title: Health-related quality of life and low back pain of patients surgically treated for scoliosis after 21 years or more of follow-up: comparison among nonidiopathic scoliosis, idiopathic scoliosis, and healthy subjects.
abstract: METHODS
  A case-control study.
  
  
  OBJECTIVE
  To compare health-related quality of life and low back pain of healthy subjects with those of patients with nonidiopathic scoliosis (non-IS) and idiopathic scoliosis (IS) 21 years or more after surgery.
  
  
  BACKGROUND
  There have been a very small number of reports on long-term results of surgery for non-IS. There have not been any reports that compare non-IS, IS, and healthy subjects.
  
  
  METHODS
  The subjects with scoliosis were 602 patients who had undergone surgery between 1968 and 1988. The Scoliosis Research Society Patient Questionnaire (SRS-22), Roland-Morris Disability Questionnaire (RDQ), and our institution's original questionnaire were used for evaluating long-term clinical outcomes. The 136 respondents consisted of 56 patients with non-IS (non-IS group) and 80 patients with IS (IS group). The control group (CTR group) consisted of 80 healthy volunteers who were age- and body mass index-matched to the scoliosis groups.
  
  
  RESULTS
  In the SRS-22, the 3 groups had no significant differences in pain and mental health. For function and self-image, the non-IS group and the IS group had a significantly lower score than the CTR group. In the RDQ, the non-IS group had significantly more severe low back pain than the CTR group. There was no significant difference in low back pain between the non-IS group and IS group or between the IS group and CTR group. The non-IS group had a significantly lower marriage rate than the IS and CTR groups.
  
  
  CONCLUSIONS
  The patients with non-IS and IS had similar health-related quality of life and low back pain. The patients with non-IS were found to have lower function and self-image in the SRS-22 questionnaire and more severe low back pain in the RDQ than healthy subjects. The patients with non-IS had a significantly lower marriage rate than the other 2 groups.
authors.affiliation: Department of Orthopedic Surgery, Seirei Sakura Citizen Hospital, Sakura, Japan. cds00350@par.odn.ne.jp
authors.forename: Tsutomu
authors.initials: T
authors.lastname: Akazawa
authors.forename: Shohei
authors.initials: S
authors.lastname: Minami
authors.forename: Toshiaki
authors.initials: T
authors.lastname: Kotani
authors.forename: Tetsuharu
authors.initials: T
authors.lastname: Nemoto
authors.forename: Takana
authors.initials: T
authors.lastname: Koshi
authors.forename: Kazuhisa
authors.initials: K
authors.lastname: Takahashi
mesh_terms: D000293:Adolescent; D000328:Adult; D016022:Case-Control Studies; D002648:Child; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D006304:Health Status; D006801:Humans; D015994:Incidence; D008137:Longitudinal Studies; D017116:Low Back Pain / Q000453:epidemiology*; D008297:Male; D017533:Marital Status; D008875:Middle Aged; D036801:Parturition; D011788:Quality of Life; D012189:Retrospective Studies; D012600:Scoliosis / Q000145:classification* / Q000601:surgery*; D012649:Self Concept; D011795:Surveys and Questionnaires; D016896:Treatment Outcome; D055815:Young Adult