Return to school after adolescent idiopathic scoliosis (AIS) posterior spinal fusion: Establishing a baseline in Saudi Arabia.

IF 1.4 4区医学 Q3 ORTHOPEDICS

Journal of Back and Musculoskeletal Rehabilitation Pub Date : 2025-02-12 DOI:10.1177/10538127251314026

Abdullah Addar, Nizar Al-Qarni, Musab Alaqeel, Abdurahman Khalid Addweesh, Munib Nader Alkhateb, Abdulmonem Alsiddiky

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引用次数: 0

Abstract

Introduction: Return to school (RTS) after adolescent idiopathic (AIS) scoliosis surgery is a critical outcome measure signifying a return to everyday life. Prior studies in Western populations report an average RTS of 42.3 days for AIS surgery. This study aims to estimate RTS and identify factors affecting it in Saudi Arabia.

Method: This retrospective cross-sectional study included 48 AIS patients who underwent posterior spinal fusion (PSF). Data collected included demographics, surgical details, and recovery timelines. After identifying the average time to return to school, patients were categorized based on RTS duration, with a 42-day cutoff. Factors that could delay the time to return to school were analyzed.

Result: Among the 48 patients, 41 (85.4%) were female, with a mean age of 14.47 years (SD 2.7). The average RTS was 60.1 days (SD 24). Significant associations were found between RTS and age at surgery (12.92 years for RTS ≤ 42 days vs 14.84 years for RTS > 42 days, p = 0.04) and levels fused (15.40 for RTS ≤ 42 days vs 13.38 for RTS > 42 days, p = 0.036). Other factors showed no significant associations.

Conclusion: The average RTS after scoliosis correction in Saudi Arabia is two weeks longer than the average in other countries. Further studies are needed to develop solutions to reduce the delayed RTS in Saudi Arabia.

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青少年特发性脊柱侧凸（AIS）后路脊柱融合术后重返学校：在沙特阿拉伯建立基线。

青少年特发性（AIS）脊柱侧凸手术后重返学校（RTS）是一个重要的结果衡量指标，标志着恢复日常生活。先前在西方人群中的研究报告，AIS手术的平均RTS为42.3天。本研究旨在估计RTS，并确定影响其在沙特阿拉伯的因素。方法：本回顾性横断面研究纳入48例后路脊柱融合术（PSF）的AIS患者。收集的数据包括人口统计、手术细节和恢复时间表。在确定平均返校时间后，根据RTS持续时间对患者进行分类，并以42天为截止日期。分析了影响返校时间的因素。结果：48例患者中，女性41例（85.4%），平均年龄14.47岁（SD 2.7）。平均RTS为60.1天（SD 24）。RTS与手术年龄（RTS≤42天组12.92岁vs RTS > 42天组14.84岁，p = 0.04）和融合水平（RTS≤42天组15.40岁vs RTS > 42天组13.38岁，p = 0.036）之间存在显著关联。其他因素无显著相关性。结论：沙特阿拉伯脊柱侧凸矫正术后的平均RTS比其他国家的平均RTS长2周。需要进一步的研究来制定解决方案，以减少沙特阿拉伯延迟的RTS。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Back and Musculoskeletal Rehabilitation 医学-康复医学

CiteScore

2.70

自引率

0.00%

发文量

194

审稿时长

6 months

期刊介绍： The Journal of Back and Musculoskeletal Rehabilitation is a journal whose main focus is to present relevant information about the interdisciplinary approach to musculoskeletal rehabilitation for clinicians who treat patients with back and musculoskeletal pain complaints. It will provide readers with both 1) a general fund of knowledge on the assessment and management of specific problems and 2) new information considered to be state-of-the-art in the field. The intended audience is multidisciplinary as well as multi-specialty. In each issue clinicians can find information which they can use in their patient setting the very next day.