Do growing rods for idiopathic early onset scoliosis improve activity and participation for children?
Sewell, Mathew, Platinum, Johnson, Askin, Geoffrey, Labrom, Robert, Hutton, Mike, Chan, Daniel, Clarke, Andrew, Stokes, Oliver, Molloy, Sean, Tucker, Stewart, & Lehovsky, Jan (2017) Do growing rods for idiopathic early onset scoliosis improve activity and participation for children? Journal of Pediatrics, 182, 315-320.e1.
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Description
Objective. To investigate whether growing rod surgery for children with progressive idiopathic early onset scoliosis (EOS) effects activity and participation, and investigate factors that may affect this. Study design. Multicenter retrospective cohort study using prospectively collected data on 60 children with idiopathic EOS and significant scoliosis (defined as a Cobb angle >40°). Thirty underwent brace treatment, and 30 had growth rod surgery. Questionnaire and radiographic data were recorded at 1 year. The validated Activities Scale for Kids performance version (ASKp) questionnaire was used to measure activity and participation. Results. In the brace group, Cobb angle increased from 60° to 68°. There was no change in ASKp score. In the operative group, Cobb angle decreased from 67° to 45°. ASKp decreased from 91 to 88 (P < .01). Presence of spinal pain correlated with greater reduction in activity and participation scores in both groups, as did occurrence of complications in the operative group (P < .05). Both treatments permitted growth of the immature spine. Conclusions. In children with significant idiopathic EOS (Cobb angle>40°), growth rod surgery was associated with a reduction in activity and participation and Cobb angle, whereas brace treatment was associated with an increase in Cobb angle and no change in activity and participation. Pain was the most important factor affecting activity and participation in both groups.
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ID Code: | 106278 | ||
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Item Type: | Contribution to Journal (Journal Article) | ||
Refereed: | Yes | ||
ORCID iD: |
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Measurements or Duration: | 7 pages | ||
Keywords: | activity, early onset scoliosis, growing rods, growth rod, growth sparing technique, magnetic growing rod, participation, scoliosis | ||
DOI: | 10.1016/j.jpeds.2016.11.031 | ||
ISSN: | 0022-3476 | ||
Pure ID: | 33212592 | ||
Divisions: | Past > Institutes > Institute of Health and Biomedical Innovation Past > QUT Faculties & Divisions > Science & Engineering Faculty Past > Schools > School of Chemistry, Physics & Mechanical Engineering |
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Copyright Owner: | Consult author(s) regarding copyright matters | ||
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Deposited On: | 03 May 2017 05:38 | ||
Last Modified: | 11 Feb 2025 23:34 |
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