后凸过度儿童的背痛残疾和PROMIS评分比特发性脊柱侧凸儿童差。

IF 1.6 Q3 CLINICAL NEUROLOGY

Spine deformity Pub Date : 2025-01-13 DOI:10.1007/s43390-024-01028-1

Karina Amani Zapata, Caitlin Nadolny, Eliza Lovrich, Yuhan Ma, Brandon A Ramo

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引用次数: 0

摘要

目的：采用9项Oswestry残疾指数（ODI-9）和患者报告的结果测量信息系统（PROMIS），比较后凸过度和特发性脊柱侧凸儿童的健康相关生活质量（HRQOL）。方法：从2021年4月至2023年6月，对10-18岁完成PROMIS儿童疼痛干扰、活动能力和焦虑域的后凸过度、特发性脊柱侧凸和无结构性诊断的对照组进行回顾性评估。对后凸过度、特发性脊柱侧凸和对照组进行比较。在后凸过度组中，比较了Scheuermann后凸和体位性后凸亚组。结果：共纳入304例高后凸患儿，1134例特发性脊柱侧凸患儿和1493例对照组。后凸过度儿童的年龄、男性性别、BMI百分位数、西班牙语比英语使用者和公共保险类型增加。多变量回归分析包括年龄、性别、BMI百分位数、语言、保险类型和种族/民族后，他们的ODI-9、PROMIS疼痛干扰和活动能力评分也较差，这一差异仍然显著(p结论：脊柱后凸多型儿童（舒尔曼和体位性脊柱后凸亚型）的HRQOL评分低于特发性脊柱侧凸的同龄人。较差的ODI-9、PROMIS疼痛干扰和活动能力评分在调整混杂变量后，仅在整个后凸过度组中保持显著性，但在后凸过度亚组之间没有显著性。

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Back pain disability and PROMIS scores in children with hyperkyphosis are worse than children with idiopathic scoliosis.

Purpose: To compare health-related quality-of-life (HRQOL) between children with hyperkyphosis and idiopathic scoliosis using 9-item Oswestry Disability Index (ODI-9) and Patient Reported Outcome Measurement Information System (PROMIS) Pain Interference, Mobility, and Anxiety.

Methods: Children with hyperkyphosis, idiopathic scoliosis, and controls with no structural diagnosis ages 10-18 years who completed the PROMIS Pediatric Pain Interference, Mobility, and Anxiety domains were retrospectively evaluated from April 2021 to June 2023. Comparisons were made between hyperkyphosis, idiopathic scoliosis, and control groups. Within the hyperkyphosis group, comparisons were made between Scheuermann kyphosis and postural kyphosis subgroups.

Results: 304 children with hyperkyphosis, 1134 with idiopathic scoliosis, and 1493 controls were included. Children with hyperkyphosis had increased age, male sex, BMI percentile, Spanish than English speakers, and public insurance type. They also had worse ODI-9, PROMIS Pain Interference and Mobility scores which remained significant after multivariate regression analysis included age, sex, BMI percentile, language, insurance type, and race/ethnicity (p < 0.01). The Scheuermann kyphosis (n = 67) subgroup had increased age, male sex, area deprivation index (ADI), BMI percentile, concern by their appearance, and worse PROMIS Pain Interference and Mobility scores than the postural kyphosis (n = 237) subgroup. However, Scheuermann kyphosis subgroup score differences did not remain significant after considering age, sex, ADI, and BMI percentile.

Conclusion: Children with hyperkyphosis (both Scheuermann and postural kyphosis subtypes) have worse HRQOL scores than their peers with idiopathic scoliosis. Worse ODI-9, PROMIS Pain Interference and Mobility scores remained significant only in the hyperkyphosis group as a whole after adjusting for confounding variables, but not between hyperkyphosis subgroups.

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来源期刊

Spine deformity

CiteScore

3.20

自引率

18.80%

发文量

167

期刊介绍： Spine Deformity the official journal of the?Scoliosis Research Society is a peer-refereed publication to disseminate knowledge on basic science and clinical research into the?etiology?biomechanics?treatment?methods and outcomes of all types of?spinal deformities. The international members of the Editorial Board provide a worldwide perspective for the journal's area of interest.The?journal?will enhance the mission of the Society which is to foster the optimal care of all patients with?spine?deformities worldwide. Articles published in?Spine Deformity?are Medline indexed in PubMed.? The journal publishes original articles in the form of clinical and basic research. Spine Deformity will only publish studies that have institutional review board (IRB) or similar ethics committee approval for human and animal studies and have strictly observed these guidelines. The minimum follow-up period for follow-up clinical studies is 24 months.