EVALUATION OF PROGNOSTIC FACTORS IN QUALITY OF LIFE OF PATIENTS WITH ADOLESCENT IDIOPATHIC SCOLIOSIS UNDERGOING SPINAL FUSION BY THE POSTERIOR APPROACH

AVALIAÇÃO DE FATORES PROGNÓSTICOS NA QUALIDADE DE VIDA DE PACIENTES COM ESCOLIOSE IDIOPÁTICA DO ADOLESCENTE SUBMETIDOS À ARTRODESE DA COLUNA POR VIA POSTERIOR

EVALUACIÓN DE FACTORES PRONÓSTICOS EN LA CALIDAD DE VIDA DE LOS PACIENTES CON ESCOLIOSIS IDIOPÁTICA DEL ADOLESCENTE SOMETIDOS A LA ARTRODESIS ESPINAL POR VÍA POSTERIOR

ABSTRACT

Objective:

To evaluate the prognostic factors in the treatment of patients diagnosed with adolescent idiopathic scoliosis undergoing spinal fusion by the posterior approach.

Methods:

The study included 48 patients with idiopathic adolescent scoliosis (43 females and 5 males) who underwent spinal fusion by the posterior approach, with an average age at diagnosis of 12 years, and clinical signs of Risser between 3 and 4 at the time of surgery. Clinical and radiographic measurements were performed, the participants answered the SRS-30 questionnaire, and the analysis of the medical record data was performed in two occasions during the preoperative period and at the end of two years of follow-up.

Results:

All satisfaction measures showed statistically significant change after the procedure (p<0.05) with respect to the radiographic characteristics, except for the lumbar apical vertebral translation (p=0.540) and Cobb L1-L5 (p=0.225).

Conclusion:

In general, it was found that patients who received surgical treatment were more satisfied with their appearance than those who underwent conservative treatment.

Descritores:
Scoliosis; Arthrodesis; Quality of life