{Reference Type}: Journal Article
{Title}: Characteristics of back pain in patients with adolescent idiopathic scoliosis: Considerations in candidates for corrective surgery.
{Author}: Kusabe Y;Hirano T;Kikuchi R;Ohashi M;Tashi H;Shibuya Y;Makino T;Hasegawa K;Tanabe N;Watanabe K;
{Journal}: J Orthop Sci
{Volume}: 0
{Issue}: 0
{Year}: 2023 Dec 7
{Factor}: 1.805
{DOI}: 10.1016/j.jos.2023.11.014
{Abstract}: <B>BACKGROUND: </B>Previous studies have demonstrated that the point prevalence of back pain ranges from 12 % to 33 % and that the lifetime prevalence of back pain ranges from 28 % to 51 % in adolescents. However, few studies on back pain in patients with Adolescent idiopathic scoliosis (AIS) have been conducted, and these studies had significant limitations, including a lack of comparative controls and detailed information about scoliotic deformity or pain location. This study aimed to determine whether adolescents with AIS experience back pain in specific regions.<BR><B>METHODS: </B>This retrospective case-control study included 189 female adolescents with AIS who underwent corrective fusion from 2008 to 2020. Questionnaires on back pain and health-related quality of life (HRQOL) using the Scoliosis Research Society Outcomes Instrument-22 (SRS-22) were conducted preoperatively. The control group included 2909 general female adolescents.<BR><B>RESULTS: </B>The mean Cobb angles in the main thoracic and thoracolumbar/lumbar curves were 51.4 ± 15.3° and 40.4 ± 12.9°. Back pain characteristics included higher point prevalence (25.9 %) and lifetime prevalence (64.6 %) compared to healthy controls. Adolescents with back pain showed lower scores in the pain and mental health domains of the SRS-22. Adolescents with major thoracic AIS showed more back pain in the upper and middle right back compared to adolescents with major thoracolumbar/lumbar AIS.<BR><B>CONCLUSIONS: </B>The point and lifetime prevalence of back pain were definitely higher in patients with AIS, which affected their HRQOL. There was a relationship between pain around the right scapula and the right major thoracic curve with a rib hump deformity.