title: Relation between self-image score of SRS-22 with deformity measures in female adolescent idiopathic scoliosis patients.
abstract: BACKGROUND
  Adolescent idiopathic scoliosis (AIS) is a pathology which affects the individual's functioning in the widely understood physical, psychic, and social aspects. More attention should be paid to patients' perception of self-image when evaluating the spine deformity. The present retrospective study evaluated the associations between the deformity measures and self-image score as determined by the SRS-22 questionnaire in Chinese female AIS patients.
  
  
  OBJECTIVE
  The self-image score correlates significantly with deformity measures. The location of main curve apex and the number of curve could affect the self-image score.
  
  
  METHODS
  We retrospectively reviewed the records of 202 female patients, collected data on patient's age, body mass index, radiographic and physical measures and self-image score of SRS-22 questionnaire. According to the location of main curve apex and the number of curve, the patients were divided to different subgroups. Correlations between deformity measures and self-image score of different groups were evaluated by the Spearman correlation test.
  
  
  RESULTS
  The self-image score correlated negatively with the main Cobb angle, apical vertebral translation (AVT), and razor hump height. There is no significant difference of self-image score between thoracic curve (TC) and thoracolumbar curve (TL/LC) subgroups. And the self-image scores of one-curve, two-curve and three-curve subgroups are similar.
  
  
  CONCLUSIONS
  For Chinese female AIS patients in our study, self-image was found to correlate negatively with the main Cobb angle, AVT and razor hump height. And the location of scoliosis apex and the number of curve are not influencing factors of self-image perception.
  
  
  METHODS
  Level IV, retrospective study.
authors.affiliation: Department of Orthopedic Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, 1 Shuaifuyuan-Hutong, Beijing, 100730, China.
authors.forename: L
authors.initials: L
authors.lastname: Wang
authors.affiliation: Department of Orthopedic Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, 1 Shuaifuyuan-Hutong, Beijing, 100730, China. Electronic address: wlliangwang@sina.com.
authors.forename: Y P
authors.initials: YP
authors.lastname: Wang
authors.affiliation: Department of Orthopedic Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, 1 Shuaifuyuan-Hutong, Beijing, 100730, China.
authors.forename: B
authors.initials: B
authors.lastname: Yu
authors.affiliation: Department of Orthopedic Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, 1 Shuaifuyuan-Hutong, Beijing, 100730, China.
authors.forename: J G
authors.initials: JG
authors.lastname: Zhang
authors.affiliation: Department of Orthopedic Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, 1 Shuaifuyuan-Hutong, Beijing, 100730, China.
authors.forename: J X
authors.initials: JX
authors.lastname: Shen
authors.affiliation: Department of Orthopedic Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, 1 Shuaifuyuan-Hutong, Beijing, 100730, China.
authors.forename: G X
authors.initials: GX
authors.lastname: Qiu
authors.affiliation: Department of Orthopedic Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, 1 Shuaifuyuan-Hutong, Beijing, 100730, China.
authors.forename: Y
authors.initials: Y
authors.lastname: Li
mesh_terms: D000293:Adolescent; D002648:Child; D059026:Diagnostic Self Evaluation; D005260:Female; D006801:Humans; D012189:Retrospective Studies; D012600:Scoliosis / Q000175:diagnosis*; D012720:Severity of Illness Index; D011795:Surveys and Questionnaires
keywords: Adolescent idiopathic scoliosis; Correlation; Deformity; SRS-22; Self-image