CLINICS

Clinics (Sao Paulo). 2017 March; 72(3): 130-133.
doi:10.6061/clinics/2017(03)01

Copyright © 2017 CLINICS

The influence of body image on surgical decisions in adolescent idiopathic scoliosis patients

Paulo Alvim Borges , José Thomé de Carvalho Neto , Olavo Biraghi Letaif , Raphael Martus Marcon , Alexandre Fogaça Cristante *

Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (IOT-HCFMUSP), Instituto de Ortopedia e Traumatologia, Laboratório de Investigação Médica, Divisão de Cirurgia da Coluna, São Paulo/SP, Brazil

*Corresponding author. E-mail: aacristante@uol.com.br

received August 23, 2016; revised September 23, 2016; accepted November 4, 2016.

Abstract

OBJECTIVES:

The objective of this study was to evaluate whether the severity of deformities in patients with adolescent idiopathic scoliosis contributes to patients’ decision regarding whether to undergo an operation.

METHODS:

We evaluated body image factors in adolescent idiopathic scoliosis patients. We evaluated the magnitude of the main scoliotic curve, gibbosity (magnitude and location), shoulder height asymmetry and patient’s age. We analyzed the correlation of these data with the number of years the patient was willing to trade for surgery, as measured by the time-trade-off method.

RESULTS:

A total of 52 patients were studied. We did not find a correlation between any of the parameters that were studied and the number of years that the patient would trade for the surgery.

CONCLUSIONS:

The magnitude of body deformities in patients with adolescent idiopathic scoliosis does not interfere with the decision to undertake surgical treatment.

Keywords: Scoliosis, Adolescent, Spinal Curvatures, Operative Surgical, Clinical Decision Support Systems, Decision-Making, Patient Participation


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