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Clinical symptoms likely prompt patients with thoracolumbar scoliosis to undergo surgery
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Investigators of this study found clinical factors, such as functional impairment, prompted patients with adult thoracolumbar scoliosis to undergo surgery; however, demographics and radiographic parameters did not sway the decision to undergo surgery or conservative treatment.
Researchers performed a retrospective evaluation of prospective data from an international multicenter database and identified 184 adults with untreated thoracolumbar/lumbar (TL/L) idiopathic curves. There were 94 patients who underwent conservative treatment and 90 patients who underwent surgery. Investigators assessed demographics, health-related quality of life questionnaires (HRQoL) and 14 radiological preoperative parameters.
Results showed patients treated conservatively and those who underwent surgery had similar age, coronal TL/L cobb angles and sagittal alignment. Investigators noted patients were not significantly different with regard to pelvic parameters, apical translation, coronal balance, lumbar rotatory subluxation or lumbar lordosis.
According to researchers, significant differences were seen in HRQoL questionnaire results. Patients who underwent surgery vs. those treated conservatively had worse Core Outcome Measures Index, Oswestry Disability Index, and SF-36 physical and mental component scores. Patients who underwent surgery also had worse Scoliosis Research Society-22 scores. ‒ by Monica Jaramillo
Disclosure: The study was supported with a research grant from Johnson & Johnson DePuy Synthes.
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