Nordon David Gonçalves, Lugão Ariel Falbel, Machado Lucas Castrillon Carmo, Marcon Raphael Martus, Cristante Alexandre Fogaça, de Barros Tarcísio Eloy Pessoa, Letaif Olavo Biraghi
Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, Instituto de Ortopedia e Traumatologia, Divisão de Cirurgia da Coluna, São Paulo/SP, Brazil.
Clinics (Sao Paulo). 2017 Feb 1;72(2):71-80. doi: 10.6061/clinics/2017(02)02.
: There are few data on patient satisfaction with surgery for the correction of neuromuscular scoliosis or on the correlation between patient satisfaction and the degree of curve correction achieved by surgery. Our aim was to determine the correlations between both patient satisfaction and perception of quality of life and the degree of curve correction.
: We interviewed 18 patients and administered a questionnaire that collected social and economic data and information about functional ability, comorbidities and satisfaction. Statistical analysis was performed using chi-square tests, Pearson correlation and paired t-tests.
: The mean correction achieved was 42.8%, i.e., 34.17 degrees. Early and late complication rates were low (11.1% each). Almost all of the patients (94.4%) were satisfied with the surgery, and expectations were met for 61.1% of them. Quality of life and aesthetics were improved in 83.4% and 94.4% of cases, respectively. No correlation was found between satisfaction and degree of correction.
: Our surgical results are similar to those of other studies with respect to the degree of correction and patient satisfaction. The disparity between satisfaction and fulfillment of expectations may be due to unrealistic initial expectations or misunderstanding of the objective of surgery. Our findings corroborate the hypothesis that satisfaction is multifactorial and not restricted to a quantitative goal. The satisfaction of patients who undergo operation for neuromuscular scoliosis does not depend directly on the degree of deformity correction. The relationship between satisfaction and the success of the correction procedure is complex and multifactorial.
关于患者对神经肌肉型脊柱侧弯矫正手术的满意度，以及患者满意度与手术实现的侧弯矫正程度之间的相关性，相关数据较少。我们的目的是确定患者满意度和生活质量感知与侧弯矫正程度之间的相关性。
我们对18名患者进行了访谈，并发放了一份问卷，收集社会和经济数据以及有关功能能力、合并症和满意度的信息。使用卡方检验、Pearson相关性分析和配对t检验进行统计分析。
平均矫正率为42.8%，即34.17度。早期和晚期并发症发生率较低（均为11.1%）。几乎所有患者（94.4%）对手术满意，其中61.1%的患者达到了预期。生活质量和美观度分别在83.4%和94.4%的病例中得到改善。未发现满意度与矫正程度之间存在相关性。
我们的手术结果在矫正程度和患者满意度方面与其他研究相似。满意度与预期实现之间的差异可能是由于最初的期望不切实际或对手术目标的误解。我们的研究结果证实了满意度是多因素的，并不局限于一个量化目标这一假设。接受神经肌肉型脊柱侧弯手术的患者的满意度并不直接取决于畸形矫正的程度。满意度与矫正手术成功之间的关系是复杂且多因素的。
