Long-term psychological sequelae of surgically versus nonsurgically treated scoliosis.
Forty-six female scoliosis patients (21-34 years of age) were tested psychologically 4 or more years following treatment. Twenty-three had been treated by bracing (Group A) and 23 by posterior spinal fusion (Group B). Variables evaluated were: self-esteem, capacity for intimacy, sexual satisfaction, and mental representation of the patient's own body (body image). The prediction that normal controls would show better psychological adjustment than scoliotic women--surgically treated or not--was only partially borne out. Contrary to expectations, both groups of scoliotics showed higher levels of sexual satisfaction than controls. Group B showed a greater need for intimacy and better sexual adjustment, self-esteem, and body image than Group A.
Clayson
D
D
Hospital for Special Surgery, New York, New York.
Luz-Alterman
S
S
Cataletto
M M
MM
Levine
D B
DB
D000328:Adult; D001828:Body Image; D004644:Emotions / Q000502:physiology; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D012600:Scoliosis / Q000523:psychology* / Q000601:surgery; D012649:Self Concept; D012725:Sexual Behavior; D013123:Spinal Fusion / Q000523:psychology