Scoliosis and Quality of Life of Adolescents

Study Overview
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Brief Summary
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Around the scoliosis surgery, the pain (pre or post operative, physical, psychological, fantasy or real) is a major concern for adolescents and their families. She is also a key concern of caregivers, both its assessment and management is complex. this pain involved predominantly in the quality of life of these teenagers today who will become the adults of tomorrow. To date in France, no study aims to describe and evaluate the effect of a multidisciplinary approach and its impact on the quality of life of these young people made. The present study wish to prevent, anticipate and limit the short, medium and long-term morbidity. Focus will be on pain and its management, on preparing for surgery, hospitalization, follow-up after surgery, rehabilitation until recovery. Help teens reclaim their bodies after the changes caused by the intervention is a major issue. This study believe that support good quality, adapted to patient needs will limit operating and postoperative pain in the medium and long term. Medical team developed special attention around the teenagers that are operated for scoliosis (teen groups and parent groups, interview before the operation and counseling, physiotherapy support ...). The present study would systematize data collections in order to have a comprehensive and accurate assessment of the care. The qualitative research will focus on the multidisciplinary care in an effort to evaluate the whole course of these teenagers, their experience and to identify efforts to put in place to optimize the current care.

Official Title
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Idiopathic Scoliosis Surgery in Adolescents ; Earnings a Multidisciplinary Management of Pain and Quality of Life

Conditions
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Scoliosis

Intervention / Treatment
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* Other: First time measure
* Other: Second time measure
* Other: Third time measure


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients followed for idiopathic scoliosis with indication for surgery Patients monitored and operated at the Children Hospital of Toulouse Exclusion Criteria: Opposition to the participation Spine deformations other than scoliosis Non idiopathic scoliosis

Ages Eligible for Study
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Minimum Age: 12 Years
Maximum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Teenagers with scoliosis<br>Patients will be evaluated at three times during the study : First time measure : 1 month before the scoliosis surgery Second time measure : 3 months after the scoliosis surgery Third time measure : 1 year after the scoliosis surgery | Other: First time measure<br>* Initial Interview Initial Survey, Quality of life Scale Kinesitherapy Review Anxiety Scale<br>Other: Second time measure<br>* Kinesitherapy review Second survey including numeric scale of pain Anxiety scale Scoliosis Research Society 22 quality of life scale<br>Other: Third time measure<br>* Scoliosis Research Society 22 quality of life Scale Anxiety scale Numeric scale of pain Kinesitherapy review<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Comparison of quality of life before and after the surgery with Scoliosis Research Society 22 questionary |  | 1 Month before surgery | 
| Comparison of quality of life before and after the surgery with Scoliosis Research Society 22 questionary |  | 3 Month after surgery | 
| Comparison of quality of life before and after the surgery with Scoliosis Research Society 22 questionary |  | 6 months after the surgery | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Comparison of pain before and after the surgery as assessed by visual scale of pain |  | 1 Month before surgery, 3 months and 6 months after the surgery | 
| Comparison of pain before and after the surgery as assessed by visual scale of pain |  | 1 Month before surgery | 
| Comparison of pain before and after the surgery as assessed by visual scale of pain |  | 3 Months after surgery | 
| Comparison of anxiety before and after the surgery as assessed by anxiety scale |  | 6 months after the surgery | 
| Patient global satisfaction before and after the surgery as assessed by oriented interviews |  | 1 Month before surgery | 
| Patient global satisfaction before and after the surgery as assessed by oriented interviews |  | 6 months after surgery | 
| Evaluation of scoliosis typography with kinesitherapy complete assessment using radiography of the back |  | 1 Month before surgery | 
| Evaluation of scoliosis typography with kinesitherapy complete assessment using radiography of the back |  | 3 months after the surgery | 
| Evaluation of scoliosis typography with kinesitherapy complete assessment using radiography of the back |  | 6 months after the surgery | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Teenagers, Multidisciplinary approach, Pain, Surgery