身体形象对青少年特发性脊柱侧弯患者手术决策的影响。
The influence of body image on surgical decisions in adolescent idiopathic scoliosis patients.
作者信息
Borges Paulo Alvim, Carvalho José Thomé de, Letaif Olavo Biraghi, Marcon Raphael Martus, Cristante Alexandre Fogaça
机构信息
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.
出版信息
Clinics (Sao Paulo). 2017 Mar;72(3):130-133. doi: 10.6061/clinics/2017(03)01.
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.
目的
本研究的目的是评估青少年特发性脊柱侧凸患者畸形的严重程度是否会影响患者关于是否接受手术的决定。
方法
我们评估了青少年特发性脊柱侧凸患者的身体形象因素。我们评估了主要脊柱侧凸曲线的大小、驼背（大小和位置）、肩高不对称以及患者年龄。我们通过时间权衡法分析了这些数据与患者愿意为手术而交换的年数之间的相关性。
结果
共研究了52例患者。我们没有发现所研究的任何参数与患者愿意为手术而交换的年数之间存在相关性。
结论
青少年特发性脊柱侧凸患者身体畸形的严重程度不会干扰接受手术治疗的决定。
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