title: Evaluation of Patient Outcome and Satisfaction after Surgical Treatment of Adolescent Idiopathic Scoliosis Using Scoliosis Research Society-30.
abstract: BACKGROUND
  Adolescent idiopathic scoliosis (AIS) may lead to physical and mental problems. It also can adversely affect patient satisfaction and the quality of life. In this study, we assessed the outcomes and satisfaction rate after surgical treatment of AIS using scoliosis research society-30 questionnaire (SRS-30).
  
  
  METHODS
  We enrolled 135 patients with AIS undergoing corrective surgery. Patients were followed for at least 2 years. We compared pre- and post-operative x-rays in terms of Cobb's angles and coronal balance. At the last visit, patients completed the SRS-30 questionnaire. We then assessed the correlation between radiographic measures, SRS-30 total score, and patient satisfaction.
  
  
  RESULTS
  Cobb's angle and coronal balance improved significantly after surgery (P<0.001). The scores of functional activity, pain, self-image/cosmesis, mental health, and satisfaction were 27±4.3, 26±2.5, 33±5.2, 23±3.5, and 13±1.8, respectively. The total SRS-30 score was 127±13. Radiographic measures showed significant positive correlation with satisfaction and SRS-30 total scores. There was also a positive correlation between satisfaction and self-image/cosmesis domain scores.
  
  
  CONCLUSIONS
  The greater the radiographic angles were corrected the higher the SRS-30 total score and patient satisfaction were. It is intuitive that the appearance and cosmesis is of most important factor associated with patient satisfaction.
authors.affiliation: Hasan Ghandehari MD Seyed Hossein Vahid Tari MD Department of Orthopedics, Iran University of Medical Sciences, Tehran, Iran.
authors.forename: Hasan
authors.initials: H
authors.lastname: Ghandehari
authors.affiliation: Hasan Ghandehari MD Seyed Hossein Vahid Tari MD Department of Orthopedics, Iran University of Medical Sciences, Tehran, Iran.
authors.forename: Maryam Ameri
authors.initials: MA
authors.lastname: Mahabadi
authors.affiliation: Hasan Ghandehari MD Seyed Hossein Vahid Tari MD Department of Orthopedics, Iran University of Medical Sciences, Tehran, Iran.
authors.forename: Seyed Mani
authors.initials: SM
authors.lastname: Mahdavi
authors.affiliation: Hasan Ghandehari MD Seyed Hossein Vahid Tari MD Department of Orthopedics, Iran University of Medical Sciences, Tehran, Iran.
authors.forename: Ali
authors.initials: A
authors.lastname: Shahsavaripour
authors.affiliation: Hasan Ghandehari MD Seyed Hossein Vahid Tari MD Department of Orthopedics, Iran University of Medical Sciences, Tehran, Iran.
authors.forename: Hossein Vahid
authors.initials: HV
authors.lastname: Seyed Tari
authors.affiliation: Hasan Ghandehari MD Seyed Hossein Vahid Tari MD Department of Orthopedics, Iran University of Medical Sciences, Tehran, Iran.
authors.forename: Farshad
authors.initials: F
authors.lastname: Safdari
keywords: Adolescent idiopathic scoliosis; Satisfaction; Scoliosis research society-30 questionnaire; Spinal deformity