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  - 2021 Dec 01
TA  - International Journal of Spine Surgery
PG  - 1037--1042
VI  - 14
IP  - 6
4099  - https://www.ijssurgery.com/content/14/6/1037.short
4100  - https://www.ijssurgery.com/content/14/6/1037.full
SO  - Int J Spine Surg2021 Dec 01; 14
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. The median 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.