Spondylolisthesis sx improves pediatric health related-QOL

July 30, 2013
Spondylolisthesis sx improves pediatric health related-QOL
In pediatric patients with high-grade spondylolisthesis, health-related quality of life (HRQOL) improves significantly after surgery, especially in patients with low baseline HRQOL scores, according to a study published in the July issue of The Spine Journal.

(HealthDay)—In pediatric patients with high-grade spondylolisthesis, health-related quality of life (HRQOL) improves significantly after surgery, especially in patients with low baseline HRQOL scores, according to a study published in the July issue of The Spine Journal.

Étienne Bourassa-Moreau, M.D., from the University of Montreal, and colleagues conducted an observational case series study involving 28 with high-grade (23 managed surgically and five managed nonsurgically) for a minimum of two years to describe changes in HRQOL. Neurologic exams and radiographic evaluations of slip grade were conducted, and self-reported Scoliosis Research Society questionnaires (SRS-22) were administered at baseline and follow-up.

The researchers found that, at baseline and last follow-up, the total SRS-22 scores were 3.31 ± 0.50 and 4.26 ± 0.50, respectively, for (P < 0.001). The corresponding scores for nonsurgical patients were 4.12 ± 0.16 and 4.14 ± 0.38 (P = 0.854). There was a significant correlation between improvement in the SRS-22 score and low baseline value of SRS-22. In the nonsurgical patients there was no neurologic or slip deterioration during the follow-up.

"This article demonstrated that the HRQOL significantly improves after surgery in pediatric high-grade spondylolisthesis, especially in patients with low baseline HRQOL scores," the authors write. "Nonsurgical treatment with observation of high-grade spondylolisthesis can be considered in patients with near-normal baseline HRQOL, no evidence of progression, and no neurologic impairment."

Several authors disclosed to the medical device and technology industries.

More information: Abstract
Full Text (subscription or payment may be required)

Related Stories

Health-related QoL evaluated for children with brain tumors

May 9, 2012

(HealthDay) -- In children and adolescents with brain tumors treated with proton radiation, health-related quality of life (HRQoL) scores are affected by both disease type and treatment, with assessments made by the patients ...

Scoliosis surgery improves adolescents' quality of life

November 2, 2012

(HealthDay)—Surgical treatment of adolescent idiopathic scoliosis (AIS) significantly improves quality of life (QOL), according to research published online Oct. 22 in the Journal of Spinal Disorders & Techniques.

QoL up for live liver donors versus general population

November 6, 2012

(HealthDay)—Living liver donors from Japan have higher health-related quality of life (HRQOL) than the Japanese norm population, according to a study published in the November issue of Liver Transplantation.

Pre-op depression skews satisfaction after lumbar sx

June 4, 2013

(HealthDay)—Preoperative depression influences self-reported patient satisfaction after revision lumbar surgery, independent of the surgery's effectiveness, according to a study published in the May issue of The Spine Journal.

Recommended for you

Experimental MERS vaccine shows promise in animal studies

July 28, 2015

A two-step regimen of experimental vaccines against Middle East respiratory syndrome (MERS) prompted immune responses in mice and rhesus macaques, report National Institutes of Health scientists who designed the vaccines. ...

Can social isolation fuel epidemics?

July 21, 2015

Conventional wisdom has it that the more people stay within their own social groups and avoid others, the less likely it is small disease outbreaks turn into full-blown epidemics. But the conventional wisdom is wrong, according ...

Lack of knowledge on animal disease leaves humans at risk

July 20, 2015

Researchers from the University of Sydney have painted the most detailed picture to date of major infectious diseases shared between wildlife and livestock, and found a huge gap in knowledge about diseases which could spread ...

IBD genetically similar in Europeans and non-Europeans

July 20, 2015

The first genetic study of inflammatory bowel disease (IBD) to include individuals from diverse populations has shown that the regions of the genome underlying the disease are consistent around the world. This study, conducted ...

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.