{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T21:19:37Z","timestamp":1777497577233,"version":"3.51.4"},"reference-count":27,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2022,8,1]],"date-time":"2022-08-01T00:00:00Z","timestamp":1659312000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/100004374","name":"medtronic","doi-asserted-by":"publisher","award":["ERP-2018-11372"],"award-info":[{"award-number":["ERP-2018-11372"]}],"id":[{"id":"10.13039\/100004374","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100008894","name":"stryker","doi-asserted-by":"publisher","award":["20631"],"award-info":[{"award-number":["20631"]}],"id":[{"id":"10.13039\/100008894","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Children's Orthopaedics"],"published-print":{"date-parts":[[2022,8]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To assess the health-related quality of life and radiographic outcomes of surgically treated adolescent Scheuermann\u2019s kyphosis patients after minimum of 2-year follow-up and to compare the health-related quality of life with age- and sex-matched healthy controls.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Twenty-two consecutive adolescents (mean age\u2009=\u200916.7\u2009years) undergoing posterior spinal fusion for Scheuermann\u2019s kyphosis were included and matched by age and sex with two healthy controls. The health-related quality of life was evaluated using the Scoliosis Research Society-24 questionnaire. Radiographic parameters were measured for comparison preoperatively and at 6\u2009months and 2-year follow-ups. The health-related quality of life parameters were compared with healthy controls at 2\u2009years of follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The mean maximal thoracic kyphosis improved from 79\u00b0 (range\u2009=\u200975\u00b0\u201390\u00b0) to 55\u00b0 (range\u2009=\u200945\u00b0\u201375\u00b0) ( p\u2009&lt;\u20090.001), and the mean lumbar lordosis was reduced from 71\u00b0 (range\u2009=\u200951\u00b0\u2013107\u00b0) to 52\u00b0 (range\u2009=\u200934\u00b0\u201368\u00b0) ( p\u2009&lt;\u20090.001) after 2\u2009years postoperatively. Incidence of proximal junctional kyphosis (PJK) was 18%. The scores of the Scoliosis Research Society-24 improved, with statistical significance observed in pain and self-image domains from preoperative to 2-year follow-up ( p\u2009=\u20090.002 in both domains). The self-image and function were significantly lower in the operated patients at their 2-year follow-up visit compared to controls ( p\u2009=\u20090.023 for self-image and p\u2009&lt;\u20090.001 for function).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Instrumented posterior spinal fusion improves the health-related quality of life of Scheuermann\u2019s kyphosis patients during the 2-year follow-up. The greatest improvement is observed in pain and self-image domains. The health-related quality of life in pain and activity domains reaches the level of healthy individuals, while function and self-image remain at a statistically lower level.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/18632521221106384","type":"journal-article","created":{"date-parts":[[2022,8,2]],"date-time":"2022-08-02T04:52:53Z","timestamp":1659415973000},"page":"290-296","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Health-related quality of life outcomes in adolescent Scheuermann\u2019s kyphosis patients treated with posterior spinal fusion: A comparison with age- and sex-matched controls"],"prefix":"10.1177","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7531-3181","authenticated-orcid":false,"given":"Eetu N","family":"Suominen","sequence":"first","affiliation":[{"name":"Department of Orthopaedics and Traumatology, University of Helsinki and Helsinki University Hospital, Helsinki, Finland"},{"name":"Department of Paediatric Orthopaedic Surgery, University of Turku and Turku University Hospital, Turku, Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antti J","family":"Saarinen","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology, University of Helsinki and Helsinki University Hospital, Helsinki, Finland"},{"name":"Department of Paediatric Orthopaedic Surgery, University of Turku and Turku University Hospital, Turku, Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Johanna","family":"Syv\u00e4nen","sequence":"additional","affiliation":[{"name":"Department of Paediatric Orthopaedic Surgery, University of Turku and Turku University Hospital, Turku, Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elias","family":"Diarbakerli","sequence":"additional","affiliation":[{"name":"Department of Clinical Science, Intervention and Technology (CLINTEC), Karolinska Institutet, Stockholm, Sweden"},{"name":"Department of Reconstructive Orthopaedics, Karolinska University Hospital, Stockholm, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Linda","family":"Helenius","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia and Intensive Care, University of Turku and Turku University Hospital, Turku, Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul","family":"Gerdhem","sequence":"additional","affiliation":[{"name":"Department of Clinical Science, Intervention and Technology (CLINTEC), Karolinska Institutet, Stockholm, Sweden"},{"name":"Department of Reconstructive Orthopaedics, Karolinska University Hospital, Stockholm, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ilkka","family":"Helenius","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology, University of Helsinki and Helsinki University 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