Idiopathic Scoliosis
Conditions
Keywords
inequality, remoteness, socio economic
Brief summary
The incidence of idiopathic scoliosis is 3% or approximatively 300,000 new cases per year in France. It is estimated that between 0.1 and 0.3% of patients will eventually require surgical management, between 500 and 1000 scoliosis are operated per year in France. To our knowledge, the impact of socio-economic and territorial inequalities on the quality of life before and after surgery of idiopathic scoliosis has not been studied previously. Main objective: -Assess the impact of socio-economic and territorial inequalities on the pre- and post-operative quality of life at 1 year after surgical idiopathic scoliosis management, in a French pediatric surgery multicenter cohort. Secondary objective: * Assess the impact of socio-economic and territorial inequalities on the quality of life pre and postoperative at 3 months after surgery on a French multicenter cohort. * To assess the impact of severity and type of scoliosis on pre- and post-operative quality of life at 3 months and 1 year after surgery on a French multicenter cohort.
Interventions
None listed
Sponsors
Hôpital Necker-Enfants Malades
Hopital Universitaire Robert-Debre
Amiens University Hospital
University Hospital, Rouen
University Hospital, Lille
University Hospital, Caen
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
10 Years to 25 Years
Inclusion criteria
* Operated by posterior vertebral arthrodesis * Opereted in pediatric surgery center * Idiopathic scoliosis treated by surgery
Exclusion criteria
* Refusal to participate * People unable to read or speak French (the questionnaire being in French) * Non-idiopathic scoliosis
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change from baseline quality of life (SRS-22) at one year after surgery depending on the socio-economic level and remoteness. | At 1 years after surgery. Baseline questionnaire will be assessed just before the surgery | We will use the SRS-22 questionnaire, a specific questionnaire validated in French to assess the quality of life of patients with scoliosis. The questionnaire coverts different part of socio-economic levels including the salary, the educational level, the type of social security coverage, the parents' family situation (single parent, two-parent, blended couple) and the number of people and pieces in the habitation. The remoteness will be evaluated by the distance between the medical referent center and the habitation. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Radiological data : type of scoliosis | at the time of surgery and at one year fater surgery | Scoliosis radiological parameters before and after surgery (just after and at 1 year after surgery): type of scoliosis (lenkee classification) |
| Clinical data: age | at the surgery | Age at diagnosis and at surgery in months |
| Clinical data: weight | at the surgery | weight (in kilograms) |
| Radiological data: angulation parameters | at the time of surgery and at one year fater surgery | Scoliosis radiological parameters before and after surgery (just after and at 1 year after surgery) cobb, kyphosis, lordosis, pelvic incidence (unit of measure: angulation in degrees) |
| Clinical data: family history | at the surgery | history of scoliosis in the family (yes or no) |
| Surgery data | during the firts year after the surgery | Type of instrumentation, level of instrumentation, surgical complications (neurological, infectious). |
| Clinical data: previous treatments | at the surgery | previous treatment for scoliosis (yes or no) |
Countries
France
Outcome results
None listed