Gomez-Rice Alejandro, Madrid Cristina, Izquierdo Enrique, Marco-MartÍnez Fernando, Tresguerres JesÚs A F, Sanchez-Mariscal Felisa
Hospital UniversitarioRamon y Cajal, Madrid, Spain.
Complutense University of Madrid, Madrid, Spain.
Int J Spine Surg. 2021 Dec;14(6):1037-1042. doi: 10.14444/7155. Epub 2020 Dec 29.
Recently published data suggest that showing patients operated on for adolescent idiopathic scoliosis or kyphosis their preoperative and postoperative photographs may enhance their satisfaction and self-image as measured by Scoliosis Research Society Health-Related Quality of Life Questionnaire (SRS-22) scores. No data exist for adult spinal deformity (ASD) surgery. The aim of this study is to determine the effect on patient postoperative satisfaction and self-image of showing adult deformity patients their preoperative and postoperative whole body photographs.
This was a nonconcurrent prospective study. Patients operated on for ASD with a minimum 2-year postoperative follow-up who had preoperative full-body photographs taken by a professional photographer were included. Two follow-up visits were arranged 7 days apart. In the first visit, patients completed the SRS-22 questionnaire, and full-body standing photographs were taken. In the second visit, patients were asked to complete again questions 4, 6, 10, 14, 19 (self-image), 21, and 22 (satisfaction) of the SRS-22 after seeing their preoperative and postoperative full-body photographs.
Thirty patients (28 female) were included. The median age at surgery was 50 years (26-76). The median follow-up was 51 months (24-120). SRS-22 results at first visit were: activity 2.79 ± 0.75; self-image 2.71 ± 0.82; pain 2.53 ± 1.10; mental health 3.08 ± 0.77; satisfaction 3.46 ± 1.20; global 2.74 ± 0.72. SRS22 results at second visit were: self-image 2.9 ± 0.75; satisfaction 4.02 ± 0.97. After seeing the preoperative and final follow-up photographs, patients experienced an improvement in SRS-22 self-image ( = .000) and satisfaction domains ( = .011).
In patients operated on for ASD, showing preoperative and postoperative photographs improves patient satisfaction with surgery and self-image.
Our results could be a starting point for introducing full-body clinical photographs as a routine clinical tool in adult deformity patients undergoing surgery.
最近公布的数据表明，向接受青少年特发性脊柱侧凸或后凸手术的患者展示其术前和术后照片，可能会提高他们的满意度和自我形象，这是通过脊柱侧凸研究协会健康相关生活质量问卷（SRS - 22）评分来衡量的。目前尚无关于成人脊柱畸形（ASD）手术的相关数据。本研究的目的是确定向成人脊柱畸形患者展示其术前和术后全身照片对患者术后满意度和自我形象的影响。
这是一项非同期前瞻性研究。纳入接受ASD手术且术后随访至少2年、术前由专业摄影师拍摄了全身照片的患者。安排两次相隔7天的随访。在第一次随访中，患者完成SRS - 22问卷，并拍摄全身站立照片。在第二次随访中，患者在查看其术前和术后全身照片后，再次被要求完成SRS - 22问卷中的问题4、6、10、14、19（自我形象）、21和22（满意度）。
纳入30例患者（28例女性）。手术时的中位年龄为50岁（26 - 76岁）。中位随访时间为51个月（24 - 120个月）。第一次随访时SRS - 22的结果为：活动度2.79±0.75；自我形象2.71±0.82；疼痛2.53±1.10；心理健康3.08±0.77；满意度3.46±1.20；总体2.74±0.72。第二次随访时SRS22的结果为：自我形象2.9±0.75；满意度4.02±0.97。在查看术前和最终随访照片后，患者在SRS - 22自我形象（P = 0.000）和满意度领域（P = 0.011）有改善。
在接受ASD手术的患者中，展示术前和术后照片可提高患者对手术的满意度和自我形象。
3级。
我们的结果可能是将全身临床照片作为接受手术的成人脊柱畸形患者的常规临床工具引入的一个起点。
