Department of Reconstructive Orthopaedics, Karolinska University Hospital, Stockholm, Sweden.
Department of Clinical Sciences, Intervention and Technology (CLINTEC), Karolinska Institutet, Stockholm, Sweden.
Spine (Phila Pa 1976). 2020 Apr 15;45(8):522-527. doi: 10.1097/BRS.0000000000003308.
Cross-sectional.
The aim of this study was to describe the self-experienced trunk appearance in individuals with and without idiopathic scoliosis.
Idiopathic scoliosis is the most common spinal deformity. A large scoliotic deformity increases the risk of back pain and pulmonary dysfunction. The deformity has also a psychological impact.
The pictorial part of the spinal appearance questionnaire (pSAQ) was administered to 1416 individuals with idiopathic scoliosis (386 untreated, 529 brace treated, 501 surgically treated) and 272 individuals without scoliosis from the general population. Comparisons were made between individuals with and without scoliosis, between treatment groups and sex in the scoliosis group.
Mean (95% confidence interval) age of the individuals with scoliosis was 36.2 (35.5-36.9) years and for the individuals without scoliosis 40.2 (37.9-42.4). pSAQ total was 12.3 (12.1-12.5) for individuals with scoliosis and 7.4 (7.3-7.6) for individuals without scoliosis (P < 0.001, adjusted for age and sex). pSAQ total was 11.5 (11.1-11.9) for untreated, 13.0 (12.6-13.3) for brace treated, and 12.3 (11.9-12.6) for surgically treated individuals (P < 0.001, adjusted for sex and curve size). The pSAQ total between males and females with idiopathic scoliosis did not differ (P = 0.22 adjusted for age and curve size).
This study shows that individuals with idiopathic scoliosis have more concern about their body appearance than individuals without scoliosis. Untreated individuals are not as bothered of their spinal appearance as treated individuals. Males and females with scoliosis do not differ significantly in the perception of their spinal appearance.
横断面研究。
本研究旨在描述特发性脊柱侧凸患者和无特发性脊柱侧凸患者的自我感知的躯干外观。
特发性脊柱侧凸是最常见的脊柱畸形。较大的脊柱侧凸畸形增加了背痛和肺功能障碍的风险。该畸形还具有心理影响。
将脊柱外观问卷的图片部分（pSAQ）分发给 1416 名特发性脊柱侧凸患者（386 名未经治疗、529 名支具治疗、501 名手术治疗）和 272 名普通人群中的无脊柱侧凸患者。比较了脊柱侧凸患者和无脊柱侧凸患者、治疗组和脊柱侧凸组中男性之间的差异。
脊柱侧凸患者的平均（95%置信区间）年龄为 36.2（35.5-36.9）岁，无脊柱侧凸患者的平均年龄为 40.2（37.9-42.4）岁。脊柱侧凸患者的 pSAQ 总分为 12.3（12.1-12.5），无脊柱侧凸患者的 pSAQ 总分为 7.4（7.3-7.6）（P<0.001，经年龄和性别调整）。未治疗组的 pSAQ 总分为 11.5（11.1-11.9），支具治疗组的 pSAQ 总分为 13.0（12.6-13.3），手术治疗组的 pSAQ 总分为 12.3（11.9-12.6）（P<0.001，经性别和曲线大小调整）。特发性脊柱侧凸男性和女性患者的 pSAQ 总分无差异（经年龄和曲线大小调整后 P=0.22）。
本研究表明，特发性脊柱侧凸患者比无脊柱侧凸患者更关注自己的身体外观。未经治疗的患者对自己的脊柱外观并不像治疗过的患者那样感到困扰。脊柱侧凸患者的男女在对脊柱外观的感知上没有显著差异。
3 级。
