Health-related quality of life in early onset scoliosis patients treated with the spring distraction system: what to expect in the first 2 years after surgery

被引:4
作者
Lemans, Justin V. C. [1 ]
Top, Anouk [1 ]
Tabeling, Casper S. [1 ]
Scholten, E. Pauline [1 ]
Stempels, Hilde W. [1 ]
Schlosser, Tom P. C. [1 ]
Castelein, Rene M. [1 ]
Kruyt, Moyo C. [1 ,2 ]
机构
[1] Univ Med Ctr Utrecht, Dept Orthopaed Surg, POB 85500, NL-3508 GA Utrecht, Netherlands
[2] Univ Twente, Dept Dev BioEngn, Enschede, Netherlands
关键词
Spring distraction system; Growing rods; Growth-friendly; Early-onset scoliosis; Quality of life; EOSQ-24; FOLLOW-UP; RELIABILITY; VALIDITY; VERSION; ETIOLOGY;
D O I
10.1007/s43390-023-00777-9
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
PurposeThe Spring Distraction System (SDS) is a novel "growth-friendly" implant for the treatment of Early-Onset Scoliosis (EOS). This prospective study aims to determine the evolution of the "24-Item Early-Onset Scoliosis Questionnaire" (EOSQ-24) scores during 2-year follow-up after SDS surgery. Secondary aims include investigating the relation between EOSQ-24 scores and EOS etiology, and evaluating the impact of an unplanned return to the operating room (UPROR) on HRQoL.MethodsAll SDS patients with at least 2-year follow-up were included. Caregivers completed the EOSQ-24 pre-operatively, post-operatively, and at 6, 12, and 24 month follow-up. Mean total and -domain scores were graphed over time. Repeated-measures ANOVA analyzed the influence of etiology on EOSQ-24 scores. Multiple regression analyzed associations between UPRORs and EOSQ-24 scores.ResultsForty-nine patients were included. Mean total EOSQ-24 scores decreased from 70 pre-operatively to 66 post-operatively, then gradually increased to 75 (24 months). Most domains exhibited changes over time, with initial declines, but eventually surpassing pre-operative levels after 2-year follow-up. Neuromuscular/Syndromic patients had lower scores, but showed similar improvements over time compared with other etiologies. Multiple regression showed lower Parental Burden domain score (- 14 points) in patients with UPRORs, although no significant reductions were found in total score, or in other domains.ConclusionHRQoL decreases immediately following SDS surgery but quickly recovers and exceeds pre-operative levels at 2-year follow-up in all domains. Neuromuscular/Syndromic patients have lower initial scores, but progress similarly over time. UPRORs do not influence EOSQ-24 scores, except for a negative impact on the Parental Burden domain in the short term.Level of EvidenceIII.
引用
收藏
页码:489 / 499
页数:11
相关论文
共 23 条
  • [1] Complications of Growing-Rod Treatment for Early-Onset Scoliosis Analysis of One Hundred and Forty Patients
    Bess, Shay
    Akbarnia, Behrooz A.
    Thompson, George H.
    Sponseller, Paul D.
    Shah, Suken A.
    El Sebaie, Hazem
    Boachie-Adjei, Oheneba
    Karlin, Lawrence I.
    Canale, Sarah
    Poe-Kochert, Connie
    Skaggs, David L.
    [J]. JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2010, 92A (15) : 2533 - 2543
  • [2] Understanding the minimum clinically important difference: a review of concepts and methods
    Copay, Anne G.
    Subach, Brian R.
    Glassman, Steven D.
    Polly, David W., Jr.
    Schuler, Thomas C.
    [J]. SPINE JOURNAL, 2007, 7 (05) : 541 - 546
  • [3] Reliability and Validity of the Adapted Spanish Version of the Early-onset Scoliosis-24 Questionnaire
    del Mar Pozo-Balado, Maria
    Matsumoto, Hiroko
    Vitale, Michael G.
    Manuel Praena-Fernandez, Juan
    Farrington, David M.
    [J]. SPINE, 2016, 41 (10) : E625 - E631
  • [4] Demirkiran HG, 2015, J PEDIATR ORTHOPED, V35, P804, DOI 10.1097/BPO.0000000000000378
  • [5] Health-Related Quality of Life in Early-Onset Scoliosis Patients Treated Surgically EOSQ Scores in Traditional Growing Rod Versus Magnetically Controlled Growing Rods
    Doany, Michael E.
    Olgun, Z. Deniz
    Kinikli, Gizem Irem
    Bekmez, Senol
    Kocyigit, Aykut
    Demirkiran, Gokhan
    Karaagaoglu, A. Ergun
    Yazici, Muharrem
    [J]. SPINE, 2018, 43 (02) : 148 - 153
  • [6] Passive imputation and parcel summaries are both valid to handle missing items in studies with many multi-item scales
    Eekhout, Iris
    de Vet, Henrica C. W.
    de Boer, Michiel R.
    Twisk, Jos W. R.
    Heymans, Martijn W.
    [J]. STATISTICAL METHODS IN MEDICAL RESEARCH, 2018, 27 (04) : 1128 - 1140
  • [7] Missing data in a multi-item instrument were best handled by multiple imputation at the item score level
    Eekhout, Iris
    de Vet, Henrica C. W.
    Twisk, Jos W. R.
    Brand, Jaap P. L.
    de Boer, Michiel R.
    Heymans, Martijn W.
    [J]. JOURNAL OF CLINICAL EPIDEMIOLOGY, 2014, 67 (03) : 335 - 342
  • [8] Health-related quality of life in early-onset-scoliosis patients treated with growth-friendly implants is influenced by etiology, complication rate and ambulatory ability
    Hell, Anna K.
    Braunschweig, Lena
    Behrend, Jennifer
    Lorenz, Heiko M.
    Tsaknakis, Konstantinos
    von Deimling, Urs
    Mladenov, Kiril
    [J]. BMC MUSCULOSKELETAL DISORDERS, 2019, 20 (01)
  • [9] Identifying complications and failure modes of innovative growing rod configurations using the (hybrid) magnetically controlled growing rod (MCGR) and the spring distraction system (SDS)
    Lemans, Justin V. C.
    Tabeling, Casper S.
    Castelein, Rene M.
    Kruyt, Moyo C.
    [J]. SPINE DEFORMITY, 2021, 9 (06) : 1679 - 1689
  • [10] Spring distraction system for dynamic growth guidance of early onset scoliosis: two-year prospective follow-up of 24 patients
    Lemans, Justin V. C.
    Wijdicks, Sebastiaan P. J.
    Castelein, Rene M.
    Kruyt, Moyo C.
    [J]. SPINE JOURNAL, 2021, 21 (04) : 671 - 681