title: Pre- and postoperative photographs and surgical outcomes in patients with Lenke type 1 adolescent idiopathic scoliosis.
abstract: METHODS
  Clinical study with pre- and postoperative back photographs and postoperative Scoliosis Research Society-22 survey in patients who had undergone surgery for idiopathic scoliosis.
  
  
  OBJECTIVE
  To determine the effect of showing patients their photographs before and after surgery for idiopathic scoliosis on postoperative patient satisfaction.
  
  
  BACKGROUND
  After scoliosis surgery, patient satisfaction may be limited because the patients cannot directly see their back and may forget the preoperative appearance.
  
  
  METHODS
  In 60 patients who had undergone surgery for correction of idiopathic scoliosis (Lenke type 1), pre- and postoperative photographs were taken from the anterior, posterior, and right and left lateral views. After surgery, patients in group 1 (30 patients) were shown the preoperative and most recent follow-up photographs, and patients in group 2 (30 patients) had routine evaluation but were not shown their photographs. All patients completed the Scoliosis Research Society-22 survey.
  
  
  RESULTS
  Patients in both groups had similar age, sex, distribution of Lenke type and Risser sign, follow-up, and pre- and postoperative Cobb angles and balance (coronal and sagittal). A significant difference was observed between the groups for survey question 10 (which was about self-image), question 18 (which was about function and activity), and question 21 (which was about satisfaction) (P ≤ 0.05). There were no differences between patients in groups 1 and 2 in Scoliosis Research Society-22 domain or total scores.
  
  
  CONCLUSIONS
  By showing patients the pre- and postoperative clinical photographs, patient satisfaction may be greater, as measured with some SRS-22 scores. This method may enable clinicians to positively change the patients' self-image perception after surgery for correction of scoliosis.
  
  
  METHODS
  4.
authors.affiliation: *Department of Orthopaedics and Traumatology, Spine Surgery and Arthroplasty Clinic, Metin Sabanci Baltalimani Bone Disease Education and Research Hospital, Istanbul, Turkey; and †Department of Orthopaedics and Traumatology, Dogubeyazit State Hospital, Agri, Turkey.
authors.forename: Akif
authors.initials: A
authors.lastname: Albayrak
authors.forename: Abdul Fettah
authors.initials: AF
authors.lastname: Buyuk
authors.forename: Hanifi
authors.initials: H
authors.lastname: Ucpunar
authors.forename: Mehmet Bulent
authors.initials: MB
authors.lastname: Balioglu
authors.forename: Deniz
authors.initials: D
authors.lastname: Kargin
authors.forename: Mehmet Akif
authors.initials: MA
authors.lastname: Kaygusuz
mesh_terms: D000293:Adolescent; D001863:Bone Screws; D005260:Female; D005500:Follow-Up Studies; D006306:Health Surveys; D006801:Humans; D008297:Male; D017060:Patient Satisfaction; D010781:Photography; D011184:Postoperative Period; D057234:Preoperative Period; D011788:Quality of Life / Q000523:psychology; D012600:Scoliosis / Q000145:classification / Q000523:psychology* / Q000601:surgery*; D012649:Self Concept; D013123:Spinal Fusion; D011795:Surveys and Questionnaires; D016896:Treatment Outcome; D055815:Young Adult