RT - Journal Article T1 - Patient satisfaction after scoliosis surgery JF - MJIRI YR - 2008 JO - MJIRI VO - 21 IS - 4 UR - http://mjiri.iums.ac.ir/article-1-335-en.html SP - 177 EP - 184 K1 - patient satisfaction K1 - adolescent idiopathic scoliosis K1 - spinal surgery AB -  Abstract Background: Patient satisfaction with the cosmetic result of spinal fusion surgery was studied in 40 cases of adolescent idiopathic scoliosis. Neutral or dissatisfied patients were compared with satisfied patients in several physical and psychological characteristics. The aim of the study was to determine whether adolescents generally report satisfaction with the postoperative appearance of their back after the correction of severe curves and whether preoperative medical and/or psychological factors could distinguish between patients who report satisfaction with the cosmetic surgical result from those who report neutrality or dissatisfaction. Previous reports emphasize the need for medical outcome research that evaluates both patient satisfaction and technical success. Patient satisfaction with spinal surgery has largely been evaluated in retrospective studies and most consistently is related to postoperative cosmesis and degree of curve correction. Methods: 40 adolescents with idiopathic scoliosis without any comorbidity who were 10 years of age or older were studied preoperatively by physical and psychological measurements. Results: Of patients undergoing surgical correction of severe curves, 50% reported satisfaction with the cosmetic result. Neutral or dissatisfied patients were more likely to have a King II or King IV curve types and less correction than satisfied patients. Preoperative psychological difficulties (P< 0.05) and unmet expectations regarding postoperative cosmesis (P LA eng UL http://mjiri.iums.ac.ir/article-1-335-en.html M3 ER -