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Self-Image and Health-Related Quality of Life Three Decades After Fusion In Situ for High-Grade Isthmic Spondylolisthesis
Örebro University, School of Medical Sciences. Department of Orthopaedics, Örebro University Hospital, Örebro, Sweden.ORCID iD: 0000-0002-7931-9617
Department of Clinical Science, Intervention and Technology, Karolinska Institutet and Department of Orthopaedics, Karolinska University Hospital, Stockholm, Sweden.
Department of Clinical Science, Intervention and Technology, Karolinska Institutet and Department of Orthopaedics, Karolinska University Hospital, Stockholm, Sweden.
Department of Orthopaedics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg and Department of Orthopaedics, Sahlgrenska University Hospital, Gothenburg, Sweden.
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2019 (English)In: Spine deformity, ISSN 2212-134X, Vol. 7, no 2, p. 293-297Article in journal (Refereed) Published
Abstract [en]

STUDY DESIGN: Observational study.

OBJECTIVES: To evaluate self-image after in situ fusion for high-grade isthmic spondylolisthesis.

SUMMARY OF BACKGROUND DATA: Certain clinical findings such as short trunk or waistline skin folds are often seen in high-grade spondylolisthesis. Since treatment with spinal fusion in situ does not address appearance, self-image and also health-related quality of life might be negatively affected in the short-term as well as the long-term perspective. This observational study evaluated health-related quality of life outcome including self-image three decades after in situ fusion for high-grade isthmic spondylolisthesis in relation to healthy controls.

METHODS: Thirty-eight of 39 consecutive patients, fused in situ for high-grade isthmic spondylolisthesis at a young age, completed the Scoliosis Research Society (SRS)-22r questionnaire 28-41 years after surgery. The results were compared with the results of an age- and gender-matched control group.

RESULTS: We found that the SRS-22r self-image domain scores were statistically significantly lower in patients than in controls whereas the pain and mental health scores were similar in patients and controls. Also, the SRS-22r function domain scores were statistically significantly lower in patients but the difference in means was small. We found no correlation between severity of slip and SRS-22r outcome.

CONCLUSIONS: In situ fusion for high-grade isthmic spondylolisthesis is a safe treatment option in the long term from a function and pain perspective, but the results of our study suggest that self-image is negatively affected long into adult life.

LEVEL OF EVIDENCE: Level IV.

Place, publisher, year, edition, pages
Elsevier, 2019. Vol. 7, no 2, p. 293-297
Keywords [en]
Fusion in situ, Health-related quality of life, SRS-22r, Self-image, Spondylolisthesis
National Category
Orthopaedics
Identifiers
URN: urn:nbn:se:oru:diva-71913DOI: 10.1016/j.jspd.2018.08.012PubMedID: 30660224Scopus ID: 2-s2.0-85054010418OAI: oai:DiVA.org:oru-71913DiVA, id: diva2:1283775
Available from: 2019-01-29 Created: 2019-01-29 Last updated: 2019-03-26Bibliographically approved

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Joelson, AndersWretenberg, Per

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