Abstract:
STUDY DESIGN:Patient satisfaction with the cosmetic result of spinal fusion surgery was studied in 42 cases of adolescent idiopathic scoliosis. Neutral or dissatisfied patients were compared with satisfied patients on several physical and psychological characteristics. OBJECTIVES:To determine whether adolescents generally report satisfaction with the postoperative appearance of their back after the correction of severe curves and whether preoperative medical and/or psychological factors distinguish between patients who will report satisfaction with the cosmetic surgical result from those who will report neutrality or dissatisfaction. SUMMARY OF BACKGROUND DATA:Previous reports emphasize the need for medical outcomes research that evaluates both patient satisfaction and technical success. Patient satisfaction with spinal surgery has largely been evaluated in retrospective studies and most consistently related to postoperative cosmesis and degree of curve correction. METHODS:Forty-two adolescents with idiopathic scoliosis without comorbidity, who were 12 years 6 months of age or older, and who did not require both anterior and posterior spinal fusion, were studied preoperatively and postoperatively by physical and psychological measurements. RESULTS:Of patients undergoing surgical correction of severe curves, 73% reported satisfaction with the cosmetic result. Neutral or dissatisfied patients were more likely than satisfied patients to have a lower body mass index (P < 0.05), to be younger in menarcheal status (P < 0.05), and have a King II or King III curve type. Preoperative psychological difficulties (P < 0.05) and unmet expectations regarding the postoperative cosmesis (P < 0.05) were more common among neutral or dissatisfied patients. CONCLUSIONS:Most adolescents with idiopathic scoliosis expressed satisfaction with the cosmetic surgical result. Preoperative physical characteristics, psychological difficulties, and unrealistic expectations regarding postoperative cosmesis are associated with patient neutrality or dissatisfaction.
journal_name
Spine (Phila Pa 1976)journal_title
Spineauthors
Koch KD,Buchanan R,Birch JG,Morton AA,Gatchel RJ,Browne RHdoi
10.1097/00007632-200110010-00015keywords:
subject
Has Abstractpub_date
2001-10-01 00:00:00pages
2119-24issue
19eissn
0362-2436issn
1528-1159journal_volume
26pub_type
杂志文章相关文献
SPINE文献大全abstract:STUDY DESIGN:Retrospective cohort study. OBJECTIVE:The goals of this study were to (A) evaluate preoperative bone quality assessment and intervention practice over time and (B) review the current evidence for bone evaluation in spine fusion surgery. SUMMARY OF BACKGROUND DATA:Deformity spine surgery has demonstrated ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000002956
更新日期:2019-06-15 00:00:00
abstract:STUDY DESIGN:This was a subanalysis of an international, multicenter, open-label study. OBJECTIVE:The aim of this study was to assess the efficacy and safety of denosumab in a subset of patients with giant cell tumors of bone (GCTB) of the spine including the sacrum from an international, open-label, single-arm, phase...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000003728
更新日期:2020-10-08 00:00:00
abstract:STUDY DESIGN:Case series. OBJECTIVE:Evaluation of ultrasound and nerve stimulation-guided L5 nerve root block technique. SUMMARY OF BACKGROUND DATA:Ultrasound-guided peripheral nerve block has become clinically applied. However, selective lumbosacral nerve root block is conducted under radiographic guidance, which in...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3181b43c62
更新日期:2009-11-15 00:00:00
abstract::In 30 patients undergoing Cotrel-Dubousset instrumentation, computerized tomography was performed before and after surgery. The RAsag-angle was measured for each vertebral level. Coronal and sagittal translation were evaluated in the same computerized tomographic scans by means of a new method. Based on the hooks used...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199208001-00009
更新日期:1992-08-01 00:00:00
abstract:STUDY DESIGN:We performed a retrospective study of 668 consecutive patients with congenital spine deformities. OBJECTIVES:To determine the prevalence of Goldenhar conditions in patients with congenital spine deformities, and describe the types of vertebral abnormalities and their treatment. SUMMARY OF BACKGROUND DATA...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000219876.45640.2a
更新日期:2006-06-01 00:00:00
abstract::A 24-year-old man presented with severe low-back pain and paraspinal muscle spasm after exertion. Elevation in temperature, white blood cell count, serum muscle enzymes, and urine myoglobin, as well as computer tomographic evidence of paraspinal muscle edema and necrosis, were present. No etiology could be documented,...
journal_title:Spine
pub_type: 杂志文章
doi:
更新日期:1985-11-01 00:00:00
abstract:STUDY DESIGN:A prospective cohort study. OBJECTIVE:To establish outcome measures for recovery and chronic pain for studies with patients who present with recent-onset acute low back pain (LBP) in primary care. SUMMARY OF BACKGROUND DATA:Among back pain researchers, no consensus exists about outcome definitions or how...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e31820c01a6
更新日期:2011-12-15 00:00:00
abstract:STUDY DESIGN:Retrospective chart review of 103 cases. OBJECTIVES:To describe the clinical use of magnetic resonance imaging in a pyogenic vertebral osteomyelitis. SUMMARY OF BACKGROUND DATA:Long delays in diagnosing pyogenic vertebral osteomyelitis of the spine have been shown in many reports. Magnetic resonance imag...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199704010-00015
更新日期:1997-04-01 00:00:00
abstract:STUDY DESIGN:An experimental rat study. OBJECTIVE:To assess pain-related behavior and vascular endothelial growth factor (VEGF) expression induced by nucleus pulposus (NP) applied to nerve roots in rats. SUMMARY OF BACKGROUND DATA:Radiculopathy from disc herniation is caused by nerve compression and chemical inflamma...
journal_title:Spine
pub_type: 杂志文章
doi:
更新日期:2011-01-01 00:00:00
abstract::An analysis of lateral predominance of 51 patients with adolescent idiopathic scoliosis is presented. Determination of handedness, the dominant foot, and the dominant eye was performed. Postural equilibrium was studied by stabilometry, and the vestibular function was evaluated with electronystagmography. Central and p...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-198011000-00005
更新日期:1980-11-01 00:00:00
abstract:STUDY DESIGN:Destructive compression tests and finite element analyses were conducted to investigate the biomechanical strength at the graft-endplate interface in anterior cervical fusion. OBJECTIVES:To investigate the effect of endplate thickness, endplate holes, and bone mineral density of the vertebral body on the ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-200104150-00021
更新日期:2001-04-15 00:00:00
abstract::This study was designed to examine the effect of varying degrees of imposed leg length difference on symmetry of the innominate bones in healthy college women with relatively equal leg lengths. Subjects' leg length was determined by clinical and roentgenographic procedures. Position of the innominate bones with and wi...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199303000-00012
更新日期:1993-03-01 00:00:00
abstract:STUDY DESIGN:Laboratory study. OBJECTIVE:Evaluate the effect of substance P (SP) on an intervertebral disc rat organ culture model. SUMMARY OF BACKGROUND DATA:Monolayer cell experiments have demonstrated that exposure intervertebral disc tissue cells to SP leads to upregulation in inflammatory cytokine expression; ho...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000001676
更新日期:2016-12-15 00:00:00
abstract:STUDY DESIGN:A retrospective analysis of 10 patients with pancreatitis after traumatic spinal cord injury. OBJECTIVES:To determine the conditions leading to nontraumatic pancreatitis in spinal cord injury. SUMMARY OF BACKGROUND DATA:Little is known in the literature about pancreatitis after spinal cord injury. A few ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-200205010-00024
更新日期:2002-05-01 00:00:00
abstract:STUDY DESIGN:Multicenter, retrospective study. OBJECTIVE:To compare the outcomes of three surgical treatments for congenital spinal deformity due to a hemivertebra. SUMMARY OF BACKGROUND DATA:Congenital anomalies of the spine can cause significant and progressive scoliosis and kyphosis. Their management may be challe...
journal_title:Spine
pub_type: 杂志文章,多中心研究
doi:10.1097/BRS.0b013e318233f4bb
更新日期:2011-11-15 00:00:00
abstract:STUDY DESIGN:Retrospective Cohort OBJECTIVE.: Investigate and establish minimum clinically important differences (MCID) for PHQ-9 among patients undergoing minimally invasive transforaminal lumbar interbody fusion (MIS TLIF). SUMMARY OF BACKGROUND:Spine surgery is linked to postoperative improvements in anxiety, depre...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000003853
更新日期:2020-12-07 00:00:00
abstract:STUDY DESIGN:Systematic review. OBJECTIVE:To determine the difference in postoperative sagittal alignment when single level cervical radiculopathy or myelopathy is treated with an anterior cervical discectomy and fusion (ACDF) using a structural graft and plate, a stand-alone ACDF, or a total disc arthroplasty (TDR). ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000003077
更新日期:2019-10-01 00:00:00
abstract:STUDY DESIGN:A cross-sectional registry and imaging cohort study. OBJECTIVES:To study the association between typical symptoms and signs of central spinal stenosis and the minimum cross-sectional area (mCSA) of the cauda equina in patients subsequently undergoing surgery. SUMMARY OF BACKGROUND DATA:Relations between ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e318060a5f5
更新日期:2007-06-01 00:00:00
abstract:STUDY DESIGN:Exploratory subgroup analysis in a randomized controlled trial (RCT). OBJECTIVE:To detect possible moderators in the effectiveness of a workplace intervention in a population of workers with sick leave due to sub acute nonspecific low back pain. SUMMARY OF BACKGROUND DATA:In a recently published RCT, a w...
journal_title:Spine
pub_type: 杂志文章,随机对照试验
doi:10.1097/BRS.0b013e3181a09631
更新日期:2009-05-20 00:00:00
abstract:STUDY DESIGN:A population-based, prospective cohort study. OBJECTIVE:To evaluate the association of early imaging and health and disability status 1 year following acute low back injury, among a population-based sample of Washington State workers' compensation claimants. SUMMARY OF BACKGROUND DATA:Use of early diagno...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e318251887b
更新日期:2012-08-15 00:00:00
abstract:STUDY DESIGN:Narrative review. OBJECTIVE:Describe current issues of outcomes assessment in spine research, with a focus on their application to advocacy oriented research. SUMMARY OF BACKGROUND DATA:Outcomes measurement in back pain has advanced substantially over the past decade. METHODS:Qualitative assessment of o...
journal_title:Spine
pub_type: 杂志文章,评审
doi:10.1097/BRS.0b013e318053d45f
更新日期:2007-05-15 00:00:00
abstract:STUDY DESIGN:Translation and psychometric testing. OBJECTIVE:To adapt the neck disability index (NDI) cross-culturally to Arabic language and to investigate the reliability and validity of the Arabic version of NDI in an Arabic-speaking sample with neck pain. SUMMARY OF BACKGROUND DATA:Although largely used, no previ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e31828b2d09
更新日期:2013-05-01 00:00:00
abstract:STUDY DESIGN:Randomized, controlled trial. OBJECTIVE:To evaluate a four-session self-management group intervention for patients with pain in primary care, led by trained lay persons with back pain. The intervention was designed to reduce patient worries, encourage self-care, and reduce activity limitations. BACKGROUN...
journal_title:Spine
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
doi:10.1097/00007632-199812010-00016
更新日期:1998-12-01 00:00:00
abstract::Pulmonary function and gas exchange at rest and during and after standard exercise on bicycle ergometer were studied in 49 girls, aged 10 to 16 years (mean, 13.7), with untreated idiopathic scoliosis, before and with Boston thoracic brace, and after treatment for 3 weeks, reducing the thoracic curve angle from a mean ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199005000-00014
更新日期:1990-05-01 00:00:00
abstract:STUDY DESIGN:A retrospective study by an independent observer of a consecutive series of 67 cases of adolescent idiopathic scoliosis presenting with a King II curve pattern. OBJECTIVES:To demonstrate the validity of a selective thoracic fusion as a treatment of King II curves with special attention to immediate postop...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199810010-00005
更新日期:1998-10-01 00:00:00
abstract:STUDY DESIGN:This clinical study examined the association between pulmonary function and thoracic cage deformities in scoliosis. OBJECTIVE:To determine the factors in spinal and thoracic cage deformities that affect pulmonary function in scoliosis. SUMMARY OF BACKGROUND DATA:Pulmonary function in scoliosis has genera...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000251005.31255.25
更新日期:2007-01-01 00:00:00
abstract:STUDY DESIGN:Case series. OBJECTIVE:To present the difficulty of diagnosing the origin of lower leg pain in patients with lumbar spinal stenosis and hip joint arthritis. SUMMARY OF BACKGROUND DATA:Pain arising from a degenerated hip joint is sometimes localized to the lower leg. Patients with lumbar spinal disease ma...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e31825d213d
更新日期:2012-12-01 00:00:00
abstract:STUDY DESIGN:Original report. OBJECTIVE:To investigate the putative negative correlation between the duration of symptoms (DOS) and outcome after surgery for chronic low back pain (CLBP). SUMMARY OF BACKGROUND DATA:Posterior lumbar interbody fusion (PLIF) is a well established treatment for CLBP. Anecdotally, a prolo...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3181bb8ebd
更新日期:2010-03-15 00:00:00
abstract:STUDY DESIGN:This study analyzed the sizes and angles of vertebrae and discs in Chinese subjects. Lateral lumbar spine radiograph films were taken of subjects in upright and 60 degrees flexion positions to evaluate disc height and angle changes. OBJECTIVES:This study sought to gather data regarding the contribution of...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199407000-00013
更新日期:1994-07-01 00:00:00
abstract:STUDY DESIGN:Axial pullout tests using fresh cadaveric thoracolumbar vertebral bodies. OBJECTIVES:To evaluate the effect of a new injectable calcium phosphate cement on the axial pullout strength of both revised and augmented pedicle screws in comparison with polymethyl methacrylate and in terms of injection method. ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-200406010-00020
更新日期:2004-06-01 00:00:00