A prospective assessment of SRS-24 scores after endoscopic anterior instrumentation for scoliosis.
METHODS
Prospective clinical case series.


OBJECTIVE
To evaluate the clinical outcome of anterior endoscopic instrumention for scoliosis using the SRS-24 questionnaire and to examine how these scores change over a 2-year follow-up period.


BACKGROUND
Anterior endoscopic instrumentation correction has several advantages compared with open procedures. However, the clinical results of this technique using a validated outcome measure have rarely been reported in the literature.


METHODS
A total of 83 consecutive patients underwent endoscopic anterior instrumentation performed at a single unit. Patients completed the SRS-24 questionnaire before surgery and at 3, 6, 12, and 24 months after surgery. The SRS-24 scores were compared between each of the follow-up intervals.


RESULTS
The pain, general self-image, and function from back condition domains improved after surgery (P < 0.05). Activity level significantly improved between 3 and 6 months, and both function domains improved between 6 and 12 months (P < 0.05). None of the domains increased significantly after 1 year.


CONCLUSIONS
Endoscopic anterior instrumentation for scoliosis significantly improved pain, self-image, and function. The greatest improvement in function occurred between 6 and 12 months after surgery. The SRS-24 scores at 1 year from surgery may provide a good indicator of patient outcome in the long-term.
Crawford
John R
JR
Paediatric Spine Research Group, Mater Children's Hospital, South Brisbane, Queensland, Australia. jrcrawford@doctors.org.uk
Izatt
Maree T
MT
Adam
Clayton J
CJ
Labrom
Robert D
RD
Askin
Geoffrey N
GN
D000293:Adolescent; D000328:Adult; D002648:Child; D004724:Endoscopy / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009984:Orthopedic Fixation Devices; D011446:Prospective Studies; D020127:Recovery of Function / Q000502:physiology; D012107:Research Design; D012600:Scoliosis / Q000503:physiopathology* / Q000601:surgery*