title: The influence of body image on surgical decisions in adolescent idiopathic scoliosis patients.
abstract: The objective of this study was to evaluate whether the severity of deformities in patients with adolescent idiopathic scoliosis contributes to patients' decision regarding whether to undergo an operation.
  We evaluated body image factors in adolescent idiopathic scoliosis patients. We evaluated the magnitude of the main scoliotic curve, gibbosity (magnitude and location), shoulder height asymmetry and patient's age. We analyzed the correlation of these data with the number of years the patient was willing to trade for surgery, as measured by the time-trade-off method.
  A total of 52 patients were studied. We did not find a correlation between any of the parameters that were studied and the number of years that the patient would trade for the surgery.
  The magnitude of body deformities in patients with adolescent idiopathic scoliosis does not interfere with the decision to undertake surgical treatment.
authors.affiliation: Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (IOT-HCFMUSP), Instituto de Ortopedia e Traumatologia, Laboratório de Investigação Médica, Divisão de Cirurgia da Coluna, São Paulo/SP, Brazil.
authors.forename: Paulo Alvim
authors.initials: PA
authors.lastname: Borges
authors.affiliation: Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (IOT-HCFMUSP), Instituto de Ortopedia e Traumatologia, Laboratório de Investigação Médica, Divisão de Cirurgia da Coluna, São Paulo/SP, Brazil.
authors.forename: José Thomé de
authors.initials: JT
authors.lastname: Carvalho
authors.affiliation: Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (IOT-HCFMUSP), Instituto de Ortopedia e Traumatologia, Laboratório de Investigação Médica, Divisão de Cirurgia da Coluna, São Paulo/SP, Brazil.
authors.forename: Olavo Biraghi
authors.initials: OB
authors.lastname: Letaif
authors.forename: Raphael Martus
authors.initials: RM
authors.lastname: Marcon
authors.affiliation: Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (IOT-HCFMUSP), Instituto de Ortopedia e Traumatologia, Laboratório de Investigação Médica, Divisão de Cirurgia da Coluna, São Paulo/SP, Brazil.
authors.forename: Alexandre Fogaça
authors.initials: AF
authors.lastname: Cristante
mesh_terms: D000293:Adolescent; D000367:Age Factors; D001828:Body Image; D003657:Decision Making; D059026:Diagnostic Self Evaluation; D005260:Female; D006801:Humans; D008297:Male; D010358:Patient Participation; D011788:Quality of Life; D012600:Scoliosis / Q000473:pathology / Q000523:psychology / Q000601:surgery*; D012720:Severity of Illness Index; D018709:Statistics, Nonparametric