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European Spine Journal

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01-09-2018 | Original Article

The effect of deformity correction on psychiatric condition of the adolescent with adolescent idiopathic scoliosis

Authors: Altuğ Duramaz, Semra Yılmaz, Nezih Ziroğlu, Burcu Bursal Duramaz, Tayfun Kara

Published in: European Spine Journal | Issue 9/2018

Abstract

Purpose

The purpose of this prospective study was to evaluate the effects of deformity correction on body image, quality of life, self-esteem, depression and anxiety in patients with adolescent idiopathic scoliosis (AIS) who underwent surgery.

Methods

Between June 2014 and July 2015, 41 consecutive patients who underwent surgery for AIS were compared with the control group of 52 healthy patients regarding the changes in the pre- and postoperative quality of life and psychiatric status of patients with deformity correction. Body Cathexis Scale (BCS), Pediatric Quality of Life Inventory (PedsQL), Children’s Depression Inventory (CDI), Piers-Harris self-esteem questionnaire (PH-SEQ) and state-trait Anxiety Inventory for Children were used to evaluate the patients.

Results

There was a significant decrease in postoperative first-year Cobb angle and trunkal shift imbalance compared with the preoperative values (p = 0.0001 and p = 0.0001). Postoperative first-year thoracic kyphosis angle and body height showed a significant increase according to preoperative values (p = 0.0001 and p = 0.0001). Postoperative PH-SEQ score and PedsQL total score showed a significant increase in the study group compared to the preoperative level, but no significant difference was found between the control group. Postoperative CDI score, BCS score, STAI-state and STAI-trait scores decreased significantly in the study group compared with preoperative scores.

Conclusions

Surgical correction of deformity in AIS provided significant improvements regarding quality of life and psychiatric condition. Spinal surgeons should be aware of the possible psychological problems of AIS patients and should keep in mind that deformity correction not only improves physical health but also improves mental health.

Graphical abstract

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Title: The effect of deformity correction on psychiatric condition of the adolescent with adolescent idiopathic scoliosis
Authors: Altuğ Duramaz
Semra Yılmaz
Nezih Ziroğlu
Burcu Bursal Duramaz
Tayfun Kara
Publication date: 01-09-2018
Publisher: Springer Berlin Heidelberg
Published in: European Spine Journal / Issue 9/2018
Print ISSN: 0940-6719
Electronic ISSN: 1432-0932
DOI: https://doi.org/10.1007/s00586-018-5639-4

Keynote webinar | Spotlight on medication adherence

Springer Medicine

The effect of deformity correction on psychiatric condition of the adolescent with adolescent idiopathic scoliosis

Abstract

Purpose

Methods

Results

Conclusions

Graphical abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

Graphical abstract

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