*Department of Orthopedics, Sahlgrenska University Hospital, Göteborg, Sweden.
Spine (Phila Pa 1976). 2012 Apr 20;37(9):755-62. doi: 10.1097/BRS.0b013e318231493c.
The Scoliosis Research Society (SRS) brace study (published in the JBJS-A, 1995) was comprised of patients with adolescent idiopathic scoliosis with moderate curve sizes (25°-35°). Forty observed and 37 braced patients (77% of the original group) attended a follow-up, a mean of 16 years after onset of maturity.
To analyze whether the subjectively evaluated present body appearance affects outcome as measured by quality of life in adult patients, previously treated by observation alone (nonbraced) or with a brace during adolescence.
Few reports exist where validated outcome measures for body appearance have been used.
Two quality-of-life questionnaires, the Scoliosis Research Society-22 (SRS-22) questionnaire and the 36-Item Short-Form Survey Instrument (SF-36), were answered. The patient's opinion on body appearance was evaluated pictorially (i.e., sketches) using the spinal appearance questionnaire, in which 7 aspects of asymmetry are graded. These scores were compared with curve sizes, scoliometer measurements for grading trunk asymmetry, and quality-of-life measures.
At follow-up, both groups were similar in terms of age (mean = 32 years) and curve size (mean = 35°). Distortion was inversely related to SRS-22 total score and satisfaction/dissatisfaction with management subscore, but not related to the SRS-22 function subscore. No difference was found between the groups in terms of trunk rotation, where the means were 10.7° and 10.8° for the nonbraced and braced patients, respectively. The nonbraced patients estimated that their body appearance was significantly less distorted than the braced patients (mean = 12.9 and 15.0, respectively; P = 0.0028).
Patients who experienced less body asymmetry were more satisfied with treatment and had a better quality of life. In spite of similar curve sizes and trunk rotation in both groups, the nonbraced patients felt that their body appearance was less distorted than that of the braced patients.
脊柱侧凸研究协会（SRS）支具研究（发表于《JBJS-A》，1995 年）纳入了患有中度脊柱侧凸（25°-35°）的青少年特发性脊柱侧凸患者。40 名接受观察和 37 名接受支具治疗的患者（原始组的 77%）参加了随访，随访时间为成熟后平均 16 年。
分析在青少年时期仅接受观察（未支具）或支具治疗的成年患者中，主观评估的当前身体外观是否会影响生活质量。
很少有报告使用经过验证的身体外观评估结果。
使用脊柱侧凸研究协会 22 项问卷（SRS-22）和 36 项简明健康调查问卷（SF-36）对两组患者进行问卷调查。使用脊柱外观问卷对患者的身体外观进行图片评估（即草图），其中对 7 个不对称方面进行分级。这些评分与曲线大小、脊柱侧凸计测量的躯干不对称分级以及生活质量测量结果进行比较。
随访时，两组患者的年龄（平均=32 岁）和曲线大小（平均=35°）相似。畸形程度与 SRS-22 总分和管理满意度/不满意度呈负相关，与 SRS-22 功能评分无关。两组患者在躯干旋转方面无差异，未支具和支具组的平均旋转分别为 10.7°和 10.8°。未支具组患者自我评估身体外观的畸形程度明显低于支具组（平均值分别为 12.9 和 15.0；P=0.0028）。
身体不对称程度较小的患者对治疗更满意，生活质量更高。尽管两组患者的曲线大小和躯干旋转相似，但未支具组患者认为自己的身体外观畸形程度低于支具组患者。
