Document Detail


Poor outcomes and satisfaction in adolescent idiopathic scoliosis surgery: the relevance of the body mass index and self-image.
MedLine Citation:
PMID:  25077944     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
INTRODUCTION AND AIM: The purpose of this study was to evaluate patients with adolescent idiopathic scoliosis (AIS) to determine whether a low body mass index (BMI) influences surgery outcomes and satisfaction.
METHODS: There were 39 patients in this prospective 3-year cohort study. The BMI, Cobb angle, the Body Shape Questionnaire 14 (BSQ-14), the Scoliosis Research Society Questionnaire 22 (SRS-22) and eight satisfaction questions results were obtained. Having a BMI greater than or less than 18 kg/m(2) was used as a determiner to allocate patients to groups. As a low BMI is related to the presence of a disturbance in body perception, patients were also dichotomized by using the BSQ-14.
RESULTS: All scales were worse in both slimmer patients and the group with a body perception disorder. The group with a BMI <18 kg/m(2) obtained a total of 82.31 points in the SRS-22, and it was 93.45 points for the group with a BMI >18 kg/m(2) (p = 0.001). In terms of satisfaction, the percentage of patients that would undergo surgery again was 30.8 vs 69.2 % (p = 0.054). Patients with an alteration of physical perception obtained a total SRS-22 of 82.90 points versus 96.10 points in the control group (p < 0.001). No differences in terms of the Cobb correction (p = 0.29) or the percentage of correction (p = 0.841) were found in any case.
CONCLUSION: The alteration of physical perception and a low BMI negatively affect the outcomes in AIS surgery, regardless of the curve magnitude and the percentage of correction. Considerable care should be taken in recommending surgical correction to these patients.
Authors:
Daniel Pérez-Prieto; Juan Francisco Sánchez-Soler; Juana Martínez-Llorens; Sergi Mojal; Joan Bagó; Enric Cáceres; Manuel Ramírez
Related Documents :
23464944 - Effect of immediate full weight bearing on abductor repair and clinical function after ...
22930074 - Frequency of adjustments and weight loss after laparoscopic adjustable gastric banding.
9731614 - Early hemicraniectomy in patients with complete middle cerebral artery infarction.
24674734 - Uncemented total hip arthroplasty using a tapered femoral component in obese patients: ...
24953794 - Rituximab therapy for refractory scleritis: results of a phase i/ii dose-ranging, rando...
17278644 - Limberg flap reconstruction for the treatment of pilonidal sinus disease.
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2014-7-31
Journal Detail:
Title:  European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society     Volume:  -     ISSN:  1432-0932     ISO Abbreviation:  Eur Spine J     Publication Date:  2014 Jul 
Date Detail:
Created Date:  2014-7-31     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9301980     Medline TA:  Eur Spine J     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Association between the ESR1 -351A>G single nucleotide polymorphism (rs9340799) and adolescent idiop...
Next Document:  Endoplasmic Reticulum Stress Activates the Hepatic Activator Protein 1 Complex via Mitogen Activated...