Adölesan İdiyopatik Skolyozlu Hastaların Yaşamlarını Daha Çok Etkileyen Nedir: Korse mi, Ameliyat mı?

Yıl 2025, Cilt: 7 Sayı: 2, 289 - 293, 09.05.2025

Sabri Batın , Yakup Ekinci

https://doi.org/10.37990/medr.1641515

Öz

Giriş: Skolyoz, omurganın lateral eğriliği ve rotasyonu ile karakterize bir deformitedir. Skolyoz tedavi yöntemleri gözlem, egzersiz ve cerrahi tedaviyi içerir. Bu çalışma, skolyozlu bireylerde destek ve cerrahinin posterior spinal enstrümantasyon ve posterior füzyon (PSIPF) ile birlikte ağrı, günlük yaşam aktiviteleri ve depresyon üzerindeki etkilerini karşılaştırmayı amaçlamaktadır.
Yöntemler: Bu prospektif olarak planlanan çalışmada, Ocak 2023 ile Aralık 2024 arasında kliniğimizde düzenli olarak takip edilen ve ergenlik dönemi idiyopatik skolyoz (AIS) tanısı almış 184 skolyoz hastası arasından kriterleri karşılayan 105 hasta dahil edildi. Dahil etme kriterlerini karşılayan hastalar Koese ve Cerrahi Grubu olarak iki gruba ayrıldı. Her iki gruba da aynı araştırmacılar tarafından Görsel Analog Skala (VAS), Beck Depresyon Ölçeği (BDS) ve Skolyoz Araştırma Derneği 22 (SRS-22) anketi uygulandı ve veriler istatistiksel olarak karşılaştırıldı. p<0.05 istatistiksel olarak anlamlı kabul edildi.
Bulgular: Katılımcıların tanımlayıcı özellikleri açısından iki grup arasında anlamlı bir fark yoktu (p˃0,05). VAS ve BDS verileri, Cerrahi Grubunda Brace Grubuna kıyasla anlamlı şekilde azalmış idi (p<0,05). SRS-22'nin alt parametreleri arasında fonksiyon, ağrı ve memnuniyet verileri cerrahi grubunda brace grubuna kıyasla anlamlı şekilde iyileşmiş idi (p<0,05).
Sonuç: Skolyoz tedavisinde PSIPF yöntemi ile cerrahi tedavi, brace tedavisine kıyasla fiziksel ve psikolojik iyileşmede daha etkili görünmektedir.

Anahtar Kelimeler

Adölesan İdiyopatik Skolyoz , Posterior Spinal Enstrümantasyon , Korse , SRS-22 , Beck Depresyon Ölçeği

What Affects the Lives of Patients with Adolescent Idiopathic Scoliosis More, Brace or Surgery?

Öz

Aim: Scoliosis is a deformity characterized by lateral curvature and rotation of the spine. Scoliosis treatment modalities include observation, exercise, bracing, and surgery. This study aimed to compare the effects of bracing and surgery with posterior spinal instrumentation and posterior fusion (PSIPF) on pain, activities of daily living, and depression in individuals with scoliosis.
Material and Method: In this prospectively planned study, 105 patients who met the criteria were included among 184 scoliosis patients who were diagnosed with adolescent idiopathic scoliosis (AIS) and followed up regularly in our clinic between January 2023 and December 2024. The patients who met the inclusion criteria were randomly divided into two groups Brace and Surgery Group. Visual Analog Scale (VAS), Beck Depression Scale (BDS), and Scoliosis Research Society 22 (SRS-22) questionnaire were administered to both groups by the same researchers and the data were compared statistically. A p-value <0.05 was considered statistically significant.
Results: There was no significant difference between the two groups in terms of descriptive characteristics of the participants (p>0.05). VAS and BDS data were significantly decreased in the Surgery Group compared to the Brace Group (p<0.05). Among the sub-parameters of SRS-22, function, pain, and satisfaction data were significantly improved in the surgery group compared to the brace group (p<0.05).
Conclusion: In the treatment of scoliosis, surgical treatment with the PSIPF method seems to be more effective in physical and psychological recovery compared to brace treatment.

Anahtar Kelimeler

Adolescent idiopathic scoliosis , instrumentation , braces , spine , deformity

Kaynakça

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