Patients’ Perceptions of Breast Asymmetry Improve After Spinal Fusion for Adolescent Idiopathic Scoliosis

Duri, Rudo; Brown, Kaitlyn; Johnson, Megan; McIntosh, Amy L.

doi:10.1016/j.jspd.2018.06.011

Cited by 9 publications

(6 citation statements)

References 9 publications

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“…It was shown that the prevalence of psychopathology in patients with scoliosis was significantly increased in comparison of those with a Cobb angle above 10 degrees with the normal population 7) . In Duri et al's study 10) , BA was correlated with the preoperative curve size. In our study, we could not establish a statistically signifi-cant relationship between the Cobb angle and BA measured in the preoperative period and the late follow-up period after final fusion (p>0.05).…”

Section: Discussionmentioning

confidence: 93%

“…Regardless of the amount of curve correction achieved and the surgical technique, the improvement in the BA perception of the patients developed positively in the postoperative two years after spinal fusion. The authors suggested that this finding was important in enlightening the patients and their families about what could happen in the future 10) . In our study, while the mean follow-up period after the final fusion was 4.8 years (2-11), 50% of our patients had BA.…”

Section: Discussionmentioning

confidence: 97%

“…Recently, in addition to the cosmetic appearance of the back of the body in scoliosis, the appearance of the front of our body has begun to gain importance. Many studies have focused on objectively demonstrating the presence of breast and chest wall asymmetry in scoliosis patients [8][9][10]22,24,28,29,31,34) . Shape of the anterior chest wall is highly variable in scoliosis patients with similar Cobb angles.…”

Section: Introductionmentioning

confidence: 99%

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Can Breast Asymmetry Following the Treatment of Juvenile Idiopathic Scoliosis with Growing Rod Be Prevented? : A Preliminary Analysis

Atıcı¹,

Polat

Erdoğan

et al. 2020

J Korean Neurosurg Soc

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It can be assumed that the progression of scoliosis in the juvenile period will increase the asymmetry in the rib cage, and thus will contribute to an increase in the breast asymmetry (BA) in the future. We are looking for answers to the questions; "How will the breasts look with respect to each other and what is the possibility of developing BA in the early follow-up period following the early surgical treatment and final fusion surgery of juvenile idiopathic scoliosis (JIS)?" For this reason, in this study, we aimed to evaluate the breast asymmetries of patients in the period after the final fusion. Methods : Following growing rod treatment, final fusion was achieved in 12 females with JIS. We used the anthropomorphic measurement of the modified BREAST-V formula to assess whether there was an asymmetry between the breasts after an average of 4.8 years (2-11) following final fusion. Results : In comparison, the mean volume of the left breast (222.4 mL [range, 104.1-330.2]) was larger than the mean volume of the right breast volume (214.5 mL [range, 95.2-326.7]) (p=0.034). The left breast was larger in 75% of the patients. BA was observed in 50% of the patients. No correlation was detected between the Cobb angle of the patient after final fusion and BA (p=0.688). Conclusion : In the late follow-up period, BA was detected in 50% of the patients with JIS who achieved final fusion after treatment with growing rod. In majority of the patients, left breast was larger. The patients with JIS and their families can be informed prior to the operation about the probability of BA seen in the follow-up period after fusion.

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Section: Discussionmentioning

confidence: 93%

Section: Discussionmentioning

confidence: 97%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Can Breast Asymmetry Following the Treatment of Juvenile Idiopathic Scoliosis with Growing Rod Be Prevented? : A Preliminary Analysis

Atıcı¹,

Polat

Erdoğan

et al. 2020

J Korean Neurosurg Soc

View full text Add to dashboard Cite

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“…21 A study utilizing two questions concerning breast/chest wall asymmetry from SAQ to examine the perceptions of breast asymmetry on AIS patients after spinal fusion. 22 Breast asymmetry was reported improvements after surgery despite expected. 22 Moreover, the study design followed a before-after comparative approach (before-2 years postoperation in this study) which always missed the changes in between.…”

Section: Discussionmentioning

confidence: 99%

“…22 Breast asymmetry was reported improvements after surgery despite expected. 22 Moreover, the study design followed a before-after comparative approach (before-2 years postoperation in this study) which always missed the changes in between. Our results showed noticeable improvements in curve, prominence, and trunk shift from patients' perception which was closely related to breast symmetry.…”

Section: Discussionmentioning

confidence: 99%

Longitudinal Changes of Spinal Appearance Questionnaire and SRS-22 Questionnaire Domain Scores on Surgical Adolescent Idiopathic Scoliosis Patients before and after 2 Years of Operation

Chau¹,

Ng²

2021

Journal of Orthopedics and Joint Surgery

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Background: Both Scoliosis Research Society-22 questionnaire and Spinal Appearance Questionnaire (SAQ) are well-established disease-specific patient-reported outcome questionnaires on adolescent idiopathic scoliosis (AIS). Our severe AIS patients were administered both questionnaires before and after surgery. The use of SRS-22 on surgical cases was well documented, however, SAQ which focused on patients' perceptions of spinal appearance, was merely reported. This study summarized the longitudinal changes of SAQ and SRS-22 domain scores in surgical AIS patients from preoperative to 2 years after surgery. Materials and methods: All surgical AIS patients operated on in the year 2014 to 2016 were recruited. They completed both questionnaires at (1) before surgery ("Pre-op"), (2) immediately before hospital discharge ("Post-op"), (3) 1 year after surgery ("Post-op 1 year"), and (4) 2 years after surgery ("Post-op 2 years"). Results: There were 135 severe AIS patients recruited in this study, of which 74.1% were females, and the mean age at operation was 15.97. All SAQ domains were increasing (improving) until 2 years after surgery. Curve and prominence scored the highest among the nine domains across four time points. Significant increases were observed in "Trunk shift", "Shoulders", "Prominence", "Curve", and "General". Conclusion: Improvements in appearance after surgery responded differently from function, pain, and other factors immediately after surgery. Patients' appearance perception was continuously improving after surgery despite function, pain, and mental were dropped then recovered in the next 2 years. Using SAQ in conjunction with SRS-22 in health-related quality of life (HRQOL)-related studies on AIS patients greatly improves and complements the interpretations on patients' appearance which endeavors further research on cognitive behavior in AIS patients after years of surgery in long-term follow-up studies.

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Using Photogrammetry to Analyze Anatomical Changes in the Nipple in Juvenile and Adolescent Scoliosis Patients

Bedre Duygu,

Govsa,

Bicer

2024

Aesth Plast Surg

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Background The need for an objective set of anterior trunk measurements, such as nipple and clavicular shoulder joints, is essential to quantify the anterior asymmetry present in scoliosis. This study aims to characterize breast asymmetry (BA) in young individuals with scoliosis using photogrammetry. Methods Digital photographs of the anterior trunk of the 51 scoliosis patients aged 4–20 years were taken from an anterior perspective. These images were then transferred to a computer. Ten parameters were measured using the ImageJ software. The positions of patients’ nipples were classified into 6 types based on ratios on the x-axis. Results The majority of patients had a right breast that was larger, intensifying the apparent BA due to trunk rotation. The apical vertebra level in patients was found at T8 in 23.6% and T9 in 45.1%. In 92.5% of the patients, the right breast was consistently larger. The lengths between the lateral boundaries and nipples of the right and left breasts and between the medial boundary and nipple of the right breast were statistically significantly higher in males than in females (p < 0.05). Significant differences were found when comparing the values of the lengths between the medial boundaries and nipples of the right and left breasts, the difference in length between the right and left acromioclavicular joint lines, and the angles of the nipple and acromioclavicular joint with the degrees of scoliosis in juvenile and adolescents (p < 0.05). Pearson regression analysis revealed a significant correlation between BA differences and the Cobb angle with a correlation coefficient of 0.901. Factors related to breast aesthetics, like differences in the height of nipples and the distance from the sternal notch to the nipple, represent 30% of the overall score. Conclusion The study concluded that there is a significant correlation between the severity of scoliosis and BA differences. Augmentation mammaplasty for BA not only decreased the breast difference but also leveled the nipple disparities. Photogrammetry is considered to be an alternative to other methods and is believed to contribute to the follow-up of BA. Level of Evidence IV This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.

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Patients’ Perceptions of Breast Asymmetry Improve After Spinal Fusion for Adolescent Idiopathic Scoliosis

Cited by 9 publications

References 9 publications

Can Breast Asymmetry Following the Treatment of Juvenile Idiopathic Scoliosis with Growing Rod Be Prevented? : A Preliminary Analysis

Can Breast Asymmetry Following the Treatment of Juvenile Idiopathic Scoliosis with Growing Rod Be Prevented? : A Preliminary Analysis

Longitudinal Changes of Spinal Appearance Questionnaire and SRS-22 Questionnaire Domain Scores on Surgical Adolescent Idiopathic Scoliosis Patients before and after 2 Years of Operation

Using Photogrammetry to Analyze Anatomical Changes in the Nipple in Juvenile and Adolescent Scoliosis Patients

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