Assessment of quality of life in patients with idiopathic scoliosis treated operatively
Journal Title: Ortopedia Traumatologia Rehabilitacja - Year 2009, Vol 11, Issue 6
Abstract
Introduction small percentage of patients with idiopathic scoliosis undergo surgery, which is only used in the case of the most extreme deformities of the spine and chest and progression of disease despite conservative treatment. The aim of this study was to assess the quality of life in patients with idiopathic scoliosis treated operatively and to examine the correlations between the quality of life and radiographic and socio-demographic indices. Material and method wo independent groups of patients operated on at the Department of Pediatric Orthopedics of the Pomeranian Medical University in Szczecin were examined using a standardized SRS -22 HRQL instrument. Quality of life was assessed on three occasions in 35 patients from the first group. The second group included 52 patients at least two years post-surgery.Results The assessment of physical fitness revealed a decrease proportional to the length of time since surgery. Higher pain intensity was reported by patients whose surgery took place more than 2 years prior to the study. The analysis of mental health assessment results indicated a decrease proportional to the length of time since surgery. No statistically significant differences were found with respect to patients' self-assessment of their body image and treatment satisfaction. Conclusions • Operative correction of scoliosis enhances patients' self-assessment of their body image and contributes to a high assessment score for treatment satisfaction. • No correlations were found between the overall quality of life and previous conservative treatment. • Deterioration of physical fitness, mental health impairment and increasing pain intensity were observed among patients residing in small towns and rural areas and those experiencing socioeconomic problems. • The degree of scoliosis correction in the thoracic spine contributes to increasing life quality, especially in late assessment.
Authors and Affiliations
Bożena Gorzkowicz , Maciej Kołban , Zbigniew Szych
Keywords
Related Articles
- EP ID EP56964
- DOI -
- Views 89
- Downloads 0
The effect of antibiotic therapy on the incidence of Staphylococcus aureus infections
This paper reports on aetiological factors, including mostly S. aureus infections, and antibiotic use in the pretreatment and treatment of complicating infections in patients hospitalised at the Department of Orthopaedic...
The impact of whole-body cryotherapy on parameters of spinal mobility in patients with ankylosing spondylitis
Background. The aim of our study was to assess the impact of whole-body cryotherapy with subsequent kinesitherapy on spinal mobility parameters in patients with ankylosing spondylitis.Material and methods. We enrolled 32...
Czynniki warunkujące świadomość zdrowotną osób po urazie kręgosłupa powikłanym zaburzeniami neurologicznymi – doniesienie wstępne
Ukierunkowana edukacja zdrowotna jest jednym z zasadniczych zadań kompleksowej rehabilitacji. Poziom wiedzy osób niepełnosprawnych na temat konsekwencji urazu kręgosłupa powikłanego zaburzeniami neurologicznymi (UKPZN) r...
The Ilizarov method in the treatment of pilon fractures
Background. Comminuted fractures of the distal epiphysis and metaphysis of the tibia with penetration to the ankle joint, which occur rarely, are known as „pilon fractures”.Material and methods. From 1996 to 2001, eight...
Periprosthetic Metastatic Lesion in Stem Region after THA. Case Study
The paper describes a periprosthetic metastatic lesion in the stem region which developed 4 years after cementless total hip arthroplasty in a 64-year-old female patient. The patient underwent primary THA due to osteoart...