Parents’ and Patients’ Perceptions of Postoperative Appearance in Adolescent Idiopathic Scoliosis

Smith, Patricia L.; Donaldson, Sandra; Hedden, Douglas; Alman, Benjamin A.; Howard, Andrew; Stephens, Derek; Wright, James G.

doi:10.1097/01.brs.0000240204.98960.dd

Cited by 116 publications

(66 citation statements)

References 10 publications

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“…On the other hand, men who have scoliosis have worse perception of their health 10 and a greater index of dissatisfaction with treatments 13,14 . The satisfaction with the treatments reported by patients has been more effective in the evaluation of the efficiency of the chosen method than the angle of curvature 9,8,15 .…”

Section: Introductionmentioning

confidence: 99%

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Validade concorrente da versão Brasileira do SRS-22r com o Br-SF-36

Rosanova

Gabriel

Camarini

et al. 2010

Rev. bras. fisioter.

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Section: Introductionmentioning

confidence: 99%

“…This pathological condition might bring about physical and psychosocial dysfunctions, which interfere in the patient's health perceptions and satisfaction with the treatment 9 .…”

Section: Introductionmentioning

confidence: 99%

Validade concorrente da versão Brasileira do SRS-22r com o Br-SF-36

Rosanova

Gabriel

Camarini

et al. 2010

Rev. bras. fisioter.

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“…Radiographic shoulder balance has been associated with patient satisfaction and self-image [1,2,7,19,26]. To achieve postoperative shoulder balance, appreciation of proximal thoracic (PT) curve morphology and behavior is critical in preoperative planning.…”

Section: Introductionmentioning

confidence: 99%

Do Current Recommendations for Upper Instrumented Vertebra Predict Shoulder Imbalance? An Attempted Validation of Level Selection for Adolescent Idiopathic Scoliosis

Bjerke

Cheung

Shifflett

et al. 2015

HSS Journal®: The Musculoskeletal Journal of Hospital for Speci

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Background: Shoulder balance for adolescent idiopathic scoliosis (AIS) patients is associated with patient satisfaction and self-image. However, few validated systems exist for selecting the upper instrumented vertebra (UIV) post-surgical shoulder balance. Questions/Purposes: The purpose is to examine the existing UIV selection criteria and correlate with post-surgical shoulder balance in AIS patients. Methods: Patients who underwent spinal fusion at age 10-18 years for AIS over a 6-year period were reviewed. All patients with a minimum of 1-year radiographic followup were included. Imbalance was determined to be radiographic shoulder height |RSH|≥15 mm at latest follow-up.

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“…Radiologically, spinal fusion with instrumentation has achieved great success in deformity correction [5,18,20]. However, surgeons' technical success does not necessarily translate into patient satisfaction with the surgical outcome [6,22]. It is not unusual that surgical patients find themselves confronted with residual cosmetic deformity despite dramatic improvements in the radiological deformity of their spine [13,15,17,23,25].…”

Section: Introductionmentioning

confidence: 99%

Discrepancy between radiographic shoulder balance and cosmetic shoulder balance in adolescent idiopathic scoliosis patients with double thoracic curve

Qiu

et al. 2008

Eur Spine J

109

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Shoulder balance is one of the key components to the body deformity in adolescent idiopathic scoliosis (AIS) patients with double thoracic curve and shoulder cosmesis plays an important role in patients' satisfaction of surgical outcomes. Up to now, only radiographic parameters were used to evaluate the shoulder balance in literatures; no corresponding cosmetic parameters have been developed to evaluate the cosmetic shoulder balance. Meanwhile, we often confronted that perfect radiographic shoulder balance was achieved, but the patients complained about the residual cosmetic deformity. This phenomenon implied that discrepancy may exist between radiographic shoulder balance and cosmetic shoulder balance. The present study was carried out to investigate the correlation between radiographic and clinical cosmetic shoulder balance in AIS patients with double thoracic curve. Thirtyfour AIS patients were recruited for this study. All the patients had a double thoracic curve. Six cosmetic parameters--inner shoulder height (SHi), outer shoulder height (SHo), shoulder area index 1 (SAI1), shoulder area index 2 (SAI2), shoulder angle (a1) and axilla angle (a2) were developed and measured on the standing photographs. Also, seven radiographic parameters--T1 tilting (T1), first rib angle (FRA), clavicle angle (CA), coracoid process height (CPH), clavicle-rib cage intersection (CRCI), first rib-clavicle height (FRCH), trapezius length (TL) were measured on the standing posterior-anterior radiographs. Correlation analysis was made between cosmetic parameters and radiographic parameters. SHi was found to be significantly correlated with T1, FRA, CA, CPH, CRCI (P \ 0.05), among which FRA had the highest correlation coefficient. SHo was found to be significantly correlated with T1, FRA, CA, CPH, CRCI, FRCH (P \ 0.05), among which CRCI had the highest correlation coefficient. However, none of the correlation coefficient was greater than 0.8. The correlation coefficients between radiographic parameters and SAI1, SAI2, a1, a2 were also below 0.8 that were similar with SH. The results indicated that radiographic parameters could only partially reflect the shoulder cosmetic appearances. However, none of the existing parameters can accurately reflect the shoulder cosmetic appearance. As cosmesis is critical important to patients' satisfaction, spine surgeons should pay more attention to the cosmetic shoulder balance rather than radiographic shoulder balance.

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Parents’ and Patients’ Perceptions of Postoperative Appearance in Adolescent Idiopathic Scoliosis

Cited by 116 publications

References 10 publications

Validade concorrente da versão Brasileira do SRS-22r com o Br-SF-36

Validade concorrente da versão Brasileira do SRS-22r com o Br-SF-36

Do Current Recommendations for Upper Instrumented Vertebra Predict Shoulder Imbalance? An Attempted Validation of Level Selection for Adolescent Idiopathic Scoliosis

Discrepancy between radiographic shoulder balance and cosmetic shoulder balance in adolescent idiopathic scoliosis patients with double thoracic curve

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