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

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dc.contributor.author Syvänen, Johanna
dc.contributor.author Helenius, Linda
dc.contributor.author Raitio, Arimatias
dc.contributor.author Gerdhem, Paul
dc.contributor.author Diarbakerli, Elias
dc.contributor.author Helenius, Ilkka
dc.date.accessioned 2022-02-16T16:56:01Z
dc.date.available 2022-02-16T16:56:01Z
dc.date.issued 2021-06-24
dc.identifier.citation 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
dc.identifier.other PURE: 165505102
dc.identifier.other PURE UUID: e19d440b-0b1e-45bb-9896-2fa175d83ab2
dc.identifier.other WOS: 000667326000002
dc.identifier.other ORCID: /0000-0001-5200-3279/work/108463234
dc.identifier.uri http://hdl.handle.net/10138/340482
dc.description.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. en
dc.format.extent 9
dc.language.iso eng
dc.relation.ispartof European Journal of Orthopaedic Surgery & Traumatology
dc.rights.uri info:eu-repo/semantics/openAccess
dc.subject 3126 Surgery, anesthesiology, intensive care, radiology
dc.subject Vertebral column resection
dc.subject Scoliosis
dc.subject Kyphosis
dc.subject Health-related quality of life
dc.subject SPINAL DEFORMITY
dc.subject NATURAL-HISTORY
dc.subject SCOLIOSIS
dc.subject MULTICENTER
dc.subject QUESTIONNAIRE
dc.subject KYPHOSIS
dc.subject OUTCOMES
dc.subject SURGERY
dc.title Health-related quality of life after posterior vertebral column resection in children: comparison with healthy controls. en
dc.type Article
dc.contributor.organization Department of Surgery
dc.contributor.organization I kirurgian klinikka (Töölö)
dc.contributor.organization HUS Musculoskeletal and Plastic Surgery
dc.contributor.organization University of Helsinki
dc.contributor.organization Helsinki University Hospital Area
dc.description.reviewstatus Peer reviewed
dc.relation.doi https://doi.org/10.1007/s00590-021-03064-3
dc.relation.issn 1633-8065
dc.rights.accesslevel openAccess
dc.type.version acceptedVersion

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