Schroeder Josh E, Michaeli Tal, Luria Mijal, Itshayek Eyal, Kaplan Leon
Department of Orthopedics, Spine Surgery Unit, Hadassah Hebrew University Medical Center, Jerusalem, Israel.
Department of Obstetrics and Gynecology, Hadassah Hebrew University Medical Center, Jerusalem Israel.
Global Spine J. 2023 Oct;13(8):2239-2244. doi: 10.1177/21925682221079263. Epub 2022 Feb 26.
Retrospective cohort study with a cross-sectional comparison.
To assess sexual function and experience in adult women who had scoliotic correction for adolescent idiopathic scoliosis (AIS).
Women ages 18-40 years with a history of scoliosis, who were braced or underwent uncomplicated posterior scoliosis correction for AIS, followed for two years or more since treatment were included. Sexual function was assessed using the Female Sexual Distress Scale-Revised (FSDS-R) and the Female Sexual Function Index (FSFI) questionnaires. Participants' scores were compared to those of a control group consisting of age-matched healthy women.
Of 115 women who responded to the questionnaires, 40 (35%) had surgical treatment (mean age 25.1; range 19-35 years; mean time since surgery 8.2 years; range 3-12 years) and 35 (30%) were braced (mean age 23.3; range 18-27 years; mean time since treatment 3.6 years; range 3-5 years). The control group consisted of a cohort of 40 (35%) aged-matched healthy women. According to the FSDS-R, significantly more women with scoliotic correction for AIS reported sexual distress compared to healthy controls (25% vs 12%, respectively), and the difference in the total mean scores (7.05 vs 5.34, respectively), was significant (P < .001). Additionally, the mean overall FSFI score for scoliotic-corrected women was 24.2 (range 17.5-29.1) within the pathological range (<26.55) of sexual dysfunction.
High rates of sexual distress and dysfunction were reported in women with a history of AIS, thus, there appears to be long-term consequences years after deformity correction by brace or surgical correction.
采用横断面比较的回顾性队列研究。
评估接受青少年特发性脊柱侧弯（AIS）脊柱侧弯矫正术的成年女性的性功能及性体验。
纳入年龄在18 - 40岁、有脊柱侧弯病史、曾接受AIS支具治疗或无并发症的后路脊柱侧弯矫正术且治疗后随访两年或更长时间的女性。使用修订版女性性困扰量表（FSDS - R）和女性性功能指数（FSFI）问卷评估性功能。将参与者的得分与由年龄匹配的健康女性组成的对照组进行比较。
在115名回复问卷的女性中，40名（35%）接受了手术治疗（平均年龄25.1岁；范围19 - 35岁；术后平均时间8.2年；范围3 - 12年），35名（30%）接受了支具治疗（平均年龄23.3岁；范围18 - 27岁；治疗后平均时间3.6年；范围3 - 5年）。对照组由40名（35%）年龄匹配的健康女性组成。根据FSDS - R，与健康对照组相比，接受AIS脊柱侧弯矫正术的女性报告性困扰的比例显著更高（分别为25%和12%），且总平均分的差异（分别为7.05和5.34）具有显著性（P < .001）。此外，脊柱侧弯矫正术后女性的FSFI总平均分在性功能障碍的病理范围内（<26.55），为24.2（范围17.5 - 29.1）。
有AIS病史的女性报告的性困扰和性功能障碍发生率较高，因此，在通过支具或手术矫正畸形多年后似乎存在长期后果。
