Pre- and Postoperative Photographs and Surgical Outcomes in Patients With Lenke Type 1 Adolescent Idiopathic Scoliosis. Issue 7 (1st April 2015)

• Record Type: Journal Article
• Authors: Albayrak, Akif; Buyuk, Abdul Fettah; Ucpunar, Hanifi; Balioglu, Mehmet Bulent; Kargin, Deniz; Kaygusuz, Mehmet Akif
• Is Part Of: Spine. Volume 40:Issue 7(2015)
• Publication Date: 2015-04-01
• Subjects: Spine -- Abnormalities -- Periodicals; Spine -- Diseases -- Periodicals; Spine -- Surgery -- Periodicals; 616.73005
• DOI: 10.1097/BRS.0000000000000796
• Languages: English
• ISSNs: 0362-2436

Abstract

<abstract> <title> <x xml:space="preserve">Abstract</x> </title> <sec> <title>Study Design.</title> <p>Clinical study with pre- and postoperative back photographs and postoperative Scoliosis Research Society-22 survey in patients who had undergone surgery for idiopathic scoliosis.</p> </sec> <sec> <title>Objective.</title> <p>To determine the effect of showing patients their photographs before and after surgery for idiopathic scoliosis on postoperative patient satisfaction.</p> </sec> <sec> <title>Summary of Background Data.</title> <p>After scoliosis surgery, patient satisfaction may be limited because the patients cannot directly see their back and may forget the preoperative appearance.</p> </sec> <sec> <title>Methods.</title> <p>In 60 patients who had undergone surgery for correction of idiopathic scoliosis (Lenke type 1), pre- and postoperative photographs were taken from the anterior, posterior, and right and left lateral views. After surgery, patients in group 1 (30 patients) were shown the preoperative and most recent follow-up photographs, and patients in group 2 (30 patients) had routine evaluation but were not shown their photographs. All patients completed the Scoliosis Research Society-22 survey.</p> </sec> <sec> <title>Results.</title> <p>Patients in both groups had similar age, sex, distribution of Lenke type and Risser sign, follow-up, and pre- and postoperative Cobb angles and balance (coronal and sagittal). A significant difference was observed between the groups for survey question 10 (which was about self-image), question 18 (which was about function and activity), and question 21 (which was about satisfaction) (<italic>P</italic> ⩽ 0.05). There were no differences between patients in groups 1 and 2 in Scoliosis Research Society-22 domain or total scores.</p> </sec> <sec> <title>Conclusion.</title> <p>By showing patients the pre- and postoperative clinical photographs, patient satisfaction may be greater, as measured with some SRS-22 scores. This method may enable clinicians to positively change the patients' self-image perception after surgery for correction of scoliosis.</p> <p> <bold>Level of Evidence:</bold> 4</p> </sec> </abstract>