Body Posture After Mastectomy: Comparison Between Immediate Breast Reconstruction Versus Mastectomy Alone

Peres, Ana Carolina Atanes Mendes; Latorre, Maria do Rosário Dias de Oliveira; Maesaka, Jonathan Yugo; Filassi, José Roberto; Baracat, Edmund Chada; Ferreira, Elizabeth Alves Gonçalves

doi:10.1002/pri.1642

Cited by 32 publications

(29 citation statements)

References 31 publications

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“…There is only one study in the literature evaluating the change in body posture based on bony structures in women after mastectomy in comparison with immediate breast reconstruction using special software analyzing digital images. 12 Our observations during breast reconstruction surgeries over the years indicated a contralateral shoulder elevation in women with unilateral mastectomy to compensate for the weight of the missing breast ( Figure 1). We believe that this acquired posture can affect spinal alignment in the long term, because postural changes can cause serious deformity on the spine that leads to scoliosis, which is defined as more than 10 of deviation in structural curves.…”

Section: Introductionmentioning

confidence: 89%

“…There are, indeed, several studies in the literature proving the change in body posture in women after mastectomy. [7][8][9][10][11][12] These reports, however, mostly showed shoulder elevation and ipsilateral inclination of the trunk by using photogrammetry or Moiré topography. There is only one study in the literature evaluating the change in body posture based on bony structures in women after mastectomy in comparison with immediate breast reconstruction using special software analyzing digital images.…”

Section: Introductionmentioning

confidence: 98%

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Physical Effects of Unilateral Mastectomy on Spine Deformity

Serel

Tuzlalı

Akkaya

et al. 2017

Clinical Breast Cancer

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Section: Introductionmentioning

confidence: 89%

Section: Introductionmentioning

confidence: 98%

Physical Effects of Unilateral Mastectomy on Spine Deformity

Serel

Tuzlalı

Akkaya

et al. 2017

Clinical Breast Cancer

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“…A study by Jeong JH, Choi B at al. showed that 3 months after surgery the scoliosis angle was significantly increased in patients undergoing mastectomy for breast cancer compared to women operated on with simultaneous breast reconstruction [ 18 , 19 ]. The number of bilateral (contralateral prophylactic) mastectomies performed in recent years has risen, especially in the United States [ 20 ].…”

Section: Discussionmentioning

confidence: 99%

Assessment of Postural Balance in Women Treated for Breast Cancer

et al. 2020

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Background and objectives: Surgery is the primary and most effective treatment of breast cancer. Unilateral mastectomy disrupts the distribution of muscle tension between the right and the left sides of the body. The aim of the study was to evaluate postural balance in patients treated for breast cancer by mastectomy. Materials and methods: A controlled clinical study was conducted on 90 patients who have undergone surgical treatment for breast cancer (mastectomy) 5–6 years prior (Breast Group—BG). The control group (CG) consisted of 74 healthy female volunteers. Analysis of balance was performed using the Alfa stabilography platform. A static test (Romberg’s test) with open and closed eyes was used to assess balance. The following balance parameters were analyzed: path length, statokinesigram area, parameters of deflection and velocity of the foot pressure center. Results: The study demonstrated that patients from BG (5–6 years after surgery) obtained worse results in both tests with open (maximum back deviation, maximum forward deviation, average Y deviation, average Y velocity, path length and path surface area) (p < 0.05) as well as with closed eyes (maximum backward deviation, maximum forward deviation, mean Y deviation and path length) (p < 0.05). Conclusions: Our study demonstrated that women 5–6 years after surgery for breast cancer have impaired balance compared to healthy women, despite physiotherapy.

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“…It is well described that immediate reconstruction after unilateral mastectomy can ameliorate changes in body posture 11 . In an assessment of photographs for 76 women, patients who underwent mastectomy alone had significantly greater change in the vertical alignment of the lateral trunk compared to patients who underwent immediate reconstruction with transverse rectus abdominis myocutaneous (TRAM) flap technique 12 . Jeong et al further characterized the impact of breast reconstruction on spinal curvature, reporting significantly lower postoperative changes in Cobb angle of the thoracic spine in women who underwent immediate reconstruction compared to those who underwent mastectomy alone 7 .…”

Section: Discussionmentioning

confidence: 99%

Impact of mastectomy for breast cancer on spinal curvature: Considerations when treating patients with scoliosis

et al. 2020

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Objective Mastectomy has been shown to influence body posture in women; however, there are limited data outlining changes in spine curvature after mastectomy in patients with scoliosis. We sought to quantify changes in spine curvature after mastectomy for breast cancer. Methods We conducted a retrospective review of 62 patients with scoliosis who underwent mastectomy for breast cancer at a single institution between 1995 and 2018. Preoperative and postoperative radiographs were used to measure Cobb angles to assess lateral spinal curvature. Changes in Cobb angle were compared using paired two‐tailed t‐tests. The relationship between mass of breast removed and changes in Cobb angle was modeled using a linear regression. Results The median follow‐up after mastectomy was 7.9 years (range 0.9‐21.5). Median age was 62 years (range 30‐85). Of 62 patients, 10 (16%) expressed that their back pain became worse after mastectomy. Nineteen patients had evaluable radiographs before and after mastectomy. In these patients, the average change in Cobb angle was 4.7° (range −0.2‐12.2). Cobb angle significantly increased after mastectomy (P < .0001). Although not statistically significant, average Cobb angle was greater for patients who underwent unilateral compared to bilateral mastectomy (P = .09). Mass of breast removed significantly correlated with the difference in Cobb angle for patients who underwent unilateral mastectomy (P = .0006), but not for bilateral mastectomy (P = .55). Conclusions In this understudied patient population, mastectomy significantly increased the change in spine curvature. Further care should be taken to assess patient‐reported pain and quality of life in patients with spine morbidity who undergo mastectomy for breast cancer.

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Body Posture After Mastectomy: Comparison Between Immediate Breast Reconstruction Versus Mastectomy Alone

Cited by 32 publications

References 31 publications

Physical Effects of Unilateral Mastectomy on Spine Deformity

Physical Effects of Unilateral Mastectomy on Spine Deformity

Assessment of Postural Balance in Women Treated for Breast Cancer

Impact of mastectomy for breast cancer on spinal curvature: Considerations when treating patients with scoliosis

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