Health-related quality of life after posterior vertebral column resection in children: comparison with healthy controls.

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Syvänen , J , Helenius , L , Raitio , A , Gerdhem , P , Diarbakerli , E & Helenius , I 2021 , ' Health-related quality of life after posterior vertebral column resection in children: comparison with healthy controls. ' , European Journal of Orthopaedic Surgery & Traumatology , vol. 2021 , e12014 . https://doi.org/10.1007/s00590-021-03064-3

Title: Health-related quality of life after posterior vertebral column resection in children: comparison with healthy controls.
Author: Syvänen, Johanna; Helenius, Linda; Raitio, Arimatias; Gerdhem, Paul; Diarbakerli, Elias; Helenius, Ilkka
Contributor organization: Department of Surgery
I kirurgian klinikka (Töölö)
HUS Musculoskeletal and Plastic Surgery
University of Helsinki
Helsinki University Hospital Area
Date: 2021-06-24
Language: eng
Number of pages: 9
Belongs to series: European Journal of Orthopaedic Surgery & Traumatology
ISSN: 1633-8065
DOI: https://doi.org/10.1007/s00590-021-03064-3
URI: http://hdl.handle.net/10138/340482
Abstract: Purpose Vertebral column resection (VCR) is a technique performed for short, angular spinal deformities. Several studies have reported good radiographic results with VCR regarding curve correction. However, only a few studies have reported the impact of this technique on the health-related quality-of-life measures (HRQoL). Methods A single surgeon series of 27 consecutive children (mean age at surgery 12.3 years, range 1.1-20.7 years) undergoing posterior VCR with a minimum of 2-year follow-up. The comparison was made to age- and gender-matched healthy controls. Outcome measures included Scoliosis Research Society (SRS) questionnaire both pre- and postoperatively, radiographic outcomes, and complications. Results The average major curve correction was 60.3% in the VCR patients. Complications were noted in 12 out of 27 (44%) of the VCR patients but all patients recovered fully during follow-up. The SRS pain domain scores improved significantly after VCR (p = 0.0002). The SRS total and domain scores were significantly lower than in the healthy controls especially in the self-image and function domains, but the pain and activity domains improved from preoperative to similar level than in the control group. Conclusions HRQoL showed significant improvement in pain scores despite 44% risk of transient complications after VCR in pediatric patients. This health-related quality-of-life improvement remained at a significantly lower level than in the healthy control group.
Subject: 3126 Surgery, anesthesiology, intensive care, radiology
Vertebral column resection
Scoliosis
Kyphosis
Health-related quality of life
SPINAL DEFORMITY
NATURAL-HISTORY
SCOLIOSIS
MULTICENTER
QUESTIONNAIRE
KYPHOSIS
OUTCOMES
SURGERY
Peer reviewed: Yes
Usage restriction: openAccess
Self-archived version: acceptedVersion


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