Management of Congenital Scoliosis Presented to Department of Orthopedic & Spine HMC: A Single Center Experience
DOI:
https://doi.org/10.70749/ijbr.v2i02.202Keywords:
Congenital Scoliosis, Cobb Angle, Quality of Life, Pakistan, Early InterventionAbstract
Objective: To evaluate the impact of congenital scoliosis on spinal curvature severity and quality of life in patients treated at a single center in Pakistan, with a focus on demographic distribution, Cobb angle, and quality of life outcomes. Methodology: A retrospective cohort study was conducted from June 2013 to June 2023 at the Orthopedics and Spine Department, Hayatabad Medical Complex, Peshawar. The study included 100 patients aged 1 to 30 years diagnosed with congenital scoliosis. Data on demographics, Cobb angle measurements, and quality of life (using the SRS-22 questionnaire) were collected. Statistical analyses, including t-tests and chi-square tests, were performed to examine associations between gender, Cobb angle, and quality of life, with significance set at p < 0.05. Results: The mean age of participants was 15.2 years (SD = 8.4), with an even gender distribution (52% male). The average Cobb angle was 49.7 degrees (SD = 18.6), indicating moderate to severe scoliosis, with no significant difference between genders (mean Cobb angle: males = 51.2°, females = 48.1°; p = 0.26). Quality of life scores averaged 3.7 (SD = 0.9), and a moderate negative correlation was found between Cobb angle and quality of life score (r = -0.35), suggesting that more severe curvature is associated with lower quality of life. A chi-square test also indicated no significant association between gender and scoliosis severity (p = 0.99). Conclusion: This study emphasizes the impact of congenital scoliosis on quality of life, with severity of spinal curvature correlating with reduced well-being. The findings highlight the need for early diagnosis and targeted intervention to optimize outcomes. This foundational data contributes to the understanding and management of congenital scoliosis in similar healthcare settings.
References
Irianto, K. A., & Yazid, H. (2019). CONGENITAL SCOLIOSIS: AN ARTICLE REVIEW. (JOINTS) Journal Orthopaedi and Traumatology Surabaya, 8(1), 47. https://doi.org/10.20473/joints.v8i1.2019.47-58
Bashir, K., Sabir, N., Rehman, Z.-U. -, Aziz, M. O., Atta Awan, M. A., Dogar, A., Nadeem, U., & Aziz, A. (2022). Comparative analysis of pulmonary function impairment in adolescent idiopathic vs. congenital scoliosis. Pakistan Journal of Medical and Health Sciences, 16(2), 135–136. https://doi.org/10.53350/pjmhs22162135
Yang, J. H., Chang, D.-G., Suh, S. W., Kim, W., & Park, J. (2020). Clinical and radiological outcomes of hemivertebra resection for congenital scoliosis in children under age 10 years. Medicine, 99(32), e21720. https://doi.org/10.1097/md.0000000000021720
Park, K.-B. (2021). Diagnosis and treatment of congenital scoliosis. Journal of the Korean Medical Association, 64(11), 728–733. https://doi.org/10.5124/jkma.2021.64.11.728
Sebaaly, A., Daher, M., Salameh, B., Ghoul, A., George, S., & Roukoz, S. (2022). Congenital scoliosis: a narrative review and proposal of a treatment algorithm. EFORT Open Reviews, 7(5), 318–327. https://doi.org/10.1530/EOR-21-0121
Wang, Y., Feng, Z., Wu, Z., Qiu, Y., Zhu, Z., & Xu, L. (2019). Brace treatment can serve as a time-buying tactic for patients with congenital scoliosis. Journal of Orthopaedic Surgery and Research, 14(1). https://doi.org/10.1186/s13018-019-1244-4
Grabala, P., Helenius, I., Chamberlin, K. D., & Galgano, M. A. (2023). Less-Invasive Approach to Early-Onset Scoliosis—Surgical Technique for Magnetically Controlled Growing Rod (MCGR) Based on Treatment of 2-Year-Old Child with Severe Scoliosis. Children (Basel), 10(3), 555–555. https://doi.org/10.3390/children10030555
Tandon, M. S., Dhingra, A., & Varma, V. (2020). Management of Patient with Scoliosis. Springer EBooks, 291–330. https://doi.org/10.1007/978-981-15-0458-7_22
Xu, L., Sun, X., Du, C., Zhou, Q., Shi, B., Zhu, Z., & Qiu, Y. (2020). Is Growth-friendly Surgical Treatment Superior to One-stage Posterior Spinal Fusion in 9- to 11-year-old Children with Congenital Scoliosis? Clinical Orthopaedics and Related Research, 478(10), 2375–2386. https://doi.org/10.1097/corr.0000000000001377
Rrecaj-Malaj, S., Beqaj, S., Krasniqi, V., Qorolli, M., & Tufekcievski, A. (2020). Outcome of 24 Weeks of Combined Schroth and Pilates Exercises on Cobb Angle, Angle of Trunk Rotation, Chest Expansion, Flexibility and Quality of Life in Adolescents with Idiopathic Scoliosis. Medical Science Monitor Basic Research, 26. https://doi.org/10.12659/msmbr.920449
Fernandes, P., Do Brito, J. S., Flores, I., & Monteiro, J. (2019). Impact of surgery on the quality of life of adolescent idiopathic scoliosis. The Iowa Orthopaedic Journal, 39(2), 66.
Javaid, U. (2022). Average Correction of Cobb’s Angle in Congenital Scoliosis Using Growing Rode as a Mode of Correction. International Journal of Current Science Research and Review, 05(04). https://doi.org/10.47191/ijcsrr/v5-i4-21
Kurak, K., Altunhan, A., Açak, M., Korkmaz, M. F., & Düz, S. (2022). The Effect of Electrical Muscle Stimulation (EMS) Enhanced Schroth Method Training on Cobb Angle and Quality of Life in Patients with Scoliosis. Pakistan Journal of Medical and Health Sciences, 16(1), 566–570. https://doi.org/10.53350/pjmhs22161566
Alanazi, M. H., Parent, E., Bettany-Saltikov, J., Hill, D., & Southon, S. (2021). Convergent validity, ceiling, and floor effects of the English-ISYQOL against established quality of life questionnaires (SRS-22r and SAQ) and curve angles in adolescents with idiopathic scoliosis. Studies in Health Technology and Informatics. https://doi.org/10.3233/shti210473
Herdea, A., Stancu, T. A., Ulici, A., Lungu, C. N., Dragomirescu, M.-C., & Charkaoui, A. (2022). Quality of Life Evaluation Using SRS-30 Score for Operated Children and Adolescent Idiopathic Scoliosis. Medicina, 58(5), 674. https://doi.org/10.3390/medicina58050674
Mu, W., He, M., Lei, T., Zhang, L., Du, L., & Xie, H. (2022). Measurement of the Cobb angle by 3D ultrasound: a valuable additional method for the prenatal evaluation of congenital scoliosis. Quantitative Imaging in Medicine and Surgery, 12(5), 2805–2812. https://doi.org/10.21037/qims-21-558
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Indus Journal of Bioscience Research
This work is licensed under a Creative Commons Attribution 4.0 International License.