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Results indicate the efficacy of this treatment model for both children with chronic pain and their parents and highlights the importance of parental presence in treatment.

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Background There is a need to better assess patient satisfaction and surgical outcomes. The purpose of the current study is to identify how preoperative expectations can impact post-surgical satisfaction among youth with Adolescent Idiopathic Scoliosis (AIS) undergoing spinal fusion surgery. Methods The present study includes patients with AIS undergoing spinal fusion surgery enrolled in a prospective, multi-centered registry examining post-surgical outcomes. The Scoliosis Research Society Questionnaire—Version 30, which assesses pain, self-image, mental health, and satisfaction with management, along with the Spinal Appearance Questionnaire (SAQ), which measures surgical expectations was administered to 190 patients prior to surgery and 1 and 2 years postoperatively. Regression analyses with bootstrapping (with n=5,000 bootstrap samples) were conducted with 99% bias-corrected confidence intervals (BCCI) to examine the extent to which pre-operative expectations for spinal appearance mediated the relationship between pre-surgical mental health and pain and two-year post-surgical satisfaction. Results Results indicate that preoperative mental health, pain, and expectations are predictive of post-surgical satisfaction. Conclusions With the shifting healthcare system, physicians may want to consider patient mental health, pain, and expectations prior to surgery to optimize satisfaction and ultimately improve clinical care and patient outcomes. Level of Evidence Level 1 Prognostic Study.