The influence of body image on surgical decisions in adolescent idiopathic scoliosis patients

Authors

  • Paulo Alvim Borges Universidade de São Paulo; Divisão de Cirurgia da Coluna, Instituto de Ortopedia e Traumatologia; Hospital das Clínicas da Faculdade de Medicina da Laboratório de Investigação Médica
  • José Thomé de Carvalho Neto Universidade de São Paulo; Divisão de Cirurgia da Coluna, Instituto de Ortopedia e Traumatologia; Hospital das Clínicas da Faculdade de Medicina da Laboratório de Investigação Médica
  • Olavo Biraghi Letaif Universidade de São Paulo; Divisão de Cirurgia da Coluna, Instituto de Ortopedia e Traumatologia; Hospital das Clínicas da Faculdade de Medicina da Laboratório de Investigação Médica
  • Raphael Martus Marcon Universidade de São Paulo; Divisão de Cirurgia da Coluna, Instituto de Ortopedia e Traumatologia; Hospital das Clínicas da Faculdade de Medicina da Laboratório de Investigação Médica
  • Alexandre Fogaça Cristante Universidade de São Paulo; Divisão de Cirurgia da Coluna, Instituto de Ortopedia e Traumatologia; Hospital das Clínicas da Faculdade de Medicina da Laboratório de Investigação Médica

DOI:

https://doi.org/10.6061/clinics/2017(03)01

Keywords:

Scoliosis, Adolescent, Spinal Curvatures, Operative Surgical, Clinical Decision Support Systems, Decision-Making, Patient Participation

Abstract

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.

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Published

2017-03-01

Issue

Vol. 72 No. 3 (2017)

Section

Clinical Sciences

How to Cite

The influence of body image on surgical decisions in adolescent idiopathic scoliosis patients. (2017). Clinics, 72(3), 130-133. https://doi.org/10.6061/clinics/2017(03)01