Associations between curve severity and revised Scoliosis Research Society-22 and scoliosis Japanese Questionnaire-27 scores in female patients with adolescent idiopathic scoliosis: a multicenter, cross-sectional study

BMC Musculoskeletal Disorders

Katsushi Takeshita¹  Hirokazu Inoue¹  Ryo Sugawara¹  Koki Uno²  Kei Watanabe³  So Kato⁴  Toru Doi⁴  Sakae Tanaka⁴  Yoshitaka Matsubayashi⁴  Yasushi Oshima⁴  Yuki Taniguchi⁴  Osamu Shirado⁵  Haruhisa Yanagida⁶  Ken Yamazaki⁷  Tokuhide Doi⁸  Yasuhisa Arai⁹ 

[1] Department of Orthopaedic Surgery, Jichi Medical University;Department of Orthopaedic Surgery, National Hospital Organization Kobe Medical Center;Department of Orthopaedic Surgery, Niigata University Medical and Dental Hospital;Department of Orthopaedic Surgery, The University of Tokyo;Department of Orthopaedic and Spinal Surgery, Aizu Medical Center, Fukushima Medical University;Fukuoka Children’s Hospital;Iwate Spinal Scoliosis Center;Narita Tomisato Tokushuen, Geriatric Health Care Facility for the Elderly;Tokyo Metropolitan Rehabilitation Hospital;

关键词: Adolescent idiopathic scoliosis;    Akaike information criterion;    Cobb angle;    Cutoff;    Patient-reported outcome measure;    SJ-27;   

DOI  :  10.1186/s12891-021-04189-6

来源: DOAJ

【 摘 要 】

Abstract Background Patient-reported outcome measures are widely utilized to assess health-related quality of life (HRQOL) in patients with adolescent idiopathic scoliosis (AIS). However, the association between HRQOL and curve severity is mostly unknown. The aim of this study is to clarify the association between HRQOL and curve severity, and to determine the optimal cutoff values of patient-reported outcomes for major curve severity in female patients with AIS. Methods Female patients with AIS treated conservatively were recruited. The patients’ HRQOL outcomes were examined using the revised Scoliosis Research Society-22 (SRS-22r) and the Scoliosis Japanese Questionnaire-27 (SJ-27). The correlations of the SRS-22r and SJ-27 scores with the major Cobb angle were assessed using Spearman’s correlation coefficient analysis. The association between HRQOL issues in the SJ-27 and the major Cobb angle was evaluated by calculating Akaike’s Information Criterion (AIC). Furthermore, the optimal cutoff values of the SRS-22r and SJ-27 scores for the major Cobb angle were determined by AIC analysis. Results The study cohort comprised 306 female patients with AIS. The SRS-22r and SJ-27 scores were significantly correlated with the major Cobb angle. Questions in the SJ-27 regarding discomfort when wearing clothes showed a lower AIC value in patients with severe scoliosis. The optimal cutoff values were a SRS-22r score of 3.2 for the discrimination of severe scoliosis (Cobb angle ≥48°), and a SJ-27 score of 32 for the discrimination of moderate scoliosis (Cobb angle ≥33°). Conclusion Discomfort when wearing clothes was the most important HRQOL problem caused by severe scoliosis. The SRS-22r and SJ-27 scores are useful for the discrimination of clinical status in female patients with severe scoliosis or moderate scoliosis.

【 授权许可】

Unknown