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Can Future Back Pain In AIS Subjects be Predicted during Adolescence from the Severity of the Deformity?

机译:在畸形的严重程度的情况下,在青春期期间会预测AIS受试者的未来疼痛吗?

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Back pain is frequently reported as a symptom of adolescent idiopathic scoliosis (AIS). Prediction of pain in adulthood would be useful to identify subjects requiring follow-up. The aim is to determine adolescent predictors of adult back pain. This study is a retrospective review of 27 females with AIS who attended our pediatric scoliosis clinic and later completed the SRS-22 questionnaire as young adults (range 18-25 years). Subjects with surgery at baseline (age 14-16 years) were excluded. The relationships between largest curve size, decompensation and trunk twist at baseline and pain as measured by the SRS-22 pain domain as young adults were studied. At baseline, subjects had a largest curve of 47+-15deg, decompensation of 18+-14 mm and trunk twist of 14+-6 deg. At follow-up, 5.3 +-1.9 years later, the total SRS-22 score was 3.9+-0.3 and the pain domain score was 3.9+-0.7. Pearson correlations between the SRS-22 pain domain and largest curve, decompensation and trunk twist were 0.17, -0.11 and -0.25, respectively (p>0.05). Individual questions within the pain domain had similar correlations. Even though the sample represented a wide range of scoliosis severity at baseline and a wide range of pain scores (2.4 to 5) at follow-up, baseline scoliosis deformity parameters of largest curve size, decompensation and trunk twist did not predict scoliosis-related pain in young adulthood.
机译:恢复疼痛经常被报告为青少年特发性脊柱侧凸(AIS)的症状。成年期疼痛预测可用于识别需要随访的受试者。目的是确定成人背痛的青少年预测因子。本研究是对27名女性的回顾性审查,AIS参加了儿科脊柱侧凸诊所,后来完成了SRS-22问卷作为年轻人(18-25岁)。排除了基线手术的受试者(14-16岁)被排除在外。研究了基线曲线大小,在基线和疼痛时最大曲线尺寸,代理和躯干扭曲的关系,如小时候的疼痛域作为年轻成人测量。在基线时,受试者具有47 + -15deg的最大曲线,减回18 + -14毫米和14 + -6°的躯干捻。在随访中,5.3 + -1.9年后,总SRS-22得分为3.9 + -0.3,疼痛域分数为3.9±0.7分。 SRS-22疼痛结构域和最大曲线之间的Pearson相关性分别为0.17,-0.11和-0.25(P> 0.05)。疼痛域内的个别问题具有相似的相关性。即使样品在基线上代表了广泛的脊柱侧凸严重程度,随访中的各种疼痛评分(2.4至5),最大曲线大小,代理和躯干扭曲的基线脊柱侧凸畸形参数并未预测脊柱侧凸相关的疼痛在年轻的成年期。

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