Low back pain after spinal fusion and Harrington instrumentation for idiopathic scoliosis

We reviewed 41 patients with adolescent idiopathic scoliosis treated with spinal fusion and Harrington instrumentation between 1973 and 1992. The mean follow-up was 23 (11-30) years. All patients completed self-administered questionnaires, Oswestry Low Back Pain Disability Score (ODS), Roland Morris...

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Bibliographic Details
Published in:International orthopaedics 2005-02, Vol.29 (1), p.47-50
Main Authors: Niemeyer, Thomas, Bövingloh, Albert Schulze, Grieb, Sarah, Schaefer, Jürgen, Halm, Henry, Kluba, Torsten
Format: Article
Language:English
Subjects:
Adolescent
Adult
Child
Disability Evaluation
Female
Follow-Up Studies
Humans
Internal Fixators
Low Back Pain - etiology
Male
Original Paper
Pain Measurement
Quality of Life
Retrospective Studies
Scoliosis - surgery
Spinal Fusion - adverse effects
Spinal Fusion - instrumentation
Surveys and Questionnaires
Treatment Outcome
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Summary:We reviewed 41 patients with adolescent idiopathic scoliosis treated with spinal fusion and Harrington instrumentation between 1973 and 1992. The mean follow-up was 23 (11-30) years. All patients completed self-administered questionnaires, Oswestry Low Back Pain Disability Score (ODS), Roland Morris score (RLS), and Visual Analog Pain Intensity Scale (VAS). We found a high degree of satisfaction with more than three quarters of the patients in work. The outcome of ODS, RLS, and VAS showed low scores. We found a significant correlation between the scores and the Cobb angle preoperatively as well as at follow-up. The patient-oriented outcome did not correlate with the type of curve, extension of vertebral fusion, tilt angle of the lowest instrumented vertebra, postoperative Cobb angle, loss of correction, or lumbar lordosis. This long-term follow-up of Harrington rod fusion for adolescent idiopathic scoliosis showed no important impairment of health-related quality of life.
ISSN:0341-2695
1432-5195
DOI:10.1007/s00264-004-0599-1