Preoperative and Postoperative Photographs and Surgical Outcomes of Patients With Kyphosis

Albayrak, Akif; Balioğlu, Mehmet Bülent; Mısır, Abdülhamit; Kargın, Deniz; Tacal, Mehmet Temel; Atıcı, Yunus; Kaygusuz, Mehmet Akif

doi:10.1097/brs.0000000000001573

Cited by 12 publications

(17 citation statements)

References 14 publications

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“…This discrepancy was inferred from chronic sustained back pain, caused by malalignment of the thoracolumbar spine (i.e., kyphosis) even with neurological improvement. Although the discrepancy of radiological outcomes and clinical outcomes are often reported by some articles [3,34,41-43], some other evidence also reported that T-L junction kyphosis led to chronic back pain and that its correction resulted in the improvement of clinical symptoms in the posttraumatic kyphosis [7,39,44].…”

Section: Discussionmentioning

confidence: 99%

Analysis of the Risk Factors for Unfavorable Radiologic Outcomes after Fusion Surgery in Thoracolumbar Burst Fracture : What Amount of Postoperative Thoracolumbar Kyphosis Correction is Reasonable?

Seo

Kim

Jung

et al. 2019

J Korean Neurosurg Soc

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Section: Discussionmentioning

confidence: 99%

Analysis of the Risk Factors for Unfavorable Radiologic Outcomes after Fusion Surgery in Thoracolumbar Burst Fracture : What Amount of Postoperative Thoracolumbar Kyphosis Correction is Reasonable?

Seo

Kim

Jung

et al. 2019

J Korean Neurosurg Soc

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“…40 Our findings of a positive effect of showing pre-and post-TKR standing photographs to patients to improve self-reported outcomes are compatible with previous reports of a positive effect of standing photographs in improving the self-reported outcome scores after surgical treatment of adolescent idiopathic scoliosis and kyphotic spinal deformity patients. 20,21 In these studies, Albayrak et al 21 reported a benefit of showing pre-and postoperative standing photographs in improving the postoperative SF-36 score and Scoliosis Research Society (SRS)-22r survey (domains of pain, self-image, mental health, and satis-faction, as well as total score) among patients who had undergone corrective surgery for a kyphotic deformity. In another study among patients who had undergone corrective surgery for a Lenke type 1 scoliosis, the same authors reported higher SRS-22r scores (domains of self-image, function, activity, and satisfaction) for patients who were shown their photographs, compared with a group for whom photographs were not obtained.…”

Section: Discussionmentioning

confidence: 99%

“…The use of standing photographs, before and after surgery, has been shown to be effective in improving satisfaction and clinical outcome scores in patients treated for adolescent idiopathic scoliosis and kyphotic spinal deformity. 20,21 Therefore, our aim in this study was to evaluate the effectiveness of showing patients standing photographs of themselves, obtained before and after TKR, on postoperative quality of life and clinical outcome scores measured at 6 months post-TKR.…”

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confidence: 99%

Effectiveness of Using Photographs of the Change in Standing Posture on Postoperative Patient-Reported Satisfaction and Quality of Life

et al. 2019

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Dissatisfaction is still an important problem in a small but important group of patients who undergo total knee arthroplasty. This study was designed to evaluate the effectiveness of showing patients the change in their standing posture, before and after total knee replacement, using standing photographs (anterior, posterior, and lateral view), on improving self-reported quality of life and satisfaction. Full-length lower extremity radiographs and standing photographs were obtained prior to total knee replacement and 6 months after surgery in the study group. In the control group, radiographs and photographs were not obtained. The hip–knee–ankle angle and mechanical axis deviation were compared between the two limbs and two groups. The changes in the following outcome measures were evaluated from baseline to 6 months after surgery: Short Form-36 Survey, Knee Injury and Osteoarthritis Outcome Score, Western Ontario and McMaster Universities Osteoarthritis Index, Oxford Knee Score, and Knee Society score. Postoperative measures were also compared before and after showing patients their standing photographs, and between two groups. The study and control groups included 71 and 44 patients, respectively, with unilateral or bilateral knee osteoarthritis (Kellgren–Lawrence Grade 3 or 4), with a mean age of 66 years. All patients had a varus malalignment, with significant improvement in postoperative limb alignment (p < 0.001). All self-reported outcome measures improved after surgery (p < 0.05), with the exception of mental health in the Short Form-36. Self-reported scores further improved after patients seeing their standing photographs (p < 0.05), with the exception of mental health and social role functioning. There were also significantly improved scores in the study group than control group after showing photographs (p < 0.05). Showing patients the pre-to-postoperative change in their standing posture might be an easy-to-administer method to improve patient satisfaction with the outcome of total knee replacement and self-reported quality of life. The Level of Evidence for this study is four.

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“…Previously conducted studies have shown that adolescents operated for scoliosis 4 and kyphosis 5 improved their satisfaction as measured by Scoliosis Research Society Health-Related Quality of Life Questionnaire (SRS-22) scores after showing them preoperative and postoperative full-spine photographs. The influence of clinical photography in patient satisfaction after adult deformity surgery has not been previously reported.…”

Section: Introductionmentioning

confidence: 99%

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

et al. 2020

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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 6 0.75; self-image 2.71 6 0.82; pain 2.53 6 1.10; mental health 3.08 6 0.77; satisfaction 3.46 6 1.20; global 2.74 6 0.72. SRS22 results at second visit were: self-image 2.9 6 0.75; satisfaction 4.02 6 0.97. After seeing the preoperative and final follow-up photographs, patients experienced an improvement in SRS-22 self-image (P ¼ .000) and satisfaction domains (P ¼ .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.

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Preoperative and Postoperative Photographs and Surgical Outcomes of Patients With Kyphosis

Abstract: 4.

Cited by 12 publications

References 14 publications

Analysis of the Risk Factors for Unfavorable Radiologic Outcomes after Fusion Surgery in Thoracolumbar Burst Fracture : What Amount of Postoperative Thoracolumbar Kyphosis Correction is Reasonable?

Analysis of the Risk Factors for Unfavorable Radiologic Outcomes after Fusion Surgery in Thoracolumbar Burst Fracture : What Amount of Postoperative Thoracolumbar Kyphosis Correction is Reasonable?

Effectiveness of Using Photographs of the Change in Standing Posture on Postoperative Patient-Reported Satisfaction and Quality of Life

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

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