Radiographic and clinical outcomes in adolescent idiopathic scoliosis corrective fusion surgery: a one year follow up

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dc.contributor.advisorDunn, Robert
dc.contributor.authorBlankson, Benjamin
dc.date.accessioned2024-07-05T12:53:38Z
dc.date.available2024-07-05T12:53:38Z
dc.date.issued2024
dc.date.updated2024-07-05T11:14:00Z
dc.description.abstractIntroduction Adolescent idiopathic scoliosis (AIS) is a complex three-dimensional deformity of the spine, characterized by a Cobb angle of at least 10 degrees. The goal of surgery is not only to prevent progression, but restoration of sagittal and coronal balance, protection of cardiopulmonary function and improvement of cosmesis. In this study, we reviewed the impact of deformity correction surgery in terms of radiology and patient reported outcomes. Method Data extracted from a prospectively maintained database (2003 – 2022) was retrospectively analysed for pre- and post-operative patient reported outcome measures, captured using the Scoliosis Research society-22 (SRS-22) questionnaire, as well as radiological parameters. Forty-four patients with AIS were identified with pre- and post-operative PROMs. The average age at surgery was 15yrs with 84% female. 38% had a Lenke 1 curve and 3 patients had Lenke 6 curves. 73% had posterior approach surgery. Results There was a total improvement in SRS-22 scores by 7.8% with 75% achieving MCID. Patients reported significant satisfaction with treatment 4.8/5 and improvement in self-image with a change of 1.1 (p0.05). Overall, proximal thoracic (PT) curves improved from 240 to 110 (p<0.05).
dc.identifier.apacitationBlankson, B. (2024). <i>Radiographic and clinical outcomes in adolescent idiopathic scoliosis corrective fusion surgery: a one year follow up</i>. (). ,Faculty of Health Sciences ,Division of General Surgery. Retrieved from http://hdl.handle.net/11427/40360en_ZA
dc.identifier.chicagocitationBlankson, Benjamin. <i>"Radiographic and clinical outcomes in adolescent idiopathic scoliosis corrective fusion surgery: a one year follow up."</i> ., ,Faculty of Health Sciences ,Division of General Surgery, 2024. http://hdl.handle.net/11427/40360en_ZA
dc.identifier.citationBlankson, B. 2024. Radiographic and clinical outcomes in adolescent idiopathic scoliosis corrective fusion surgery: a one year follow up. . ,Faculty of Health Sciences ,Division of General Surgery. http://hdl.handle.net/11427/40360en_ZA
dc.identifier.ris TY - Thesis / Dissertation AU - Blankson, Benjamin AB - Introduction Adolescent idiopathic scoliosis (AIS) is a complex three-dimensional deformity of the spine, characterized by a Cobb angle of at least 10 degrees. The goal of surgery is not only to prevent progression, but restoration of sagittal and coronal balance, protection of cardiopulmonary function and improvement of cosmesis. In this study, we reviewed the impact of deformity correction surgery in terms of radiology and patient reported outcomes. Method Data extracted from a prospectively maintained database (2003 – 2022) was retrospectively analysed for pre- and post-operative patient reported outcome measures, captured using the Scoliosis Research society-22 (SRS-22) questionnaire, as well as radiological parameters. Forty-four patients with AIS were identified with pre- and post-operative PROMs. The average age at surgery was 15yrs with 84% female. 38% had a Lenke 1 curve and 3 patients had Lenke 6 curves. 73% had posterior approach surgery. Results There was a total improvement in SRS-22 scores by 7.8% with 75% achieving MCID. Patients reported significant satisfaction with treatment 4.8/5 and improvement in self-image with a change of 1.1 (p0.05). Overall, proximal thoracic (PT) curves improved from 240 to 110 (p<0.05). DA - 2024 DB - OpenUCT DP - University of Cape Town KW - General Surgery LK - https://open.uct.ac.za PY - 2024 T1 - Radiographic and clinical outcomes in adolescent idiopathic scoliosis corrective fusion surgery: a one year follow up TI - Radiographic and clinical outcomes in adolescent idiopathic scoliosis corrective fusion surgery: a one year follow up UR - http://hdl.handle.net/11427/40360 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/40360
dc.identifier.vancouvercitationBlankson B. Radiographic and clinical outcomes in adolescent idiopathic scoliosis corrective fusion surgery: a one year follow up. []. ,Faculty of Health Sciences ,Division of General Surgery, 2024 [cited yyyy month dd]. Available from: http://hdl.handle.net/11427/40360en_ZA
dc.language.rfc3066Eng
dc.publisher.departmentDivision of General Surgery
dc.publisher.facultyFaculty of Health Sciences
dc.subjectGeneral Surgery
dc.titleRadiographic and clinical outcomes in adolescent idiopathic scoliosis corrective fusion surgery: a one year follow up
dc.typeThesis / Dissertation
dc.type.qualificationlevelMasters
dc.type.qualificationlevelMMed
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