Scoliosis Research Society QoL - Revised (SRS-22r)

The SRS-22r is a validated, condition-specific quality of life instrument for scoliosis patients. It comprises 22 items organized into five domains:

• Function/Activity (5 items): Questions # 1-5

  • Note: The literature references these domain questions as # 5, 9, 12, 15, 18

• Pain (5 items): Questions # 6-10

  • Note: The literature references these domain questions as # 1, 2, 8, 11, 17

• Self-Image/Appearance (5 items): Questions # 11-15

  • Note: The literature references these domain questions as # 4, 6, 10, 14, 19

• Mental Health (5 items): Questions # 16-20

  • Note: The literature references these domain questions as # 3, 7, 13, 16, 20

• Satisfaction with Management (2 items): Questions # 21-22 (same as the literature)

Each item uses a 5-point ordinal scale (1–5), with higher scores indicating better outcomes. Domain scores and a total score are calculated as averages, ranging from 1 to 5.

The instrument is sensitive to clinical change and appropriate for tracking longitudinal outcomes in patients managed conservatively (observation, bracing) or surgically.

Clinically meaningful minimally detectable change is approximately 0.5 points on the 5-point scale.

The SRS-22r is widely used in research and clinical practice for preoperative assessment, postoperative follow-up, and comparative effectiveness studies.

Original Literature:

• Haher, Thomas R., et al. “Results of the Scoliosis Research Society instrument for evaluation of surgical outcome in adolescent idiopathic scoliosis: a multicenter study of 244 patients.” Spine 24.14 (1999): 1435.

Additional References

• Asher MA, Lai SM, Glattes RC, Burton DC, Alanay A, Bago J. Refinement of the SRS22 health-related quality of life questionnaire function domain. Spine 2006;31:593-7.

• Glattes RC, Burton DC, Lai SM, Frasier E, Asher, MA. The reliability and concurrent validity of the Scoliosis Research Society-22r patient questionnaire compared with the Child Health Questionnaire-CF87 patient questionnaire for adolescent spinal deformity. Spine 2007;32:1778-84.

• Hashimoto H, Sase T, Arai Y, Maruyama T, Isobe K, Shouno Y. Validation of a Japanese version of the Scoliosis Research Society-22 patient questionnaire among idiopathic scoliosis patients in Japan. Spine 2007;32:E141-E146.

For a complete list of references, go to https://www.srs.org/Files/Research/SRS22_bibliography.pdf

For more information on the SRS-22r, to include scoring, go to https://www.srs.org/Research/Patient-Outcome-Questionnaires