The relative factors of self-image in female adolescent idiopathic scoliosis

English Keywords:Adolescent idiopathic scoliosis  Self-image  Relative factors

English Abstract:

  【Abstract】 Objectives: To assess the influencing factors of self-image in adolescent idiopathic scoliosis girls.Methods: Retrospective analysis of 252 AIS girls, selected from September 2010 to March 2011, with mean age of 14.5±1.8 years(range from 12 to 18 years). All patients took the standing posteroanterior and lateral radiographs of spine and the completed simplified Chinese version of SRS-22 questionnaire. The Cobb angle apical vertebral rotation, thoracic kyphosis, lumber lordosis, C7PL, and SVA were evaluated. The relationships between these clinical index and self-image results were assessed using correlation analysis． Results： The patients was included in this sudy with mean Cobb angle 35.5° ± 12.8°; mean apical rotation 2.0±0.7°; mean thoracic kyphosis 16.2±9.0°; mean lumber Lordosis 51.3±9.8°; mean C7-CSL 1.2±0.7cm; mean SVA 2.4±1.5cm; mean BMI 18.3±2.2; mean self-image 16.7 ± 2.8. Correlation analysis showed the major Cobb angle as the significant predictor of self-image in thoracic curve and lumbar curve groups. For the subgroup of thoracic AIS patients with Cobb angle >45°, the correlation was more significant（r=-0.484，P=0.005）. There was no significant correlation between other factors and self-image results. Conclusions: The self-image in female AIS, especially in thoracic female AIS, is influenced by the large Cobb angle.