Clinical outcomes of a scoliosis activity suit worn by patients with chronic post-fusion pain: 6-month case-controlled results.

Main Article Content

Clayton Stitzel Brian Dovorany Aatif Siddiqui Mark Morningstar

Abstract

Abstract

Purpose: Spinal fusion surgery is the recommended treatment in the United States for scoliosis measuring beyond 50°. However, pain and disability are long-term concerns many patients face. This study intended to evaluate results of wearing a scoliosis activity suit in patients with a history of spinal fusion surgery.

Methods: A retrospective collection of patient data was obtained and compared to data obtained from people who did not participate in the treatment. Data from both groups had been collected at 6 months following a specific list of inclusion criteria. These data included radiographic Cobb angle, quadruple numerical pain rating scores (QVAS), and SRS-22r questionnaire.

Results:  Post-fusion patients wearing the scoliosis activity suit achieved significant improvements in Cobb angle, QVAS scores, and SRS-22r scores at 6 months as well as compared to the control group. Harrington rod fusion patients tended to improve more than patients with newer pedicle screw instrumentation. 

Conclusion: The scoliosis activity suit may be a clinically useful therapy in adult post-fusion scoliosis patients seeking pain management strategies aside from commonly recommended pharmacological management. The scoliosis activity suit improved the Cobb angle in Harrington rod patients, and increased the quality of life for all fusion patients when compared to controls after 6 months of use.

Article Details

How to Cite
STITZEL, Clayton et al. Clinical outcomes of a scoliosis activity suit worn by patients with chronic post-fusion pain: 6-month case-controlled results.. Medical Research Archives, [S.l.], v. 5, n. 10, oct. 2017. ISSN 2375-1924. Available at: <https://esmed.org/MRA/mra/article/view/1556>. Date accessed: 27 dec. 2024.
Keywords
Scoliosis; Rehabilitation; Spine; Chiropractic
Section
Research Articles

References

References
[1] National Scoliosis Foundation. http://www.scoliosis.org/info.php Accessed: 03/30/2016.
[2] Negrini S, Aulisa AG, Aulisa L, Circo AB, de Mauroy JC, Durmala J, et al. 2011 SOSORT guidelines: Orthopaedic and Rehabilitation treatment of idiopathic scoliosis during growth. Scoliosis 2012 7:3.
[3] Weiss HR, Goodall D. Rate of complications in scoliosis surgery – a systematic review of the Pub Med literature. Scoliosis 2008; 3:9.
[4] Sponseller PD, Cohen MS, Nachemson AL, Hall JE, Wohl ME. Results of surgical treatment of adults with idiopathic scoliosis. J Bone Joint Surg Am 1987; 69: 667-675.
[5] Götze C, Slomka A, Götze HG, Pötzl W, Liljenqvist U, Steinbeck J. Long-term results of quality of life in patients with idiopathic scoliosis after Harrington instrumentation and their relevance for expert evidence. Z Orthop Ihre Grenzgeb. 2002;140:492-8.
[6] Chidambaran V, Ding L, Moore DL, Spruance K, Cudilo EM, Pilipenko V, et al. Predicting the pain continuum after adolescent idiopathic scoliosis surgery: A prospective cohort study. Eur J Pain. doi:10.1002/ejp.1025.
[7] Cochran T, Irstam L, Nachemson A. Long term anatomic and functional changes in patients with AIS treated by Harrington rod fusion. Spine 1983;8:576-584.
[8] Manchikanti L, Helm S 2nd, Fellows B, Janata JW, Pampati V, Grider JS, Boswell MV. Opioid epidemic in the United States. Pain Physician. 2012 Jul;15(3 Suppl):ES9-38.
[9] Bicket MC, Chakravarthy K, Chang D, Cohen SP. Epidural steroid injections: an updated review on recent trends in safety and complications. Pain Manag. 2015;5(2):129-46.
[10] Manchikanti L, Buenaventura RM, Manchikanti KN, Ruan X, Gupta S, Smith HS, Christo PJ, Ward SP. Effectiveness of therapeutic lumbar transforaminal epidural steroid injections in managing lumbar spinal pain. Pain Physician. 2012 May-Jun;15(3):E199-245.
[11] Shah A, Craner J, Cunningham JL. Medical cannabis use among patients with chronic pain in an interdisciplinary pain rehabilitation program: Characterization and treatment outcomes. J Subst Abuse Treat. 2017 Jun;77:95-100.
[12] Morningstar MW, Dovorany B, Stitzel C, Siddiqui A. Radiographic, Pain, and Functional Outcomes in an Adult Post-Fusion Patient Using a Scoliosis Activity Suit: Comparative Results after 8 Months. International Journal of Clinical Medicine, 7, 265-269.
[13] Negrini S, Hresko TM, O'Brien JP, Price N; SOSORT Boards; SRS Non-Operative Committee. Recommendations for research studies on treatment of idiopathic scoliosis: Consensus 2014 between SOSORT and SRS non-operative management committee. Scoliosis. 2015 Mar 7;10:8.
[14] Chidambaran V, Ding L, Moore DL, Spruance K, Cudilo EM, Pilipenko V, Hossain M, Sturm P, Kashikar-Zuck S, Martin LJ, Sadhasivam S. Predicting the pain continuum after adolescent idiopathic scoliosis surgery: A prospective cohort study. Eur J Pain. 2017 Aug;21(7):1252-1265.
[15] Helenius I, Remes V, Yrjönen T, Ylikoski M, Schlenzka D, Helenius M, Poussa M. Harrington and Cotrel-Dubousset instrumentation in adolescent idiopathic scoliosis. Long-term functional and radiographic outcomes. J Bone Joint Surg Am. 2003 Dec;85-A(12):2303-9.