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1.
Malaysian Orthopaedic Journal ; : 37-40, 2015.
Article in English | WPRIM | ID: wpr-626691

ABSTRACT

Objectives: Traditionally, scoliosis surgery is aimed at attaining a fused, balanced and painless spine. With improvement in surgical and instrumentation techniques, spine surgeons strive to achieve higher degree of Cobb’s angle and rib hump correction with the idea of greater patient satisfaction. The aim of this study was to determine the patients’ satisfaction using SRS-22 questionnaire and their correlations with the radiographic changes. Materials and methods: A prospective study was conducted in a tertiary referral centre using the Scoliosis Research Society-22 (SRS-22) questionnaire during the patients’ annual follow up, between February to April 2014. Thirtyseven patients who met the inclusion criteria were enrolled. Results: The mean pre-operative Cobb’s angles were 57.8o ± 12.7o and mean post-operative angle of 20.0o ± 10.4o, resulting in average correction of 65.9 ± 14.4%. Mean preoperative rib hump was 61.1 ± 15.4 mm with mean postoperative rib hump of 15.8 ± 17.8 mm, resulting in average reduction of 77.7 ± 23.7%. Mean of post-operative total SRS score was 4.1 ± 0.5. Using Spearman rank correlation, the percentage of Cobb’s angle correction versus the SRS-22 score showed correlation of 0.17 (P=0.33) while the percentage of rib hump reduction versus SRS-22 score showed a correlation of 0.11 (P=0.53). Conclusion: In this study, the average total SRS-22 score was 4.1 ± 0.5 (range, 3.1-4.9) post-operatively indicating very high satisfaction rate overall. Despite attempts at greater curve correction and rib hump reduction, there is no direct correlation between patient satisfaction and radiographic parameters.


Subject(s)
Scoliosis , Spinal Diseases
2.
Rev. venez. cir. ortop. traumatol ; 46(2)jul 2014. tab, ilus
Article in Spanish | LIVECS, LILACS | ID: biblio-1280956

ABSTRACT

OBJETIVO: Analizar los resultados clínicos y radiológicos obtenidos tras el tratamiento quirúrgico de la escoliosis idiopática del adolescente mediante artrodesis posterior con diversos sistemas. MATERIAL Y MÉTODOS: Estudio retrospectivo de 25 pacientes intervenidos entre Enero de 2005 y Julio de 2012; con una edad promedio de 15 años. Las curvas se clasificaron según los 6 tipos de Lenke. Se intervino a los sujetos mediante una artrodesis instrumentada posterior. Se realizó una evaluación clínica mediante el cuestionario SRS-22 (Scoliosis Research Society). Así mismo, se realizó una evaluación radiológica prequirúrgica, posquirúrgica inmediata y al final del seguimiento. (Mínimo 1 año, máximo 8 años) RESULTADOS: Mediante el cuestionario SRS-22 se obtuvieron las siguientes puntuaciones medias: 4,84 en dolor; 4,68 en actividad; 4,68 en autoimagen; 4,60 en salud mental, y 4,92 en satisfacción. La corrección radiológica media posquirúrgica en las curvas torácicas fue del 56,4% y en las curvas lumbares fue del 54,4%, con una pérdida media de 7% al 15% al final del seguimiento. CONCLUSIÓN: La instrumentación y fusión posterior es una técnica eficaz y segura, con bajo índice de pseudoartrosis. Los resultados fueron excelentes en cuanto a todos los dominios del cuestionario SRS-22, se encontró asociación estadísticamente significativa entre el género y el dolor, no se evidenció significancia estadística entre el tipo de curva, el grado de corrección, la puntuación del cuestionario SRS-22 y el tipo de implante utilizado(AU)


OBJECTIVE: To analyze the clinical and radiological results obtained after surgical treatment of adolescent idiopathic scoliosis by posterior fusion with various systems. MATERIAL AND METHODS: Retrospective study of 25 subjects who underwent surgery between January 2005 and July 2012, The curves were classified according to the 6 types of Lenke. Subjects were operated by posterior instrumented arthrodesis. Clinical evaluation was performed using the SRS-22 questionnaire (Scoliosis Research Society). Likewise, preoperative radiological evaluation, immediate postoperative and final follow-up. RESULTS: Using the SRS-22 questionnaire obtained the following average scores: 4.84 for pain, 4.68 for activity, 4.68 in self-image, mental health 4.60, and 4.92 in satisfaction. The average postoperative radiological correction in thoracic curves was 56.4% and lumbar curves was 54.4%, with an average loss of 7% to 15% at follow-up. CONCLUSION: The posterior instrumentation and fusion is a safe and effective technique with low rate of nonunion. The results were excellent in all domains of the SRS-22 questionnaire, statistically significant association was found between gender and pain, showed no statistical significance between the type of curve, the degree of correction, SRS questionnaire score-22 and the type of implant used(AU)


Subject(s)
Humans , Male , Female , Adolescent , Arthrodesis/instrumentation , Pseudarthrosis , Scoliosis/surgery , Surveys and Questionnaires , Pain , Therapeutics , Adolescent
3.
Archives of Plastic Surgery ; : 472-479, 2014.
Article in English | WPRIM | ID: wpr-25706

ABSTRACT

BACKGROUND: Speech problems are a common clinical feature of the 22q11.2 deletion syndrome. The objectives of this study were to inventory the speech history and current self-reported speech rating of adolescents and young adults, and examine the possible variables influencing the current speech ratings, including cleft palate, surgery, speech and language therapy, intelligence quotient, and age at assessment. METHODS: In this cross-sectional cohort study, 50 adolescents and young adults with the 22q11.2 deletion syndrome (ages, 12-26 years, 67% female) filled out questionnaires. A neuropsychologist administered an age-appropriate intelligence quotient test. The demographics, histories, and intelligence of patients with normal speech (speech rating=1) were compared to those of patients with different speech (speech rating>1). RESULTS: Of the 50 patients, a minority (26%) had a cleft palate, nearly half (46%) underwent a pharyngoplasty, and all (100%) had speech and language therapy. Poorer speech ratings were correlated with more years of speech and language therapy (Spearman's correlation= 0.418, P=0.004; 95% confidence interval, 0.145-0.632). Only 34% had normal speech ratings. The groups with normal and different speech were not significantly different with respect to the demographic variables; a history of cleft palate, surgery, or speech and language therapy; and the intelligence quotient. CONCLUSIONS: All adolescents and young adults with the 22q11.2 deletion syndrome had undergone speech and language therapy, and nearly half of them underwent pharyngoplasty. Only 34% attained normal speech ratings. Those with poorer speech ratings had speech and language therapy for more years.


Subject(s)
Adolescent , Humans , Young Adult , Cleft Palate , Cohort Studies , Demography , DiGeorge Syndrome , Intelligence , Language Therapy , Speech Therapy , Surveys and Questionnaires
4.
Malaysian Orthopaedic Journal ; : 56-59, 2009.
Article in English | WPRIM | ID: wpr-628339

ABSTRACT

Adolescent idiopathic scoliosis is a spinal deformity that affects patients self image and confidence. Surgery is offered when the curvature is greater than 50 degrees based on the likelihood of curvature progression. Outcome measures for scoliosis correction can be described in terms of radiological improvement or improvement of health related quality of life scores. The Scoliosis Research Society 22 (SRS 22) and Scoliosis Research Society 24 (SRS 24) questionnaires are widely accepted and used to characterize clinical results. Therefore, this prospective study of 38 patients aims to investigate how the SRS 24 and SRS 22 questionnaires compare to each other in terms of scoring when the same group of patients is evaluated. The SRS 22 questionnaire tends to give an inflated value in the overall score, pain and self image domain compared to the SRS 24 questionnaire.

5.
Orthopedic Journal of China ; (24)2006.
Article in Chinese | WPRIM | ID: wpr-546483

ABSTRACT

[Objective]To translate the SRS-22 Questionnaire from English edition into Chinese version for the use of Chinese adolescents with idiopathic scoliosis and to evaluate the metric qualities of this questionnair. [Method] Transcultural adaptation of the SRS-22 Questionnaire was carried out according to the International Quality of Life Assessment Project guide-lines,The final version was decided on by a committee of experts.The Questionnaire was completed by 86 adolescents(M=11,F=75) with idiopathic scoliosis.The patients were 10~18 years old(mean,13.9 years).Curve magnitude ranged from 25? to 45?(mean,35.6?).Out of them,30 patients repeated the questionnaire 3~4 weeks later.[Result]The overall alpha coefficient of the questionnaire was 0.88.Coefficients for individual domains were as follows:function/activity,0.70;pain,0.80;self-image,0.80;mental health,0.88;and satisfaction,0.81.The questionnaire as a whole had a test-retest correlation coefficient of 0.97.Test-retest correlation coefficients for individual domains were as follows:function,0.85;pain,0.96;self-image,0.96;mental health,0.95;and satisfaction,0.91.Six common factors were acquired from factor analysis,and the cumulative contribution rate was 72.29%. [Conclusion] The Chinese version of the SRS-22 Questionnaire has eligible reliability and validity.It can be used to measure health-related quality of life of adolescents with idiopathic scoliosis in China.

6.
Journal of the Korean Academy of Rehabilitation Medicine ; : 259-264, 2004.
Article in Korean | WPRIM | ID: wpr-723195

ABSTRACT

OBJECTIVE: To determine the relation of Radiographic Scoring System and Scoliosis Research Society-22 (SRS-22), a revised form of health-related quality-of-life (HRQL) questionnaire in idiopathic adolescent scoliosis patients. METHOD: A patient group was made up of 41 adolescents who were diagnosed as idiopathic scoliosis. A control group of 17 persons with Cobb's angle <10degrees was established. To evaluate psychosocial condition, SRS-22 was used to collect the data on both patient and control group. Roentgenographic study was conducted to obtain the Radiographic Deformity Score and evaluate the curve pattern. RESULTS: Pain, self image/appearance, mental health and total score of SRS domains were found to be significantly different between patient and control group (p<0.05). Radiog raphic Deformity Score was positively correlated with pain and self image of SRS domains (p<0.05). However, the pattern of curve was found to be not correlated with SRS score. CONCLUSION: We could evaluate a psychologic condition of idiopathic adolescent scoliosis using Scoliosis Research Society-22 (SRS-22) health-related quality-of-life (HRQL) questionnaire. The more severe spinal deformity, it had the more negative influence on psychologic conditions in idiopathic adolescent scoliosis patients. Therefore, the clinician who is managing idiopathic adolescent scoliosis patients should consider their psychosocial conditions.


Subject(s)
Adolescent , Humans , Congenital Abnormalities , Mental Health , Surveys and Questionnaires , Scoliosis
7.
Medical Journal of Chinese People's Liberation Army ; (12)1983.
Article in Chinese | WPRIM | ID: wpr-567500

ABSTRACT

Objective To evaluate the validity and reliability of simplified Chinese version Scoliosis Research Society-22 (SRS-22) questionnaire on assessment of life quality of adolescent idiopathic scoliosis (AIS) patients at different time points pre-and post-operation. Methods Translation and cross-cultural adaptation of the English version of SRS-22 questionnaire was done. 177 AIS patients were involved in present study and the life quality before and 6-and 12-months after operation was assessed by SRA-22 and Short Form-36 (SF-36) questionnaire, of them 145 cases (26 males and 119 females; 11.1-17.9 years old, averaged 15.8; Cobb angle 41?-109?, averaged 63?) completed all the 3 steps. To evaluate the reproducibility, 65 patients were assessed twice in an interval time of 4-6 days (averaged 4.6 days) before operation and 55 valid questionnaires were received, 65 patients were assessed twice in an interval time of 7-21 days (averaged 14.7 days) at 12 months following up and 57 valid questionnaires were received. The two measures of reliability as internal consistency and reproducibility were determined by Cronbach's ? coefficients and intraclass correlation coefficient (ICC), respectively. Concurrent validity was measured by comparing with SF-36 questionnaire. Measurement was made using the Pearson correlation coefficient (r). Results The Chinese version SRS-22 questionnaire had a satisfactory validity and reliability, with average Cronbach's ? coefficients of 0.79-0.85 and average ICC of 0.77-0.87. Considering concurrent validity, 2 domains had excellent correlation (r=0.75-1.00), while 12 had moderate correlation (r=0.50-0.75). The function/activity (SRS-22) and role-physical or physical functioning (SF-36), pain (SRS-22) and pain index (SF-36), mental health (SRS-22) and mental health (SF-36) had good correlation (r=0.70-1.00). For the 145 patients, there were some differences in 5 various domains between the three measurements (pre-operation and 6 and 12 months post-operation). The scores of all domains 12 months after operation increased significantly than those of pre-operation and 6 months post-operation (P

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