Karthikesan, Kishanraj
(2021)
Quality of life after scoliosis surgery: the Hospital Sultanah Bahiyah experience.
Masters thesis, Universiti Sains Malaysia.
Abstract
Introduction
Idiopathic scoliosis is a is a complex three-dimensional deformity of the spinal column.
Adolescent idiopathic scoliosis (AIS) is the most common type affecting healthy young
individuals. Psychological well-being of these young group of patients has been area of concern
when managing these patients. Aim of this study is to assess quality of life in patient undergoing
corrective surgery for AIS using the SRS-30 questionaire.
Methodology
A cross sectional study of all patients that underwent deformity correction surgery for
AIS from January 2016 till December 2019 in Hospital Sultanah Bahiyah was done. Patient had
to be followed up for at least 6 months. Only patient with idiopathic adolescent scoliosis were
included. Radiographic measurements of the cobb angle preoperative and postoperatively were
obtained from medical records of the patient. Patients were then contacted and given the SRS-30
questionnaire to be filled up.
Results
24 patients were recruited in this study based on the inclusion and exclusion criteria . The
median preoperative Cobb angle was 63.0 (19.90), while post operatively it was 18.0 (11.25)
with a percentage of correction of 68.0 (17.5). The average total SRS score is 4.20(0.38). Using
the Spearman’s Rho correlation analysis there was a significance and moderately positive
correlation between the satisfaction with management domain scores and the percentage of Cobb’s Angle correction. However, the total scores despite having a positive correlation, were
not statisitcally significant.
Conclusion
In this study, the average total SRS score was 4.2(0.38) indicating a favourable outcome in terms
of quality of life in patient undergoing scoliosis surgery in Hospital Sultanah Bahiyah.
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