Changes in Health-Related Quality of Life (HRQOL) of a Specific Group of Adolescent Idiopathic Scoliosis (AIS) Patients Who Came Across Both Bracing and Surgery

Background/Purpose of the Study Changes in health-related quality of life (HRQOL) of AIS patients coming across both bracing and surgery have not yet reported. These patients received two major clinical interventions and their HRQOL might be different from previous articles. The aim of this study is to evaluate the changes of HRQOL of a specific group of AIS patients who experienced both bracing and surgery. Methods One hundred and twenty-eight patients requiring surgery with prior bracing treatment were identified from the electronic record. SRS-22 questionnaire was completed at 7 time points crossing both interventions (namely "Before", "Bracing <= 1 year", "Bracing > 1 year", "Pre-op", "Post-op", "Post-op <= 1 year, and "Post-op 1-2 years"). Results SRS-22 "Function", "Pain" and "Self-image" scores were decreased from "Before" to "Bracing <= 1 year" when started bracing and raised at "Bracing > 1 year". The 3 scores were dropped from "Bracing > 1 year" to "Pre-op", particularly on "Self-image". "Function" and "Pain" were significantly dropped from "Pre-op" to "Post-op" and kept raising until "Post-op 1-2 years". "Self-image" was improving after "Pre-op". "Mental" was relatively stable along the timeline. Conclusion This study described the changes in HRQOL of a specific group of AIS patients. Scores were dropped after the two major clinical interventions and recovered afterwards. Medical professionals were able to plan and provide appropriate supports on the expected changes in HRQOL, especially on function, pain and mental.