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DOES IDIOPATHIC SCOLIOSIS AFFECT QUALITY OF LIFE? COMPARISON WITH THE NORMAL POPULATION.

7th Congress of the European Federation of National Associations of Orthopaedics and Traumatology, Lisbon - 4-7 June, 2005



Abstract

Aim: Evaluation of health-related quality of life in scoliotic patients as compared to age matched general population individuals. Correlation with the curve degree and the method of treatment.

Material – method: Ninety patients with idiopathic scoliosis were interviewed. The assessment included: a) the SF-36 questionnaire, evaluating general health status, b) Specific Quality of Life Instrument, designed and validated for adolescents with spinal deformities, c) Postoperative Patients Satisfaction Score, for patients operated on for scoliosis. Patients were subdivided to three groups according to the curve degree and method of treatment: Group A, patients with curves < 20o, treated with observation and regular follow up. Group B, curves between 20o and 40o, treated with a Boston brace. Group C, curve > 40o, operative treatment.

Results: SF – 36 physical health summaries were not significantly different among the three groups, nor between the scoliotic patients and normal individuals. Mental health summaries and quality of life scores were lower in Group B and C patients.

Conclusion: Patients treated for idiopathic scoliosis were found to have approximately the same quality of life as the general population. Quality of life deterioration in scoliotic patients is mainly related to psychological rather than physical factors.

Theses abstracts were prepared by Professor Roger Lemaire. Correspondence should be addressed to EFORT Central Office, Freihofstrasse 22, CH-8700 Küsnacht, Switzerland.