Health-Related Quality of Life in Nonoperated Patients With Adolescent Idiopathic Scoliosis in the Middle Years: A Mean 25-Year Follow-up Study

Study Design. A retrospective long-term follow-up study. Objective. To investigate the health-related quality of life (HRQOL) status in middle-aged patients with adolescent idiopathic scoliosis (AIS) treated non-surgically. Summary of Background Data. The HRQOL status using various established questionnaires for non-operated AIS patients has not been fully investigated in long-term follow-up surveys. Methods. Inclusion criteria were non-surgical treatment for AIS, more than or equl to 30° major scoliosis at skeletal maturity (Risser grade ≥4), and age more than or equl to 30 years at the time of the survey. A total of 107 AIS patients were included and divided into three groups (single main thoracic [MT] curve group; n = 50, single thoracolumbar/lumbar [TL/L] curve group; n = 19, and double-major [DM] curve group; n = 38) based on curve location at skeletal maturity. Age- and sex-matched volunteers were selected as the control group. Results. There were no significant differences in age at survey, body mass index, bone mineral density of the femoral neck, and skeletal muscle mass index among the groups. In all groups, major scoliosis progressed by approximately 0.5°/yr from the time of skeletal maturity to the survey. The thoracolumbar (TL/L) and double-major (DM) groups showed significantly worse visual analog scale scores for low back pain compared with the main thoracice (MT) group (P 
Source: Spine - Category: Orthopaedics Tags: DEFORMITY Source Type: research

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CONCLUSIONS: RhTSG-6 can attenuate ECM degradation and apoptosis in IL-1β-induced NP cells by inhibiting the p38, JNK and ERK pathways, which may contribute to its potential application in the therapy of IDD. PMID: 32936927 [PubMed - as supplied by publisher]
Source: Folia Histochemica et Cytobiologica - Category: Cytology Tags: Folia Histochem Cytobiol Source Type: research
Physical therapy (PT) exercise is an evidence-based intervention for non-specific chronic low back pain, spinal deformities and poor posture. Home based PT programs are aimed at strengthening core muscle groups, improving mobility and flexibility, and promoting proper posture. However, assessing unsupervised home-based PT outcomes is a generally difficult problem due to lack of reliable methods to monitor execution correctness and compliance. We propose a monitoring method consisting of a wearable sensor array to monitor three geodesic distances between two points on the surface of the shoulders and one point on the l...
Source: IEEE Transactions on Biomedical Engineering - Category: Biomedical Engineering Source Type: research
Considerable confusion exists as to the incidence and severity of low back problems in patients with adolescent idiopathic scoliosis fused to the lower lumbar spine.
Source: The Spine Journal - Category: Orthopaedics Authors: Tags: Thursday, October 8, 2020 7:25 – 8:25 Multidisciplinary Abstract Presentations: Session 1 Source Type: research
CONCLUSION: We recommend using the combination of 3D Slicer and Sina to assist surgeons in handling accurate 3D information of GISS while simultaneously simulating the surgery. PMID: 32777234 [PubMed - as supplied by publisher]
Source: Neuro-Chirurgie - Category: Neurosurgery Authors: Tags: Neurochirurgie Source Type: research
Conclusions: Although one-third of subjects experienced decrease of LBP after TKAs, the sagittal global imbalance was not restored through the removal of knee flexion contracture. PMID: 32693445 [PubMed - as supplied by publisher]
Source: Asian Spine Journal - Category: Orthopaedics Tags: Asian Spine J Source Type: research
Effectiveness of Short-Segment Fixation versus Long-Segment Fixation for Degenerative Scoliosis with Cobb Angle 20°~40°: A Retrospective Observational Study. Med Sci Monit. 2020 Jul 22;26:e923656 Authors: Li Y, Ou Y, Zhu Y, He B, Xu S, Yu H Abstract BACKGROUND There remains a great deal of controversy regarding the selection of long-segment fixation and short-segment fixation, especially for degenerative scoliosis (DS) patients with Cobb angle 20°~40°. The purpose of this study was to investigate the effects of different fixation levels in DS patients with Cobb angle 20°~40°. MA...
Source: Medical Science Monitor - Category: Research Tags: Med Sci Monit Source Type: research
Spinal cord stimulation has been demonstrated as a therapeutic option for patients with persistent lumbar radicular pain secondary to failed back surgery syndrome. This case report demonstrates a successful percutaneous spinal cord stimulator (SCS) trial followed by surgical placement of a permanent SCS to treat lumbar radicular pain and axial low back pain in a patient with severe thoracolumbar scoliosis status after laminectomy and spinal fusion surgery. Currently, there is a paucity of literature on this topic.
Source: A&A Case Reports - Category: Anesthesiology Tags: Case Report Source Type: research
Abstract Back pain is a relatively common presenting symptom in children and adolescents. Typical causes include muscle strain or spasm, spinal deformities (e.g., Scheuermann kyphosis, adolescent idiopathic scoliosis), spondylolysis, bulging or herniated intervertebral disks, apophysitis of the iliac crest, and functional pain syndromes such as fibromyalgia. Spondyloarthropathies such as ankylosing spondylitis may present with low back pain and stiffness, which are often worse in the morning. Less common but more serious causes include malignancy and infections. The physical examination should include postural ins...
Source: American Family Physician - Category: Primary Care Authors: Tags: Am Fam Physician Source Type: research
Conclusions: Individuals over 50 years of age with severe knee osteoarthritis had poor lumbo-pelvic sagittal alignment. Moreover, the progression severity of knee osteoarthritis had more impact onstronger relationship with lumbo-pelvic malalignment and disability-related low back pain in women than in men. PMID: 32521946 [PubMed - as supplied by publisher]
Source: Asian Spine Journal - Category: Orthopaedics Tags: Asian Spine J Source Type: research
AbstractPurposeTo define the relationship between 3D radiological features, psychological factors, and back pain prevalence and intensity in patients with adolescent idiopathic scoliosis (AIS).MethodsConsecutive AIS patients answered self-reported questionnaires and underwent simultaneous posterior –anterior and lateral scans of the spine (EOS Imaging, Paris, France). 3D reconstructions of the spine and pelvis reported 18 parameters in the coronal, sagittal, and axial plane.ResultsHundred and twenty-four patients with AIS were included in the study. Overall, 90% of AIS patients reported having some back pain over the...
Source: European Spine Journal - Category: Orthopaedics Source Type: research
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