PT  - JOURNAL ARTICLE
AU  - Gomez-Rice, Alejandro
AU  - Madrid, Cristina
AU  - Izquierdo, Enrique
AU  - Marco-Martínez, Fernando
AU  - Tresguerres, Jesús A.F.
AU  - Sanchez-Mariscal, Felisa
TI  - Does Clinical Photography Influence Satisfaction With Surgery in Adult Patients Operated on for Spinal Deformity?
AID  - 10.14444/7155
DP  - 2020 Dec 01
TA  - International Journal of Spine Surgery
PG  - 7155
4099  - https://www.ijssurgery.com/content/early/2020/12/17/7155.short
4100  - https://www.ijssurgery.com/content/early/2020/12/17/7155.full
AB  - 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.