Correlation of curve patterns and severity with SRS-22 questionnaire scores in girl adolescents with idiopathic scoliosis

English Keywords:Adolescent idiopathic scoliosis  SRS-22 questionnaire  Curve pattern  Curve severity

English Abstract:

  【Abstract】 Objectives: To investigate the correlation of SRS-22 questionnaire scores with curve patterns and curve severity in girls with adolescent idiopathic scoliosis(AIS). Methods: From June 2010 to July 2011, 272 female AIS patients without any treatment who completed a simplified Chinese edition of SRS-22 questionnaire were recruited in present study. All girls were divided into two groups: small Cobb angle(20°-39°) group and large Cobb angle(40°-75°) group. In addition, according to the curve patterns, each group was furtherly divided into four subgroups: main thoracic curve(T), thoracolumbar curve/lumbar(TL/L), double major curve(DM) and double thoracic curve(DT). Statistical analysis was performed among different subgroups in the same group and between the same subgroups in different groups by using nonparametric test with Kruskal-Wallis. Results: In the small Cobb angle group, the function/activity domain scores, self-image domain scores, and mental health domain scores of patients with T curve and TL/L curve were significantly higher than those in the large Cobb angle group(P<0.05), and the function/activity domain scores and total sub-scores of DT curve patients were significantly better than those in the large Cobb angle group(P<0.05). Furthermore, the function/activity domain scores of T curve patients were notably higher compared with those of TL/L and DM curve patients(P<0.05). However, the self-image domain scores of DT curve patients were significantly worse than those of T and TL/L curve patients(P<0.05). In the large Cobb angle group, the pain domain scores of DM curve patients were significantly lower compared with those of T curve patients(P<0.05), and the self-image domain scores of DT curve patients were the lowest among all the curve patterns(P<0.05). Conclusions: In the girl patients with mild to moderate AIS, the different curve severity and curve patterns, to a certain extent, may have an effect on the SRS-22 questionnaire scores; especially the AIS patients with DT curve have significantly lower self-image scores.