Comparing health-related quality of life and burden of care between early-onset scoliosis patients treated with magnetically controlled growing rods and traditional growing rods: a multicenter study

被引：21

作者：

Matsumoto, Hiroko ^{[1
]}

Skaggs, David L. ^{[2
]}

Akbarnia, Behrooz A. ^{[3
]}

Pawelek, Jeff B. ^{[3
]}

St Hilaire, Tricia ^{[4
]}

Levine, Sonya ^{[1
]}

Sturm, Peter ^{[5
]}

Perez-Grueso, Francisco Javier Sanchez ^{[6
]}

Luhmann, Scott J. ^{[7
]}

Sponseller, Paul D. ^{[8
]}

Smith, John T. ^{[9
]}

White, Klane K. ^{[10
]}

Vitale, Michael G. ^{[1
]}

机构：

[1] Columbia Univ, Med Ctr, New York, NY USA

[2] Childrens Hosp Los Angeles, Childrens Orthoped Ctr, 4650 Sunset Blvd,MS 69, Los Angeles, MS USA

[3] San Diego Spine Fdn, San Diego, CA USA

[4] Childrens Spine Fdn, Valley Forge, PA USA

[5] Cincinnati Childrens Hosp Med Ctr, Cincinnati, OH 45229 USA

[6] Hosp Univ La Paz, Madrid, Spain

[7] Washington Univ, St Louis, MO 63110 USA

[8] Johns Hopkins Univ, Baltimore, MD USA

[9] Primary Childrens Med Ctr, Salt Lake City, UT USA

[10] Seattle Childrens Hosp, Seattle, WA USA

来源：

SPINE DEFORMITY | 2021年 / 9卷 / 01期

关键词：

Early-onset scoliosis; Magnetically controlled growing rods; Traditional growing rods; Health-related quality of life; CHILDREN; ANESTHESIA; SURGERY;

D O I：

10.1007/s43390-020-00173-7

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Study designMulticenter retrospective cohort study.ObjectivesTo compare pre-operative and post-operative EOSQ-24 scores in magnetically controlled growing rods (MCGR) and traditional growing rod (TGR) patients.Summary of background dataSince the introduction of MCGR, early-onset scoliosis patients have been afforded a reduction in the number of surgeries compared to the TGR technique. However, little is known about (health-related quality of life) and burden of care outcomes between these surgical techniques.MethodsThis is a retrospective cohort study using a multicenter registry on patients with EOS undergoing MCGR or TGR between 2008 and 2017. The EOSQ-24 was administered at preoperative and postoperative 2-year assessments. The EOSQ-24 scores were compared between MCGR and TGR as well as preoperatively and postoperatively within each procedure.Results110 patients were analyzed in this study (TGR, N=32; MCGR, N=78). There were no significant differences in preoperative age, gender, etiology, main coronal curve or maximum kyphosis between TGR and MCGR groups. Patients with TGR had averaged 3.9 surgical lengthenings and MCGR had averaged 7.7 non-invasive lengthenings by the 2-year follow-up. When changes in preoperative to postoperative scores were compared, MCGR had more improvements in pain, emotion, child satisfaction and parent satisfaction than TGR although there were no statistical significance. When analyzed separately, MCGR cohort had improvement in scores for all four domains and four sub-domains; while, TGR cohort only had improvement in financial burden domain and pulmonary function sub-domain.ConclusionAlthough there was no statistical significance, the improvement in pain, emotion and satisfaction scores was larger in MCGR than TGR. Since these areas can be influenced more by mental well-being than other sub-domains, the results may prove our hypothesis that compared to TGR, MCGR with reduced number of surgeries have better psychosocial effects.Level of evidenceIII.

引用

页码：239 / 245

页数：7

共 11 条

[11] Growing rod techniques in early-onset scoliosis [J].

Thompson, George H. ;

Akbarnia, Behrooz A. ;

Campbell, Robert M., Jr. .

JOURNAL OF PEDIATRIC ORTHOPAEDICS, 2007, 27 (03) :354-361

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