SRS-22r Self-Image After Surgery for Adolescent Idiopathic Scoliosis at 10-year Follow-up. Issue 10 (15th May 2023)

• Record Type: Journal Article
• Authors: Stone, Lauren E.; Upasani, Vidyadhar V.; Pahys, Joshua M.; Fletcher, Nicholas D.; George, Stephen G.; Shah, Suken A.; Bastrom, Tracey P.; Bartley, Carrie E.; Lenke, Lawrence G.; Newton, Peter O.; Kelly, Michael P.
• Other Names: Buckland Aaron author non-byline.; Samdani Amer author non-byline.; Jain Amit author non-byline.; Lonner Baron author non-byline.; Roye Benjamin author non-byline.; Yaszay Burt author non-byline.; Reilly Chris author non-byline.; Hedequist Daniel author non-byline.; Sucato Daniel author non-byline.; Clements David author non-byline.; Miyanji Firoz author non-byline.; Shufflebarger Harry author non-byline.; Flynn Jack author non-byline.; Asghar John author non-byline.; Mac Thiong Jean Marc author non-byline.; Pahys Joshua author non-byline.; Harms Juergen author non-byline.; Bachmann Keith author non-byline.; Lenke Lawrence author non-byline.; Karol Lori author non-byline.; Abel Mark author non-byline.; Erickson Mark author non-byline.; Glotzbecker Michael author non-byline.; Kelly Michael author non-byline.; Vitale Michael author non-byline.; Michelle Marks PT author non-byline.; Gupta Munish author non-byline.; Fletcher Nicholas author non-byline.; Larson Noelle author non-byline.; Cahill Patrick author non-byline.; Sponseller Paul author non-byline.; Gabos Peter author non-byline.; Newton Peter author non-byline.; Sturm Peter author non-byline.; Betz Randal author non-byline.; Parent Stefan author non-byline.; George Stephen author non-byline.; Hwang Steven author non-byline.; Shah Suken author non-byline.; Garg Sumeet author non-byline.; Errico Tom author non-byline.; Upasani Vidyadhar author non-byline.;
• Is Part Of: Spine. Volume 48:Issue 10(2023)
• Page Start: 683
• Page End: 687
• Publication Date: 2023-05-15
• Subjects: idiopathic scoliosis -- self-image -- mental health -- quality of life -- appearance -- adolescent -- body image -- spinal fusion; Spine -- Abnormalities -- Periodicals; Spine -- Diseases -- Periodicals; Spine -- Surgery -- Periodicals; 616.73005
• DOI: 10.1097/BRS.0000000000004620
• Languages: English
• ISSNs: 0362-2436

Abstract

Abstract : Study Design: Retrospective cohort Objective: To examine SRS-Self Image scores at up to 10 years after surgery for adolescent idiopathic scoliosis (AIS). Summary of Background Data: Self-image is complex with implications for surgical and patient-reported outcomes after AIS surgery. Surgically modifiable factors that impact self-image are inconsistently reported in the literature with few longer-term reports. We examined the rate and durability of self-image improvement. Materials and Methods: An AIS registry was queried for patients with up to 10 years of follow-up after AIS surgery. A mixed effects model estimated change in SRS-22 Self Image from baseline to 6 weeks, 1 year, 2 years, 5 years, and 10 years. All enrolled patients contributed data to the mixed effects models. A sub-analysis of patients with 1-year and 10-year follow-up evaluated worsening/static/improved SRS-22 Self Image scores examined stability of scores over that timeline. Baseline demographic data and 1-year deformity magnitude data were compared between groups using parametric and nonparametric tests as appropriate. Results: Data from 4608 patients contributed data to the longitudinal model; 162 had 1-year and 10-year data. Mean SRS-Self Image improvement at 10-year follow-up was 1.0 (95% CI: 0.9–1.1) point. No significant changes in Self-Image domain scores were estimated from 1-year to 10-year (all P >0.05) postoperative. Forty (25%) patients had SRS-Self Image worsening from 1 year to 10 years, 36 (22%) improved, and 86 (53%) were unchanged. Patients who worsened over 10 years had lower SRS-Self Image at baseline than those unchanged at enrollment (3.3 vs. 3.7, P =0.007). Neither radiographic parameters nor SRS-Mental Health were different at baseline for the enrolled patients. Conclusion: Ten years after surgery, 75% of patients reported similar or better SRS-Self Image scores than one year after surgery. Nearly 25% of patients reported worsening self-image at 10 years. Patients who worsened had lower baseline SRS-Self Image scores, without radiographic or mental health differences at baseline or follow-up.