Akademik Veri Yönetim Sistemi
Anestezi Dergisi, cilt.23, sa.3, ss.137-143, 2015 (Scopus)
Objective: Scoliosis, the three dimensional deformity of the vertebral colon, causes physical and social-psycological effects. Surgical repair aims to prevent the worsening of the diseases caused by scoliosis itself and neurologic outcome, and also to improve the quality of life by reducing the impact of social-psycological status. Our aim was to evaluate the quality of life in these patients after surgical treatment and the impact of different f actors on this postoperative life quality. Method: Fifty patients, undergone scoliosis surgery between 2010-2012, were assessed for the study. SRS (Scoliosis Research Society)-22 questionnaire was used to determine the postoperative quality of life and was given to the patients at least 6 months after surgery. Five sub-groups entitled pain, image, function, mental health and satisfaction, were assessed. The records of these patients were retrospectively reviewed for co-morbidities, the type of surgery, Cobb angle, the type of deformity, the durations of surgical procedures, the corrected vertebral segments, intraoperative and postoperative hemoglobin levels, the amount of bleeding, requirements for transfusion, the time needed for extubation and the duration of ICU stay. These parameters were assessed for their effects on SRS-22 scores. Results: The SRS-22 functional sub-group scores were lower in patients with congenital scoliosis and the patients with co-morbidities, whereas the other scores were high. In the other types of scoliosis and in patients without co-morbidities, all the scores were high, revealing that the surgical treatment improved the quality of life. Infernale gender, the ICU stay was shorter, however, this difference did not correlate with SRS-22. The intraoperative and postoperative parameters did not reveal a correlation with SRS-22 scores. Conclusion: SRS-22 scores revealed that surgical treatment improved the quality of life in scoliosis, irrespective of the duration of ICU stay. However, the type of scoliosis and co-morbidities may limit the functional outcome provided by surgery.