Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
74
Rudolph Christopher Glattes
Douglas C. Burton
Sue Min Lai
Number of
Domain Questions (22 Total) Question Sample
CASE EXAMPLES
CASE 74.1
A 12-year, 5-month-old girl presented with a Lenke 1CN 9-months postoperative. At 12 years, 2 months postopera-
adolescent idiopathic scoliosis. Figures 74.1A and B show tive, her SRS-22r questionnaire scores were Function 5, Pain
preoperative standing posteroanterior and lateral radio- 4.2, Self Image 5, Mental Health 5, and Satisfaction/Dissat-
graphs. Figures 74.1C and D show radiographs at 6-years, isfaction 5.
+6 mm
57 mm
5
+33
21 mm
52
(B36) 1520
0 mm
10
12
+42 5 mm
15
(B+10)
+25 mm 57
A B
2
18 5
20
10
8
12
62
CASE 74.2
An 11-year, 10-month-old girl presented with a Lenke 1B at 11 years, 10 months postoperative. At 11 years, 10 months
adolescent idiopathic scoliosis. Figures 74.2A and B show postoperative, her SRS-22r questionnaire scores were Func-
standing posteroanterior and lateral radiographs taken tion 4.6, Pain 2.2, Self-Image 2.6, Mental Health 2.8, and
preoperative, and Figures 74.2C and D show radiographs Satisfaction/Dissatisfaction 3.
5 mm
5
30 B+22
+12
68 62 mm
B45 24 mm
12
12
Regional
+30
Apex
B+13 33
+9 mm
+25
+13
4
A B
10
22
12
12
17
41
4
Figure 74.2. Preoperative standing poster-
oanterior (A) and lateral (B) radiographs of
an 11-year, 10-month-old girl with a Lenke 1B S
10. Deyo RA, Battie M, Beurskens AJ, et al. Outcome measures for low back pain research: a
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12. Gartland JJ. Orthopaedic clinical research. Deficiencies in experimental design and deter-
Research Society (SRS) outcomes instrument. Spine 2000;25:23812386.
mination of outcome. J Bone Joint Surgery [Am] 1988;70:13571364.
2. Asher MA, Lai SM, Glattes RC, et al. Refinement of the SRS-22 health-related quality of life
13. Glassman SD, Berven S, Bridwell KH, et al. Correlation of radiographic parameters and
questionnaire function domain. Spine 2006;31:593597.
clinical symptoms in adult scoliosis. Spine 2005;30:682688.
3. Asher M, Min Lai S, Burton D, et al. Scoliosis Research Society-22 patient questionnaire:
14. Glattes RC, Burton DC, Lai SM. The reliability and concurrent validity of the scoliosis
responsiveness to change associated with surgical treatment. Spine 2003;28:7073.
research society-22r patient questionnaire compared with the child health questionnaire-
4. Berven S, Deviren V, Demir-Deviren S, et al. Studies in the modified Scoliosis Research
cf87 patient questionnaire for adolescent spinal deformity. Spine 2007;32:17781784.
Society outcomes instrument in adults: validation, reliability and discriminatory capacity.
15. Haher TR, Gorup JM, Shin TM, et al. Scoliosis Research Society instrument for evaluation
Spine 2003;28:21642169.
of surgical outcome in adolescent idiopathic scoliosis: a multicenter study of 244 patients.
5. Bridwell KH, Baldus C, Iffrig TM, et al. Process measures and patient/parent evaluation of
Spine 1999;24:14351440.
surgical management of spinal deformities in patients with progressive flaccid neuromus-
16. Haher TR, Merola A, Zipnick RI, et al. Meta-analysis of surgical outcome in adolescent
cular scoliosis (Duchennes muscular dystrophy and spinal muscular atrophy). Spine
idiopathic scoliosis: a 35-year English literature review of 11,000 patients. Spine
1999;24:13001306.
1995;20:15751584.
6. Bridwell KH, Berven S, Glassman S. Is the SRS-22 instrument responsive to change in adult
17. Ostelo RW, Deyo RA, Stratford P, et al. Interpreting change scores for pain and functional
scoliosis patients having primary spinal deformity surgery? Spine 2007;32:22202225.
status in low back pain: towards international consensus regarding minimal important
7. Bridwell KH, Cats-Baril W, Harrast J, et al. The validity of the SRS-22 instrument in an adult
change. Spine 2008;33:9094.
spinal deformity population compared with the Oswestry and SF-12. Spine 2005;30:
18. Podeszwa DA, Stanko KJ, Mooney JF III, et al. An analysis of the functional health of obese
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outcomes data collection instrument compared to the gross motor function measure for
19. Sledge CB. Crisis, challenge and credibility. J Bone Joint Surgery [Am] 1985;67:
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20. Slover J, Abdu WA, Hanscom B, et al. The impact of comorbidities on the change in
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19741980.
A
SRS-22r Patient Questionnaire
(Note : This is a sample questionnaire with both the responses from an imaginary patient and the numerical value of each possible
response listed in bold. The numerical values are not present on the questionnaires given to patients.)
Patient Name: ( )
First MI Last (Maiden; if applicable
Medical Record #:
1. Which one of the following best describes the amount of pain you have experienced during the past 6 months?
2. Which one of the following best describes the amount of pain you have experienced during the last month?
3. During the past 6 months have you been a very nervous person?
5. None of the time 4. A little of the time 3. Some of the time 2. Most of the time 1. All of the time
4. If you had to spend the rest of your life with your back shape as it is right now, how would you feel about it?
5. Very happy 4. Somewhat happy 3. Neither happy nor unhappy 2. Somewhat unhappy 1. Very unhappy
1. Bedridden 2. Primarily no activity 3. Light labor and light sports 4. Moderate labor and moderate sports 5. Full activities without restriction
7. In the past 6 months have you felt so down in the dumps that nothing could cheer you up?
735
10. Which of the following best describes the appearance of your trunk; defined as the human body except for the head and extremities?
11. Which one of the following best describes your pain medication use for back pain?
5. None 4. Nonnarcotics weekly or less 3. Nonnarcotics daily 2. Narcotics weekly or less 1. Narcotics daily
(e.g., aspirin, Tylenol, Ibuprofen) (e.g., Tylenol III, Lorcet, Percocet)
12. Does your back limit your ability to do things around the house?
13. Have you felt calm and peaceful during the past 6 months?
5. All of the time 4. Most of the time 3. Some of the time 2. A little of the time 1. None of the time
14. Do you feel that your back condition affects your personal relationships?
15. Are you and/or your family experiencing financial difficulties because of your back?
16. In the past 6 months have you felt down hearted and blue?
17. In the last 3 months have you taken any days off of work, including household work, or school because of back pain?
18. Does your back condition limit your going out with friends/family?
5. Yes, very 4. Yes, somewhat 3. Neither attractive nor unattractive 2. No, not very much 1. No, not at all
20. Have you been a happy person during the past 6 months?
5. None of the time 4. A little of the time 3. Some of the time 2. Most of the time 1. All of the time
21. Are you satisfied with the results of your back management?
5. Very satisfied 4. Satisfied 3. Neither satisfied nor unsatisfied 2. Unsatisfied 1. Very unsatisfied
22. Would you have the same management again if you had the same condition?
5. Definitely yes 4. Probably yes 3. Not sure 2. Probably not 1. Definitely not
Thank you for completing this questionaire. Please comment if you wish.
B
SRS-22r Patient Questionnaire/
Score Sheet (Sample to accompany
sample questionnaire in Appendix A.)
Patient Name: ( )
First MI Last (Maiden; if applicable
Domain Score Score Score Score Score Sum of No. of No. of Mean
[Question [Question [Question [Question [Question Responses Questions Questions Score
No.] No.] No.] No.] No.] (A) Answered Possible (A/B)
(B)
SCORING INSTRUCTIONS
5 = best; 1 = worst
Unanswered questions: Reduce questions answered denominator by appropriate number.
Deleted questions with more than one response.
Domain cannot be scored if fewer than three questions answered for that domain.
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