Yıl: 2022 Cilt: 33 Sayı: 3 Sayfa Aralığı: 117 - 123 Metin Dili: İngilizce DOI: 10.4274/jtss.galenos.2022.21931 İndeks Tarihi: 25-07-2022

QUALITY OF LIFE ASSESMENT IN ADOLESCENT AND YOUNG ADULTS WITH SCHEURMANN’S KYPHOSIS

Öz:
Objective: In this study, Scheuermann’s kyphosis patients with 80° or more kyphotic deformities were evaluated both for correcting the deformity and effects of changes in the life qualities. Materials and Methods: Mean age was found to be 18.6±2.4 years and patients with minimum 2 years follow-up were evaluated. In 10 patients below 17 years of age (27%), segmental compression was applied through the apex and correction was obtained. In the remaining 27 patients (73%) correction was obtained with Ponte osteotomies performed at the apex of the kyphosis and the same fixation and maneuver as the first group. Patients thoracic kyphosis angles if concomitant scoliosis was present scoliosis angles were measured via the Cobb method preoperatively, postoperatively and during the last control visit. Patients were evaluated preoperatively with SRS-22 questionnaire. Mean values of the preoperative, postoperative and in the last control visit were compared statistically (p=0.05). Results: Preoperative mean kyphotic angles were measured as 84.9°±5.0°. Postoperative mean kyphotic correction angles were measured as 40.7°±6.5° and in all patients’ physiological kyphotic angles were obtained (p=0.0001). Preoperative SRS22 questionnaire mean score was 3.17±0.3 while postoperatively increased to 4.95±0.1 which was found to be statistically significant (p=0.0001). Almost all patients were satisfied with the pain improvement, look, function, mental status and satisfaction from the treatment was measured as 4.5 to 5 that is almost perfect. Kyphotic correction angles were found to be statistically similar between patients under and over 18 years of ages (>0.05). Conclusion: As a result, SRS-22 scores which was used for the first time in Scheuermann’s Kyphosis patients undergone surgery, a statistically meaningful result was obtained in quality of life scores and relief of mechanical pain.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Akalın S, Benli IT. Scheuermann Kyphosıs: Aetıology, Dıagnosıs and Conservatıve Treatment. J Turk Spinal Surg. 2008;19:129-40.
  • 2. Lowe TG, Line BG. Evidence based medicine: analysis of Scheuermann kyphosis. Review. Spine (Phila Pa 1976). 2007;32(19 Suppl):S115-9.
  • 3. Illeez OG, Akpinar P, Bahadir Ulger FE, Ozkan FU, Aktas I. Low back pain in children and adolescents: real life experience of 106 patients. North Clin Istanb. 2020;7:603-8.
  • 4. Bradford DS, Moe JH, Montaluo FJ, Winter RB. Scheuermann’s kyphosis and roundback deformity. Results of Milwaukee brace treatment. J Bone Joint Surg Am. 1974;56:740-58.
  • 5. Lowe TG. Scheuermann’s Kyphosis. Neurosurg Clin N Am. 2007;18:305-15.
  • 6. Alanay A, Cil A, Berk H, Acaroglu E, Yazici M, Akcalı O, et al. Reliability and validity of adapted Turkish Version of Scoliosis Research Society-22 (SRS-22) questionnaire. Spine (Phila Pa 1976). 2005;30:2464-8.
  • 7. Bettany-Saltikov J, Turnbull D, Ng SY, Webb R. Management of spinal deformities and evidence of treatment effectiveness. Open Orthop J. 2017;11:1521-47.
  • 8. Horn SR, Poorman GW, Tishelman JC, Bortz CA, Segreto FA, Moon JY, et al. Trends in treatment of Scheuermann Kyphosis: a study of 1,070 cases from 2003 to 2012. Spine Deform. 2019;7:100-6.
  • 9. Karagüven D, Benli IT, Ün A, Kurtuluş B, Er U. The correlation of the growth hormone and severity of the kyphosis in the patients with Schuermann kyphosis. J Turk Spınal Surg. 2015;26:7-11.
  • 10. Garoflid N, Fragnière B, Dutoit M. “Round back” in children and adolescents. Rev Med Suisse Romande. 2000;120:815-20.
  • 11. Betz RR. Kyphosis of the thoracic and thoracolumbar spine in the pediatric patient: normal sagittal parameters and scope of the problem. Instr Course Lect. 2004;53:479-84.
  • 12. Etemadifar MR, Jamalaldini MH, Layeghi RJ. Successful brace treatment of Scheuermann’s kyphosis with different angles. Craniovertebr Junction Spine. 2017;8:136-43.
  • 13. Koptan WM, Elmiligui YH, Elsebaie HB. All pedicle screw instrumentation for Scheuermann’s kyphosis correction: is it worth it? Spine J. 2009;9:296-302.
  • 14. Uzumcugil O, Unkar EA. Adölesan kifoz. In: Uzumcugil O, Benli IT, Ofluoğlu E (Eds.). Omurganın Sagittal Plan Deformiteleri, Türk Omurga Derneği Yayınları-7, 1. Baskı, Rekmay, Ankara 2016.
  • 15. Lin G, Wang S, Yang Y, Su Z, Du Y, Xu X, et al. The effect of pedicle subtraction osteotomy for the correction of severe Scheuermann’s thoracolumbar kyphosis on sagittal spinopelvic alignment. BMC Musculoskelet Disord. 2021;22:165.
  • 16. Cho KJ, Lenke LG, Bridwell KH, Kamiya M, Sides B. Selection of the optimal distal fusion level in the posterior instrumentation and fusion for thoracic hyperkyhosis the sagital stable vertebra concept. Spine (Phila Pa 1976). 2009; 34: 765-70.
  • 17. Canikli M, Ozturkmen Y, Gokce A, Ozluk AO, Atici Y, Gokay NS. Comparison of different posterior instrumentation in Sceuermann’s disease. World Spine Clumn J. 2010;1:66-70.
  • 18. Bradford DS, Ahmed KB, Moe JH, Winter RB, Lonstein JH. The surgical management of Patients with Scheuermann’s disease: a review of twenty-four cases managed by combined anterior and posterior spine fusion. J Bone Joint Surg. 1980;62:705-12.
  • 19. Etemedifar M, Ebrahimzadeh A. Hadi A, Feizi M. Comparison of Scheuermann’s kyphosis combined anterior-posterior fusion versus posterior-only procedure. Eur Spine J. 2016;25:2580-6.
APA Şentürk F, aşık m, BEKTAŞ E, akgul t, BENLI I, Karagüven D (2022). QUALITY OF LIFE ASSESMENT IN ADOLESCENT AND YOUNG ADULTS WITH SCHEURMANN’S KYPHOSIS . , 117 - 123. 10.4274/jtss.galenos.2022.21931
Chicago Şentürk Fatih,aşık mehmet ozan,BEKTAŞ Ebubekir,akgul turgut,BENLI ISMET TEOMAN,Karagüven Doğaç QUALITY OF LIFE ASSESMENT IN ADOLESCENT AND YOUNG ADULTS WITH SCHEURMANN’S KYPHOSIS . (2022): 117 - 123. 10.4274/jtss.galenos.2022.21931
MLA Şentürk Fatih,aşık mehmet ozan,BEKTAŞ Ebubekir,akgul turgut,BENLI ISMET TEOMAN,Karagüven Doğaç QUALITY OF LIFE ASSESMENT IN ADOLESCENT AND YOUNG ADULTS WITH SCHEURMANN’S KYPHOSIS . , 2022, ss.117 - 123. 10.4274/jtss.galenos.2022.21931
AMA Şentürk F,aşık m,BEKTAŞ E,akgul t,BENLI I,Karagüven D QUALITY OF LIFE ASSESMENT IN ADOLESCENT AND YOUNG ADULTS WITH SCHEURMANN’S KYPHOSIS . . 2022; 117 - 123. 10.4274/jtss.galenos.2022.21931
Vancouver Şentürk F,aşık m,BEKTAŞ E,akgul t,BENLI I,Karagüven D QUALITY OF LIFE ASSESMENT IN ADOLESCENT AND YOUNG ADULTS WITH SCHEURMANN’S KYPHOSIS . . 2022; 117 - 123. 10.4274/jtss.galenos.2022.21931
IEEE Şentürk F,aşık m,BEKTAŞ E,akgul t,BENLI I,Karagüven D "QUALITY OF LIFE ASSESMENT IN ADOLESCENT AND YOUNG ADULTS WITH SCHEURMANN’S KYPHOSIS ." , ss.117 - 123, 2022. 10.4274/jtss.galenos.2022.21931
ISNAD Şentürk, Fatih vd. "QUALITY OF LIFE ASSESMENT IN ADOLESCENT AND YOUNG ADULTS WITH SCHEURMANN’S KYPHOSIS ". (2022), 117-123. https://doi.org/10.4274/jtss.galenos.2022.21931
APA Şentürk F, aşık m, BEKTAŞ E, akgul t, BENLI I, Karagüven D (2022). QUALITY OF LIFE ASSESMENT IN ADOLESCENT AND YOUNG ADULTS WITH SCHEURMANN’S KYPHOSIS . Journal of Turkish Spinal Surgery, 33(3), 117 - 123. 10.4274/jtss.galenos.2022.21931
Chicago Şentürk Fatih,aşık mehmet ozan,BEKTAŞ Ebubekir,akgul turgut,BENLI ISMET TEOMAN,Karagüven Doğaç QUALITY OF LIFE ASSESMENT IN ADOLESCENT AND YOUNG ADULTS WITH SCHEURMANN’S KYPHOSIS . Journal of Turkish Spinal Surgery 33, no.3 (2022): 117 - 123. 10.4274/jtss.galenos.2022.21931
MLA Şentürk Fatih,aşık mehmet ozan,BEKTAŞ Ebubekir,akgul turgut,BENLI ISMET TEOMAN,Karagüven Doğaç QUALITY OF LIFE ASSESMENT IN ADOLESCENT AND YOUNG ADULTS WITH SCHEURMANN’S KYPHOSIS . Journal of Turkish Spinal Surgery, vol.33, no.3, 2022, ss.117 - 123. 10.4274/jtss.galenos.2022.21931
AMA Şentürk F,aşık m,BEKTAŞ E,akgul t,BENLI I,Karagüven D QUALITY OF LIFE ASSESMENT IN ADOLESCENT AND YOUNG ADULTS WITH SCHEURMANN’S KYPHOSIS . Journal of Turkish Spinal Surgery. 2022; 33(3): 117 - 123. 10.4274/jtss.galenos.2022.21931
Vancouver Şentürk F,aşık m,BEKTAŞ E,akgul t,BENLI I,Karagüven D QUALITY OF LIFE ASSESMENT IN ADOLESCENT AND YOUNG ADULTS WITH SCHEURMANN’S KYPHOSIS . Journal of Turkish Spinal Surgery. 2022; 33(3): 117 - 123. 10.4274/jtss.galenos.2022.21931
IEEE Şentürk F,aşık m,BEKTAŞ E,akgul t,BENLI I,Karagüven D "QUALITY OF LIFE ASSESMENT IN ADOLESCENT AND YOUNG ADULTS WITH SCHEURMANN’S KYPHOSIS ." Journal of Turkish Spinal Surgery, 33, ss.117 - 123, 2022. 10.4274/jtss.galenos.2022.21931
ISNAD Şentürk, Fatih vd. "QUALITY OF LIFE ASSESMENT IN ADOLESCENT AND YOUNG ADULTS WITH SCHEURMANN’S KYPHOSIS ". Journal of Turkish Spinal Surgery 33/3 (2022), 117-123. https://doi.org/10.4274/jtss.galenos.2022.21931