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Radiological and Clinical Outcome of Non Surgical Management for Pediatric High Grade Spondylolisthesis.

Authors :
Aubin, Carl-Eric
Stokes, Ian A.F.
Labelle, Hubert
Moreau, Alain
Bourassa-Moreau, Étienne
Mac-Thiong, Jean-Marc
Source :
Studies in Health Technology & Informatics; 2010, Vol. 158, p177-181, 5p, 1 Chart
Publication Year :
2010

Abstract

Objective: To describe and compare the quality of life of patients with pediatric high-grade spondylolisthesis managed non-operativelyand operatively. Summary of Background Data: Some authors consider pediatric high-grade spondylolisthesis as an absolute indication for surgery, regardless of symptomswhile others sometimes recommend observation in asymptomatic patients. Very little is known about the indications and outcome of non-operatively managed high-grade spondylolisthesis. Methods: A prospective database comprising all the spondylolisthesis cases from a single pediatric institution was reviewed in order to identify all cases of high gradespondylolisthesis. Quality of life data from Short form (SF)-12 and Scoliosis Research Society (SRS)-22 questionnaires were collected. Non-operatively treated patients were identified and compared to surgically treated patients at baseline and at last follow-up. Results: 34 spondylolisthesiswere identified as high grade and 5 of them were non-operatively treated. Quality of life questionnaires showed less impairment in the non-operativegroup when compared to the surgical group preoperatively. Moreover at last follow-up, quality of life questionnaires were similar between the two groups. There was no worsening of quality of life observed in non-operativepatients during follow-up. Conclusion: The quality of life after surgical treatment of high grade spondylolisthesisissimilar to that of patients with high grade spondylolisthesis and mild symptoms undergoing non–operative treatment. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
09269630
Volume :
158
Database :
Complementary Index
Journal :
Studies in Health Technology & Informatics
Publication Type :
Academic Journal
Accession number :
51322756