A Cross-Sectional Investigation on Deformity-Related Stress in Patient’s with Adolescent Idiopathic Scoliosis (AIS) after Brace Weaning | Chapter 4 | Highlights on Medicine and Medical Research Vol. 10

 Numerous research have looked into the health-related quality of life (HRQL) of scoliosis patients. Patients with spinal abnormalities appear to struggle with their perceptions of health, self- and body image, and involvement in physical activities. Previous research has found that teenagers with scoliosis experience "very little stress" as a result of their deformity. The BSSQ-Deformity was used in this study to scientifically objectify the outcome of patients following brace treatment in terms of quality of life.

Materials and Methods: From February to December 2013, all 42 female patients returning to the first author's office for a follow-up x-ray after brace weaning were requested to complete the BSSQ-Deformity. The patients' average age was 15.8 years old, and the average treatment time was 35.8 months. The average age of the patient at the commencement of treatment was 12.8 years. In addition to the BSSQ, we examined the treatment outcomes of this group of patients in terms of Cobb angle (maximum angle in combined curvatures) and angle of trunk rotation (ATR) for the thoracic and lumbar regions.

The average BSSQ score was 22/24, with five patients receiving a score below 20/24. At the commencement of treatment, the average Cobb angle was 29.2° (range 15–69°), and after weaning, it was 25.8°. Over the course of brace treatment, none of the patients progressed more than 5 degrees, whereas 14 patients (33 percent) improved more than 5 degrees.

Patients with teenage idiopathic scoliosis appear to be able to manage their deformity quite well. A BSSQ score of 22/24 suggests that the patient's quality of life was unaffected by the discontinuation of brace treatment.

Conclusions: When using modern asymmetric bracing guidelines, scoliosis-related stress is not always an issue for patients with mild angles of curvature after brace weaning. When contemporary asymmetric bracing standards are used, the Cobb angle and trunk deformities can be improved. Because AIS has such a minor influence on patients' ability to participate in physical activities and their overall quality of life, there is no general indication for surgery to treat this illness. Patient satisfaction following therapy appears to be higher in this group than in the pilot study.

Author(s) Details

Hans-Rudolf Weiss
Schroth Best Practice Academy, Neu-Bamberg, Germany.

Sarah Seibel
Schroth Best Practice Academy, Neu-Bamberg, Germany.

Alexander Kleban
Lomonosov Moscow State University. Faculty of Mechanics and Mathematics, Moscow, Russia.

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