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Research ArticleOther & Special Categories

Does Clinical Photography Influence Satisfaction With Surgery in Adult Patients Operated on for Spinal Deformity?

Alejandro Gomez-Rice, Cristina Madrid, Enrique Izquierdo, Fernando Marco-Martínez, Jesús A.F. Tresguerres and Felisa Sanchez-Mariscal
International Journal of Spine Surgery December 2020, 7155; DOI: https://doi.org/10.14444/7155
Alejandro Gomez-Rice
1Hospital UniversitarioRamon y Cajal, Madrid, Spain
2Complutense University of Madrid, Madrid, Spain
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Cristina Madrid
3Hospital Universitario de Getafe
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Enrique Izquierdo
3Hospital Universitario de Getafe
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Fernando Marco-Martínez
2Complutense University of Madrid, Madrid, Spain
4Hospital Clínico San Carlos, Madrid, Spain
5Department of Surgery, School of Medicine, Complutense University of Madrid, Madrid, Spain
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Jesús A.F. Tresguerres
6Department of Physiology, School of Medicine, Complutense University of Madrid, Madrid, Spain
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Felisa Sanchez-Mariscal
7Hospital Universitario Rey Juan Carlos, Madrid, Spain
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ABSTRACT

Background Recently published data suggest that showing patients operated on for adolescent idiopathic scoliosis or kyphosis their preoperative and postoperative photographs may enhance their satisfaction and self-image as measured by Scoliosis Research Society Health-Related Quality of Life Questionnaire (SRS-22) scores. No data exist for adult spinal deformity (ASD) surgery. The aim of this study is to determine the effect on patient postoperative satisfaction and self-image of showing adult deformity patients their preoperative and postoperative whole body photographs.

Methods This was a nonconcurrent prospective study. Patients operated on for ASD with a minimum 2-year postoperative follow-up who had preoperative full-body photographs taken by a professional photographer were included. Two follow-up visits were arranged 7 days apart. In the first visit, patients completed the SRS-22 questionnaire, and full-body standing photographs were taken. In the second visit, patients were asked to complete again questions 4, 6, 10, 14, 19 (self-image), 21, and 22 (satisfaction) of the SRS-22 after seeing their preoperative and postoperative full-body photographs.

Results Thirty patients (28 female) were included. Themedian age at surgery was 50 years (26–76). The median follow-up was 51 months (24–120). SRS-22 results at first visit were: activity 2.79 ± 0.75; self-image 2.71 ± 0.82; pain 2.53 ± 1.10; mental health 3.08 ± 0.77; satisfaction 3.46 ± 1.20; global 2.74 ± 0.72. SRS22 results at second visit were: self-image 2.9 ± 0.75; satisfaction 4.02 ± 0.97. After seeing the preoperative and final follow-up photographs, patients experienced an improvement in SRS-22 self-image (P = .000) and satisfaction domains (P = .011).

Conclusions In patients operated on for ASD, showing preoperative and postoperative photographs improves patient satisfaction with surgery and self-image.

Level of Evidence 3.

Clinical Relevance Our results could be a starting point for introducing full-body clinical photographs as a routine clinical tool in adult deformity patients undergoing surgery.

  • adult spinal deformity
  • quality of life
  • patient satisfaction
  • SRS-22
  • clinical photography

Footnotes

  • Disclosures and COI: The authors state no conflict interest in relation to this study.

  • This manuscript is generously published free of charge by ISASS, the International Society for the Advancement of Spine Surgery. Copyright © 2021 ISASS
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International Journal of Spine Surgery: 19 (S2)
International Journal of Spine Surgery
Vol. 19, Issue S2
1 Apr 2025
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Does Clinical Photography Influence Satisfaction With Surgery in Adult Patients Operated on for Spinal Deformity?
Alejandro Gomez-Rice, Cristina Madrid, Enrique Izquierdo, Fernando Marco-Martínez, Jesús A.F. Tresguerres, Felisa Sanchez-Mariscal
International Journal of Spine Surgery Dec 2020, 7155; DOI: 10.14444/7155

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Does Clinical Photography Influence Satisfaction With Surgery in Adult Patients Operated on for Spinal Deformity?
Alejandro Gomez-Rice, Cristina Madrid, Enrique Izquierdo, Fernando Marco-Martínez, Jesús A.F. Tresguerres, Felisa Sanchez-Mariscal
International Journal of Spine Surgery Dec 2020, 7155; DOI: 10.14444/7155
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  • Hemivertebra Resection and Spinal Arthrodesis by Single-Stage Posterior Approach in Congenital Scoliosis and Kyphoscoliosis: Results at 9.6 Years Mean Follow-up
  • Prevalence and Significance of Vitamin D Deficiency in Patients Undergoing Corrective Surgery for Adolescent Idiopathic Scoliosis
  • Adult Congenital Spine Deformity: Clinical Features and Motivations for Surgical Treatment
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Keywords

  • adult spinal deformity
  • quality of life
  • patient satisfaction
  • SRS-22
  • clinical photography

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