Is quality of life after surgery for adolescent idiopathic scoliosis affected by the presence of a concomitant low-grade isthmic spondylolisthesis non-surgically treated? A retrospective cohort study,European Spine Journal

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Is quality of life after surgery for adolescent idiopathic scoliosis affected by the presence of a concomitant low-grade isthmic spondylolisthesis non-surgically treated? A retrospective cohort study
European Spine Journal ( IF 2.6 ) Pub Date : 2022-08-22 , DOI: 10.1007/s00586-022-07281-0
Matias Pereira Duarte _{1,

2} , Julie Joncas ₂ , Stefan Parent _{1,

2} , Hubert Labelle _{1,

2} , Soraya Barchi ₂ , Jean-Marc Mac-Thiong _{1,

2}

Affiliation

Purpose

The HRQoL after surgery for adolescent idiopathic scoliosis (AIS) is not affected by the presence of concomitant isthmic spondylolisthesis non-surgically treated. Improvement in QoL after surgery was similar for AIS patients with and without concomitant spondylolisthesis. The purpose is to compare preoperative and postoperative Health-Related Quality of Life (HRQoL) scores in operated AIS patients with and without concomitant isthmic spondylolisthesis.

Methods

A retrospective study of a prospective cohort of 464 individuals undergoing AIS surgery between 2008 and 2018 was performed. All patients undergoing surgery for AIS with a minimum 2-year follow-up were included. We excluded patients with prior or concomitant surgery for spondylolisthesis. HRQoL scores were measured using the SRS-22 questionnaire. Comparisons were performed between AIS patients with versus without concomitant spondylolisthesis treated non-surgically.

Results

AIS surgery was performed for 36 patients (15.2 ± 2.5 y.o) with concomitant isthmic spondylolisthesis, and 428 patients (15.5 ± 2.4 y.o) without concomitant spondylolisthesis. The two groups were similar in terms of age, sex, preoperative and postoperative Cobb angles. Preoperative and postoperative HRQoL scores were similar between the two groups. HRQoL improved significantly for all domains in both groups, except for pain in patients with spondylolisthesis. There was no need for surgical treatment of the spondylolisthesis and no slip progression during the follow-up duration after AIS surgery.

Conclusion

Patients undergoing surgical treatment of AIS with non-surgical management of a concomitant isthmic grade I spondylolisthesis can expect improvement in HRQoL scores, similar to that observed in patients without concomitant spondylolisthesis.

中文翻译：

青少年特发性脊柱侧弯手术后的生活质量是否会因伴随的低度峡部峡部滑脱非手术治疗而受到影响？一项回顾性队列研究

目的

青少年特发性脊柱侧凸 (AIS) 手术后的 HRQoL 不受伴随的非手术治疗的峡部滑脱的影响。伴有和不伴有脊椎滑脱的 AIS 患者术后 QoL 的改善相似。目的是比较伴有和不伴有峡部滑脱的 AIS 手术患者的术前和术后健康相关生活质量 (HRQoL) 评分。

方法

对 2008 年至 2018 年期间接受 AIS 手术的 464 名患者的前瞻性队列进行了回顾性研究。所有接受 AIS 手术且至少随访 2 年的患者均被纳入。我们排除了既往或同时接受过脊椎滑脱手术的患者。使用 SRS-22 问卷测量 HRQoL 分数。比较了非手术治疗伴有和不伴有脊椎滑脱的 AIS 患者。

结果

对 36 名伴有峡部滑脱的患者（15.2 ± 2.5 岁）和 428 名不伴有脊椎滑脱的患者（15.5 ± 2.4 岁）进行了 AIS 手术。两组在年龄、性别、术前和术后 Cobb 角方面相似。两组的术前和术后 HRQoL 评分相似。两组的所有领域的 HRQoL 都有显着改善，但脊椎滑脱患者的疼痛除外。在 AIS 手术后的随访期间，没有必要对脊椎滑脱进行手术治疗，也没有滑移进展。