{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T15:25:29Z","timestamp":1781277929702,"version":"3.54.1"},"reference-count":52,"publisher":"British Editorial Society of Bone & Joint Surgery","issue":"9","license":[{"start":{"date-parts":[[2014,9,1]],"date-time":"2014-09-01T00:00:00Z","timestamp":1409529600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/online.boneandjoint.org.uk\/TDM"}],"content-domain":{"domain":["online.boneandjoint.org.uk"],"crossmark-restriction":true},"short-container-title":["The Bone &amp; Joint Journal"],"published-print":{"date-parts":[[2014,9]]},"abstract":"<jats:p> The purpose of this study was to evaluate the long-term outcome of adults with spina bifida cystica (SBC) who had been treated either operatively or non-operatively for scoliosis during childhood. <\/jats:p><jats:p> We reviewed 45 patients with a SBC scoliosis (Cobb angle \u2265 50\u00ba) who had been treated at one of two children\u2019s hospitals between 1991 and 2007. Of these, 34 (75.6%) had been treated operatively and 11 (24.4%) non-operatively. After a mean follow-up of 14.1 years (standard deviation (sd) 4.3) clinical, radiological and health-related quality of life (HRQOL) outcomes were evaluated using the Spina Bifida Spine Questionnaire (SBSQ) and the 36-Item Short Form Health Survey (SF-36). <\/jats:p><jats:p> Although patients in the two groups were demographically similar, those who had undergone surgery had a larger mean Cobb angle (88.0\u00ba (sd 20.5; 50.0 to 122.0); versus 65.7\u00ba (sd 22.0; 51.0 to 115.0); p &lt; 0.01) and a larger mean clavicle\u2013rib intersection difference (12.3\u00a0mm; (sd 8.5; 1 to 37); versus 4.1 mm, (sd 5.9; 0 to 16); p = 0.01) than those treated non-operatively. Both groups were statistically similar at follow-up with respect to walking capacity, neurological motor level, sitting balance and health-related quality of life (HRQOL) outcomes. <\/jats:p><jats:p> Spinal fusion in SBC scoliosis corrects coronal deformity and stops progression of the curve but has no clear effect on HRQOL. <\/jats:p><jats:p> Cite this article: Bone Joint J 2014; 96-B:1244\u201351 <\/jats:p>","DOI":"10.1302\/0301-620x.96b9.33857","type":"journal-article","created":{"date-parts":[[2014,9,2]],"date-time":"2014-09-02T14:23:37Z","timestamp":1409667817000},"page":"1244-1251","update-policy":"https:\/\/doi.org\/10.1302\/crossmark-policy","source":"Crossref","is-referenced-by-count":19,"title":["The long-term outcome of patients treated operatively and non-operatively for scoliosis deformity secondary to spina bifida"],"prefix":"10.1302","volume":"96-B","author":[{"given":"A.","family":"Khoshbin","sequence":"first","affiliation":[{"name":"Hospital for Sick Children, 1254\r- 555 University Avenue, Elm Wing, M5G\r1X8 Toronto, Ontario, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L.","family":"Vivas","sequence":"additional","affiliation":[{"name":"Hospital for Sick Children, 1254\r- 555 University Avenue, Elm Wing, M5G\r1X8 Toronto, Ontario, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P. W.","family":"Law","sequence":"additional","affiliation":[{"name":"Hospital for Sick Children, 1254\r- 555 University Avenue, Elm Wing, M5G\r1X8 Toronto, Ontario, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D.","family":"Stephens","sequence":"additional","affiliation":[{"name":"Hospital for Sick Children, 5270\r555 University Avenue, Hill Wing, M5G\r1X8 Toronto, Ontario, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A. M.","family":"Davis","sequence":"additional","affiliation":[{"name":"Toronto Western Hospital, MP11-322, 399\rBathurst Street, Toronto, Ontario, M5T\r2S8, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Howard","sequence":"additional","affiliation":[{"name":"Hospital for Sick Children, 1254\r- 555 University Avenue, Elm Wing, M5G\r1X8 Toronto, Ontario, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. G.","family":"Jarvis","sequence":"additional","affiliation":[{"name":"Children\u2019s Hospital of Eastern Ontario, 401\rSmyth Road, Ottawa, Ontario\rK1H 8L1, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. G.","family":"Wright","sequence":"additional","affiliation":[{"name":"Hospital for Sick Children, 1254\r- 555 University Avenue, Elm Wing, M5G\r1X8 Toronto, Ontario, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"42","reference":[{"key":"r1","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-199401001-00005"},{"key":"r2","doi-asserted-by":"publisher","DOI":"10.1097\/01241398-200011000-00013"},{"key":"r3","doi-asserted-by":"publisher","DOI":"10.1097\/BPB.0b013e32835c2a65"},{"key":"r4","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.62B1.6985915"},{"key":"r5","doi-asserted-by":"publisher","DOI":"10.3109\/17453678809169691"},{"key":"r6","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-199401001-00006"},{"key":"r7","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-198109000-00012"},{"key":"r8","doi-asserted-by":"publisher","DOI":"10.1111\/j.1651-2227.1992.tb12197.x"},{"key":"r9","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-004-0768-3"},{"key":"r10","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-199701010-00008"},{"key":"r11","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e3181bf8ee3"},{"key":"r12","doi-asserted-by":"publisher","DOI":"10.1097\/01241398-198609000-00008"},{"key":"r13","first-page":"64","volume":"25","author":"Wai EK","year":"2005","journal-title":"J Pediatr Orthop"},{"key":"r14","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-010-1595-y"},{"key":"r15","doi-asserted-by":"publisher","DOI":"10.1191\/0269215505cr865oa"},{"key":"r16","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e3181db7afe"},{"key":"r17","doi-asserted-by":"publisher","DOI":"10.1055\/s-2002-36540"},{"key":"r18","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e318134eabe"},{"key":"r19","doi-asserted-by":"crossref","unstructured":"Banta JV, Slakey J, Thomson JThe natural history of                     scoliosis in myelomeningocele. Spina Bifida. Tokyo:                     Springer-Verlag,                     1999:345\u2013347.","DOI":"10.1007\/978-4-431-68373-5_76"},{"key":"r20","doi-asserted-by":"publisher","DOI":"10.1097\/01.brs.0000257524.23074.ed"},{"key":"r21","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-8749.2009.03293.x"},{"key":"r22","doi-asserted-by":"publisher","DOI":"10.1017\/S0012162204000684"},{"key":"r23","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-8749.2007.00192.x"},{"key":"r24","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-200010010-00007"},{"key":"r25","unstructured":"No authors listed. American Society of\n                    Anesthesiologists. ASA Physical Status Classification System.\n                    http:\/\/www.asahq.org\/Home\/For-Members\/Clinical-Information\/ (date last accessed\n                    17 July 2014)."},{"key":"r26","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e31818ed75e"},{"key":"r27","doi-asserted-by":"publisher","DOI":"10.1017\/S0195941700015241"},{"key":"r28","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajic.2008.03.002"},{"key":"r29","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198567080-00002"},{"key":"r30","doi-asserted-by":"publisher","DOI":"10.1097\/01.brs.0000238968.82799.d9"},{"key":"r31","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-010-1687-8"},{"key":"r32","doi-asserted-by":"publisher","DOI":"10.1097\/01202412-199605010-00006"},{"key":"r33","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e3182091fba"},{"key":"r34","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-007-0546-0"},{"key":"r35","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198264060-00006"},{"key":"r36","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-199407001-00010"},{"key":"r37","doi-asserted-by":"crossref","unstructured":"Armitage P, Berry G, Matthews JNSStatistical                         methods in medical research. Fourth ed. Malden: Wiley-Blackwell,                         2002.","DOI":"10.1002\/9780470773666"},{"key":"r38","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-197355010-00014"},{"key":"r39","doi-asserted-by":"publisher","DOI":"10.1002\/ddrr.96"},{"key":"r40","doi-asserted-by":"publisher","DOI":"10.1097\/00005650-199206000-00002"},{"key":"r41","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e3181a9e640"},{"key":"r42","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-199903150-00012"},{"key":"r43","doi-asserted-by":"publisher","DOI":"10.1007\/s00701-010-0869-1"},{"key":"r44","doi-asserted-by":"publisher","DOI":"10.1097\/01.phm.0000247780.64373.0e"},{"key":"r45","doi-asserted-by":"publisher","DOI":"10.1097\/BPO.0b013e318273ab5a"},{"key":"r46","doi-asserted-by":"publisher","DOI":"10.1177\/08830738040190120801"},{"key":"r47","doi-asserted-by":"publisher","DOI":"10.1007\/s11136-006-0032-x"},{"key":"r48","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2007.03.162"},{"key":"r49","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e3181eadd41"},{"key":"r50","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e3181f3a326"},{"key":"r51","doi-asserted-by":"publisher","DOI":"10.1016\/j.spinee.2007.11.006"},{"key":"r52","doi-asserted-by":"publisher","DOI":"10.1093\/ptj\/78.11.1186"}],"container-title":["The Bone &amp; Joint Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/pdf\/10.1302\/0301-620X.96B9.33857","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/full-xml\/10.1302\/0301-620X.96B9.33857","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/pdf\/10.1302\/0301-620X.96B9.33857","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,10,19]],"date-time":"2021-10-19T05:55:39Z","timestamp":1634622939000},"score":1,"resource":{"primary":{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/10.1302\/0301-620X.96B9.33857"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,9]]},"references-count":52,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2014,9]]}},"alternative-id":["10.1302\/0301-620X.96B9.33857"],"URL":"https:\/\/doi.org\/10.1302\/0301-620x.96b9.33857","relation":{},"ISSN":["2049-4394","2049-4408"],"issn-type":[{"value":"2049-4394","type":"print"},{"value":"2049-4408","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,9]]},"assertion":[{"value":"2014-02-18","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2014-06-25","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2014-09-01","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}