What is the effect of surgery on the quality of life of the adolescent with adolescent idiopathic scoliosis? A review and statistical analysis of the literature.

摘要: Study design Review and statistical analysis of studies evaluating the effect surgery on health-related quality life adolescents with adolescent idiopathic scoliosis, using Scoliosis Research Society (SRS) outcomes. Objective Apply published minimum clinical important differences (MCID) values for SRS22r questionnaire to literature identify what areas are consistently affected by whether changes clinically meaningful. Summary background data The interpretation SRS outcomes has been limited lack MCID domains. recent publication these allows importance any in be examined first time. Methods A search was undertaken locate suitable that were then analyzed. Statistically significant from baseline 2 years postoperatively ascertained narratively reporting analyses within included studies. When possible, assessed 95% confidence intervals change mean domain score. If lower bound exceeded domain, considered significant. Results numbers cohorts available different varied (5-16). Eighty-one percent 94% experienced statistically improvements pain self-image In terms significance, it only regularly improved more than MCID, doing so 4 5 (80%) compared 1 12 (8%) pain. No relevant occurred mental health or activity Conclusion Evidence suggests can lead improvement patient self-image. Surgeons patients should aware evidence domains other after surgery. Surgical decision-making will also influenced natural history scoliosis.