脊柱后凸患者的术前和术后照片及手术结果
Preoperative and Postoperative Photographs and Surgical Outcomes of Patients With Kyphosis.
作者信息
Albayrak Akif, Balioglu Mehmet Bulent, Misir Abdulhamit, Kargin Deniz, Tacal Mehmet Temel, Atici Yunus, Kaygusuz Mehmet Akif
机构信息
Department of Orthopedics and Traumatology, Spine Surgery and Arthroplasty Clinic, Metin Sabanci Baltalimani Bone Disease Education and Research Hospital, Istanbul, Turkey.
出版信息
Spine (Phila Pa 1976). 2016 Oct 1;41(19):E1185-E1190. doi: 10.1097/BRS.0000000000001573.
STUDY DESIGN
A retrospective clinical study was performed.
OBJECTIVE
The aim of the study was to show patients their pre- and postoperative body photographs, and determine the effect on postoperative patient satisfaction for thoracic and thoracolumbar sharp and round angular kyphosis.
SUMMARY OF BACKGROUND DATA
Previous studies have reported the normative values of pelvic sagittal parameters and the classification of normal patterns of sagittal curvature, but no study has investigated and compared the clinical photographs of sharp and round kyphosis.
METHODS
In patients who underwent surgery for thoracic and thoracolumbar sharp and round angular kyphosis, whole spine anteroposterior and lateral radiographs, and clinical photographs were obtained preoperatively and at the final follow-up. Pelvic and spinal parameters were measured, and the pre- and postoperative photographs were shown to patients. The Scoliosis Research Society 22r (SRS22r) and Short Form 36 surveys were administered to all patients, and the scores were analyzed.
RESULTS
Thirty-eight patients diagnosed with kyphosis (mean age 19.6 yr, mean follow-up duration 26.4 mo) were divided into two groups: sharp (18 patients, mean age 20.1 yr) and round (20 patients, mean age 19.6 yr) kyphosis. There was no difference between values in the sharp and round groups in terms of age, follow-up duration, and Risser score (P > 0.05). In both groups, the subscores for pain, self-image, mental health, and satisfaction, except for the function/activity score, and the total score of the SRS22r survey were, however, significantly different between pre- and postoperative photographs. In addition, there was no significant difference between the two groups in any SRS22r domain and Short Form 36 scores.
CONCLUSION
The surgical treatment of kyphosis was uniformly associated with improved quality of life, regardless of the kyphosis type. Thus, showing patients their pre- and postoperative photographs may enhance patient satisfaction, as measured by SRS22r scores.
LEVEL OF EVIDENCE
研究设计
进行了一项回顾性临床研究。
目的
本研究的目的是向患者展示其术前和术后的身体照片，并确定对胸椎和胸腰椎尖锐型和圆弧形后凸畸形患者术后满意度的影响。
背景数据总结
先前的研究报告了骨盆矢状位参数的正常值以及矢状面弯曲正常模式的分类，但尚无研究对尖锐型和圆弧形后凸畸形的临床照片进行调查和比较。
方法
对接受胸椎和胸腰椎尖锐型和圆弧形后凸畸形手术的患者，术前及末次随访时获取全脊柱正侧位X线片及临床照片。测量骨盆和脊柱参数，并向患者展示术前和术后照片。对所有患者进行脊柱侧弯研究学会22r（SRS22r）和简明健康状况调查36项量表（Short Form 36）调查，并对评分进行分析。
结果
38例诊断为后凸畸形的患者（平均年龄19.6岁，平均随访时间26.4个月）分为两组：尖锐型（18例，平均年龄20.1岁）和圆弧形（20例，平均年龄19.6岁）后凸畸形。尖锐型组和圆弧形组在年龄、随访时间和Risser评分方面差异无统计学意义（P>0.05）。然而，在两组中，除功能/活动评分外，疼痛、自我形象、心理健康和满意度的子评分以及SRS22r调查的总分在术前和术后照片之间存在显著差异。此外，两组在任何SRS22r领域和Short Form 36评分方面均无显著差异。
结论
无论后凸畸形类型如何，后凸畸形的手术治疗均与生活质量改善一致相关。因此，向患者展示其术前和术后照片可能会提高患者满意度，如通过SRS22r评分所衡量。
证据级别
4级。
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