The long-term outcome of patients treated operatively and non-operatively for scoliosis deformity secondary to spina bifida
2014
The purpose of this study was to evaluate the
long-term outcome of adults with spina bifida cystica (SBC) who
had been treated either operatively or non-operatively for scoliosis
during childhood. We reviewed 45 patients with a SBC scoliosis (Cobb angle ≥ 50o)
who had been treated at one of two children’s hospitals between
1991 and 2007. Of these, 34 (75.6%) had been treated operatively
and 11 (24.4%) non-operatively. After a mean follow-up of 14.1 years
(standard deviation (sd) 4.3) clinical, radiological and
health-related quality of life (HRQOL) outcomes were evaluated using
the Spina Bifida Spine Questionnaire (SBSQ) and the 36-Item Short Form
Health Survey (SF-36). Although patients in the two groups were demographically similar,
those who had undergone surgery had a larger mean Cobb angle (88.0o
(sd 20.5; 50.0 to 122.0) ; versus 65.7o
(sd 22.0; 51.0 to 115.0); p < 0.01) and a larger mean clavicle–rib
intersection difference (12.3 mm; (sd 8.5; 1 to 37); versus 4.1
mm, (sd 5.9; 0 to 16); p = 0.01) than those treated non-operatively.
Both groups were statistically similar at follow-up with respect
to walking capacity, neurological motor level, sitting balance and
health-related quality of life (HRQOL) outcomes. Spinal fusion in SBC scoliosis corrects coronal deformity and
stops progression of the curve but has no clear effect on HRQOL. Cite this article: Bone Joint J 2014; 96-B:1244–51
Keywords:
- Correction
- Source
- Cite
- Save
- Machine Reading By IdeaReader
50
References
9
Citations
NaN
KQI