Influence of Social Deprivation and Remoteness on Quality of Life in Adolescent's Surgical Scoliosis

Study Overview
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Brief Summary
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The incidence of idiopathic scoliosis is 3% or approximatively 300,000 new cases per year in France. It is estimated that between 0.1 and 0.3% of patients will eventually require surgical management, between 500 and 1000 scoliosis are operated per year in France. To our knowledge, the impact of socio-economic and territorial inequalities on the quality of life before and after surgery of idiopathic scoliosis has not been studied previously. Main objective: -Assess the impact of socio-economic and territorial inequalities on the pre- and post-operative quality of life at 1 year after surgical idiopathic scoliosis management, in a French pediatric surgery multicenter cohort. Secondary objective: Assess the impact of socio-economic and territorial inequalities on the quality of life pre and postoperative at 3 months after surgery on a French multicenter cohort. To assess the impact of severity and type of scoliosis on pre- and post-operative quality of life at 3 months and 1 year after surgery on a French multicenter cohort.

Official Title
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Impact Des inégalités Socio-économiques et Territoriales Sur la qualité de Vie pré et Post opératoire Des Scolioses Idiopathiques Prisent en Charge en Milieu pédiatrique

Conditions
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Idiopathic Scoliosis

Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Operated by posterior vertebral arthrodesis Opereted in pediatric surgery center Idiopathic scoliosis treated by surgery Exclusion Criteria: Refusal to participate People unable to read or speak French (the questionnaire being in French) Non-idiopathic scoliosis

Ages Eligible for Study
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Minimum Age: 10 Years
Maximum Age: 25 Years

Sexes Eligible for Study
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All

Study Plan
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How is the study designed?
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What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change from baseline quality of life (SRS-22) at one year after surgery depending on the socio-economic level and remoteness. | We will use the SRS-22 questionnaire, a specific questionnaire validated in French to assess the quality of life of patients with scoliosis. The questionnaire coverts different part of socio-economic levels including the salary, the educational level, the type of social security coverage, the parents' family situation (single parent, two-parent, blended couple) and the number of people and pieces in the habitation. The remoteness will be evaluated by the distance between the medical referent center and the habitation. | At 1 years after surgery. Baseline questionnaire will be assessed just before the surgery | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Radiological data: angulation parameters | Scoliosis radiological parameters before and after surgery (just after and at 1 year after surgery) cobb, kyphosis, lordosis, pelvic incidence (unit of measure: angulation in degrees) | at the time of surgery and at one year fater surgery | 
| Radiological data : type of scoliosis | Scoliosis radiological parameters before and after surgery (just after and at 1 year after surgery): type of scoliosis (lenkee classification) | at the time of surgery and at one year fater surgery | 
| Clinical data: age | Age at diagnosis and at surgery in months | at the surgery | 
| Clinical data: weight | weight (in kilograms) | at the surgery | 
| Clinical data: previous treatments | previous treatment for scoliosis (yes or no) | at the surgery | 
| Clinical data: family history | history of scoliosis in the family (yes or no) | at the surgery | 
| Surgery data | Type of instrumentation, level of instrumentation, surgical complications (neurological, infectious). | during the firts year after the surgery | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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inequality, remoteness, socio economic