Instrumentation Constructs in Pediatric Patients Undergoing Deformity Correction Correlated With Scoliosis Research Society Scores
Data collected prospectively from the Prospective Pediatric Scoliosis Study (PPSS) were analyzed statistically to address the hypothesis that covered specific aspects of treatment and its outcome. To assess and contrast Scoliosis Research Society (SRS) outcome scores for patients assigned to one of...
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| Veröffentlicht in: | Spine (Philadelphia, Pa. 1976) Pa. 1976), 2011-09, Vol.36 (20), p.1692-1700 |
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| creator | LUBICKY, John P HANSON, Jean E RILEY, Elizabeth H |
| description | Data collected prospectively from the Prospective Pediatric Scoliosis Study (PPSS) were analyzed statistically to address the hypothesis that covered specific aspects of treatment and its outcome.
To assess and contrast Scoliosis Research Society (SRS) outcome scores for patients assigned to one of three types of spinal instrumentation constructs. The study hypothesis was that the instrumentation strategy that provides the best curve correction will be associated with the best SRS scores.
Surgical treatment of scoliosis has evolved over time using implants and surgical techniques; however, quality of life indicators have not typically been analyzed to assess whether surgery and instrumentation will improve quality of life in pediatric patients.
Patients were assigned to one of three instrumentation groups depending on the type of construct used. The Scoliosis Research Society's SRS-30 survey was used to measure patient outcomes comparing preoperative results to a 2-year follow-up.
Changes in the SRS Pain, Activity, Appearance, Mental, Satisfaction, and SRS Total domains did not differ significantly among instrumentation groups for any time intervals. However, analysis of SRS Pain did show a significant change over time for all instrumentation patterns. The analysis of SRS Activity showed a significant change over time for all instrumentation patterns preoperatively to 2 years postoperatively. Analysis of SRS Appearance showed a significant change over time for all groups but no difference between instrumentation groups. The analysis of SRS Mental based on instrumentation types showed a significant change over time, but only the pedicle screw group's change was statistically significant. Finally, analysis of SRS Satisfaction by instrumentation type showed a statistically significant change over time for all instrumentation patterns.
There were no statistically significant baseline differences among the three instrumentation construct groups based on mean scores for the six SRS domains. None of the SRS domains had differences among the instrumentation constructs in change scores or significant differences among the instrumentation constructs. |
| doi_str_mv | 10.1097/BRS.0b013e3182102c6a |
| format | Article |
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To assess and contrast Scoliosis Research Society (SRS) outcome scores for patients assigned to one of three types of spinal instrumentation constructs. The study hypothesis was that the instrumentation strategy that provides the best curve correction will be associated with the best SRS scores.
Surgical treatment of scoliosis has evolved over time using implants and surgical techniques; however, quality of life indicators have not typically been analyzed to assess whether surgery and instrumentation will improve quality of life in pediatric patients.
Patients were assigned to one of three instrumentation groups depending on the type of construct used. The Scoliosis Research Society's SRS-30 survey was used to measure patient outcomes comparing preoperative results to a 2-year follow-up.
Changes in the SRS Pain, Activity, Appearance, Mental, Satisfaction, and SRS Total domains did not differ significantly among instrumentation groups for any time intervals. However, analysis of SRS Pain did show a significant change over time for all instrumentation patterns. The analysis of SRS Activity showed a significant change over time for all instrumentation patterns preoperatively to 2 years postoperatively. Analysis of SRS Appearance showed a significant change over time for all groups but no difference between instrumentation groups. The analysis of SRS Mental based on instrumentation types showed a significant change over time, but only the pedicle screw group's change was statistically significant. Finally, analysis of SRS Satisfaction by instrumentation type showed a statistically significant change over time for all instrumentation patterns.
There were no statistically significant baseline differences among the three instrumentation construct groups based on mean scores for the six SRS domains. None of the SRS domains had differences among the instrumentation constructs in change scores or significant differences among the instrumentation constructs.</description><identifier>ISSN: 0362-2436</identifier><identifier>EISSN: 1528-1159</identifier><identifier>DOI: 10.1097/BRS.0b013e3182102c6a</identifier><identifier>PMID: 21897188</identifier><identifier>CODEN: SPINDD</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott Williams & Wilkins</publisher><subject>Adolescent ; Biological and medical sciences ; Cerebrospinal fluid. Meninges. Spinal cord ; Child ; Female ; Follow-Up Studies ; Humans ; Internal Fixators - adverse effects ; Internal Fixators - standards ; Male ; Medical sciences ; Multiple sclerosis and variants. Guillain barré syndrome and other inflammatory polyneuropathies. Leukoencephalitis ; Nervous system (semeiology, syndromes) ; Neurology ; Postoperative Complications - etiology ; Postoperative Complications - mortality ; Prospective Studies ; Prosthesis Implantation - methods ; Prosthesis Implantation - mortality ; Prosthesis Implantation - standards ; Quality of Life - psychology ; Radiography ; Scoliosis - diagnostic imaging ; Scoliosis - pathology ; Scoliosis - surgery ; Spinal Fusion - instrumentation ; Spinal Fusion - methods ; Spinal Fusion - mortality ; Treatment Outcome</subject><ispartof>Spine (Philadelphia, Pa. 1976), 2011-09, Vol.36 (20), p.1692-1700</ispartof><rights>2015 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c365t-a123afc3b4fd7d75726bf01f18a434752aea468a549d88e62c5c03e2ecfeeabc3</citedby><cites>FETCH-LOGICAL-c365t-a123afc3b4fd7d75726bf01f18a434752aea468a549d88e62c5c03e2ecfeeabc3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=24522997$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21897188$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>LUBICKY, John P</creatorcontrib><creatorcontrib>HANSON, Jean E</creatorcontrib><creatorcontrib>RILEY, Elizabeth H</creatorcontrib><creatorcontrib>Spinal Deformity Study Group</creatorcontrib><title>Instrumentation Constructs in Pediatric Patients Undergoing Deformity Correction Correlated With Scoliosis Research Society Scores</title><title>Spine (Philadelphia, Pa. 1976)</title><addtitle>Spine (Phila Pa 1976)</addtitle><description>Data collected prospectively from the Prospective Pediatric Scoliosis Study (PPSS) were analyzed statistically to address the hypothesis that covered specific aspects of treatment and its outcome.
To assess and contrast Scoliosis Research Society (SRS) outcome scores for patients assigned to one of three types of spinal instrumentation constructs. The study hypothesis was that the instrumentation strategy that provides the best curve correction will be associated with the best SRS scores.
Surgical treatment of scoliosis has evolved over time using implants and surgical techniques; however, quality of life indicators have not typically been analyzed to assess whether surgery and instrumentation will improve quality of life in pediatric patients.
Patients were assigned to one of three instrumentation groups depending on the type of construct used. The Scoliosis Research Society's SRS-30 survey was used to measure patient outcomes comparing preoperative results to a 2-year follow-up.
Changes in the SRS Pain, Activity, Appearance, Mental, Satisfaction, and SRS Total domains did not differ significantly among instrumentation groups for any time intervals. However, analysis of SRS Pain did show a significant change over time for all instrumentation patterns. The analysis of SRS Activity showed a significant change over time for all instrumentation patterns preoperatively to 2 years postoperatively. Analysis of SRS Appearance showed a significant change over time for all groups but no difference between instrumentation groups. The analysis of SRS Mental based on instrumentation types showed a significant change over time, but only the pedicle screw group's change was statistically significant. Finally, analysis of SRS Satisfaction by instrumentation type showed a statistically significant change over time for all instrumentation patterns.
There were no statistically significant baseline differences among the three instrumentation construct groups based on mean scores for the six SRS domains. None of the SRS domains had differences among the instrumentation constructs in change scores or significant differences among the instrumentation constructs.</description><subject>Adolescent</subject><subject>Biological and medical sciences</subject><subject>Cerebrospinal fluid. Meninges. Spinal cord</subject><subject>Child</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Internal Fixators - adverse effects</subject><subject>Internal Fixators - standards</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Multiple sclerosis and variants. Guillain barré syndrome and other inflammatory polyneuropathies. Leukoencephalitis</subject><subject>Nervous system (semeiology, syndromes)</subject><subject>Neurology</subject><subject>Postoperative Complications - etiology</subject><subject>Postoperative Complications - mortality</subject><subject>Prospective Studies</subject><subject>Prosthesis Implantation - methods</subject><subject>Prosthesis Implantation - mortality</subject><subject>Prosthesis Implantation - standards</subject><subject>Quality of Life - psychology</subject><subject>Radiography</subject><subject>Scoliosis - diagnostic imaging</subject><subject>Scoliosis - pathology</subject><subject>Scoliosis - surgery</subject><subject>Spinal Fusion - instrumentation</subject><subject>Spinal Fusion - methods</subject><subject>Spinal Fusion - mortality</subject><subject>Treatment Outcome</subject><issn>0362-2436</issn><issn>1528-1159</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkEtP3TAQha2qqNwC_wBV3lSsQv1K4izbC22RkEA81GU0mYzBVRJT23fBtr-8LtwWidWM5nznjHQYO5TiWIqu_fTl6vpYDEJq0tIqKRQ28IatZK1sJWXdvWUroRtVKaObXfY-pZ9CiEbL7h3bVdJ2rbR2xX6fLSnHzUxLhuzDwtfh6YA5cb_wSxo95OiRXxa5QInfLiPFu-CXO35CLsTZ58fiipFwG1DWCTKN_IfP9_waw-RD8olfUSKIWE4BPRVXkSKlfbbjYEp0sJ177Pbr6c36e3V-8e1s_fm8Qt3UuQKpNDjUg3FjO7Z1q5rBCemkBaNNWysgMI2F2nSjtdQorFFoUoSOCAbUe-zoOfchhl8bSrmffUKaJlgobFJvrRWdVMYU0jyTGENKkVz_EP0M8bGXov9bfl_K71-XX2wftg82w0zjf9O_tgvwcQtAQphchAV9euFMrVTXtfoP4PaSAA</recordid><startdate>20110915</startdate><enddate>20110915</enddate><creator>LUBICKY, John P</creator><creator>HANSON, Jean E</creator><creator>RILEY, Elizabeth H</creator><general>Lippincott Williams & Wilkins</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20110915</creationdate><title>Instrumentation Constructs in Pediatric Patients Undergoing Deformity Correction Correlated With Scoliosis Research Society Scores</title><author>LUBICKY, John P ; HANSON, Jean E ; RILEY, Elizabeth H</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c365t-a123afc3b4fd7d75726bf01f18a434752aea468a549d88e62c5c03e2ecfeeabc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Adolescent</topic><topic>Biological and medical sciences</topic><topic>Cerebrospinal fluid. Meninges. Spinal cord</topic><topic>Child</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Internal Fixators - adverse effects</topic><topic>Internal Fixators - standards</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Multiple sclerosis and variants. Guillain barré syndrome and other inflammatory polyneuropathies. Leukoencephalitis</topic><topic>Nervous system (semeiology, syndromes)</topic><topic>Neurology</topic><topic>Postoperative Complications - etiology</topic><topic>Postoperative Complications - mortality</topic><topic>Prospective Studies</topic><topic>Prosthesis Implantation - methods</topic><topic>Prosthesis Implantation - mortality</topic><topic>Prosthesis Implantation - standards</topic><topic>Quality of Life - psychology</topic><topic>Radiography</topic><topic>Scoliosis - diagnostic imaging</topic><topic>Scoliosis - pathology</topic><topic>Scoliosis - surgery</topic><topic>Spinal Fusion - instrumentation</topic><topic>Spinal Fusion - methods</topic><topic>Spinal Fusion - mortality</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>LUBICKY, John P</creatorcontrib><creatorcontrib>HANSON, Jean E</creatorcontrib><creatorcontrib>RILEY, Elizabeth H</creatorcontrib><creatorcontrib>Spinal Deformity Study Group</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Spine (Philadelphia, Pa. 1976)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>LUBICKY, John P</au><au>HANSON, Jean E</au><au>RILEY, Elizabeth H</au><aucorp>Spinal Deformity Study Group</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Instrumentation Constructs in Pediatric Patients Undergoing Deformity Correction Correlated With Scoliosis Research Society Scores</atitle><jtitle>Spine (Philadelphia, Pa. 1976)</jtitle><addtitle>Spine (Phila Pa 1976)</addtitle><date>2011-09-15</date><risdate>2011</risdate><volume>36</volume><issue>20</issue><spage>1692</spage><epage>1700</epage><pages>1692-1700</pages><issn>0362-2436</issn><eissn>1528-1159</eissn><coden>SPINDD</coden><abstract>Data collected prospectively from the Prospective Pediatric Scoliosis Study (PPSS) were analyzed statistically to address the hypothesis that covered specific aspects of treatment and its outcome.
To assess and contrast Scoliosis Research Society (SRS) outcome scores for patients assigned to one of three types of spinal instrumentation constructs. The study hypothesis was that the instrumentation strategy that provides the best curve correction will be associated with the best SRS scores.
Surgical treatment of scoliosis has evolved over time using implants and surgical techniques; however, quality of life indicators have not typically been analyzed to assess whether surgery and instrumentation will improve quality of life in pediatric patients.
Patients were assigned to one of three instrumentation groups depending on the type of construct used. The Scoliosis Research Society's SRS-30 survey was used to measure patient outcomes comparing preoperative results to a 2-year follow-up.
Changes in the SRS Pain, Activity, Appearance, Mental, Satisfaction, and SRS Total domains did not differ significantly among instrumentation groups for any time intervals. However, analysis of SRS Pain did show a significant change over time for all instrumentation patterns. The analysis of SRS Activity showed a significant change over time for all instrumentation patterns preoperatively to 2 years postoperatively. Analysis of SRS Appearance showed a significant change over time for all groups but no difference between instrumentation groups. The analysis of SRS Mental based on instrumentation types showed a significant change over time, but only the pedicle screw group's change was statistically significant. Finally, analysis of SRS Satisfaction by instrumentation type showed a statistically significant change over time for all instrumentation patterns.
There were no statistically significant baseline differences among the three instrumentation construct groups based on mean scores for the six SRS domains. None of the SRS domains had differences among the instrumentation constructs in change scores or significant differences among the instrumentation constructs.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams & Wilkins</pub><pmid>21897188</pmid><doi>10.1097/BRS.0b013e3182102c6a</doi><tpages>9</tpages></addata></record> |
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| ispartof | Spine (Philadelphia, Pa. 1976), 2011-09, Vol.36 (20), p.1692-1700 |
| issn | 0362-2436 1528-1159 |
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| subjects | Adolescent Biological and medical sciences Cerebrospinal fluid. Meninges. Spinal cord Child Female Follow-Up Studies Humans Internal Fixators - adverse effects Internal Fixators - standards Male Medical sciences Multiple sclerosis and variants. Guillain barré syndrome and other inflammatory polyneuropathies. Leukoencephalitis Nervous system (semeiology, syndromes) Neurology Postoperative Complications - etiology Postoperative Complications - mortality Prospective Studies Prosthesis Implantation - methods Prosthesis Implantation - mortality Prosthesis Implantation - standards Quality of Life - psychology Radiography Scoliosis - diagnostic imaging Scoliosis - pathology Scoliosis - surgery Spinal Fusion - instrumentation Spinal Fusion - methods Spinal Fusion - mortality Treatment Outcome |
| title | Instrumentation Constructs in Pediatric Patients Undergoing Deformity Correction Correlated With Scoliosis Research Society Scores |
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