Surgical outcome of adolescent idiopathic scoliosis who are Vitamin D deficient

• Author Details:   
• Ujjwal Kanti Debnath ^*
• Shweta Bhyri
• Biplab Maji
• Alaaeldin Ahmad
• Shubhadip Chakraborty
• Joydeep Das

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Introduction: Patients with adolescent idiopathic scoliosis (AIS) have a higher prevalence of Vitamin D deficiency compared with healthy peers.
Hypothesis: Vitamin D deficiency in AIS patients do not have good functional outcome after posterior instrumented corrective spinal fusion.
Materials and Methods: A prospective consecutive study of sixty-two (62) children who underwent surgery for AIS had preoperative measurement of Vitamin D levels (ng/mL). All were followed-up for a mean duration of 2 years after surgery. Data was collected for back pain, socioeconomic status, curve magnitude, age and gender. Patients were categorized based on vitamin D level: deficient (<20>
Results: Sixty-two (62) AIS patients (47F: 15M) were studied who underwent posterior instrumented spine fusion. Mean age at time of surgery was 15.24 ± 4.5 years. Major coronal curves had a mean of 68.08 ±12 degrees preoperatively and 12.19 ± 4.2 degrees postoperatively. In this study, 35 (56.45 %) of patients were vitamin D deficient, 23 (37.09 %) were insufficient, and 4 (6.45 %) were sufficient. Although there was no correlation between Vitamin D level and Pain, Mental Health, or Satisfaction domains (p >0.05), Vitamin D-deficient patients were found to be younger than 18 years of age (p <0 p =0.010), p =0.049), p =0.007).>
Conclusion: AIS patients with Vitamin D deficiency (<20>

Keywords: Adolescent Idiopathic Scoliosis, Posterior lumbar fusion, Vitamin D Deficiency