum 4‐year Follow‐up |
| title_sort | health related quality of life hrqol outcomes of selective nonselective thoracic fusion for lenke 1c adolescent idiopathic scoliosis ais patients with a minimum 4 year follow up |
| topic | Adolescent scoliosis Health‐related quality of life Selective thoracic fusion |
| url | https://doi.org/10.1111/os.13977 |
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