Introduction & Objectives

Adolescent Idiopathic Scoliosis (AIS) is a common spinal deformity that can have a significant impact on a patient's physical and psychological well-being. The severity of scoliosis is often assessed using the Cobb angle, while patients' perceptions of their spinal appearance can be evaluated using the Spine Appearance Questionnaire (SAQ). This study aimed to investigate the correlation between SAQ scores and Cobb angles in patients with AIS, with the goal of understanding the potential impact of scoliosis severity on patients' perceptions of their appearance.

Results

The Pearson correlation coefficient between SAQ scores and Cobb angles was -0.587, indicating a moderate negative correlation. The p-value for the correlation coefficient was 0.054, suggesting weak evidence to reject the null hypothesis of no correlation.

The thematic analysis of the open-ended responses revealed several recurring themes, including a desire for symmetry in specific body regions (shoulders, ribs, hips), concerns about physical discomfort and health implications, aspirations for improved muscularity, and the importance of posture for appearance;

"Less protruding ribs and sideways bend"

"Hips to stick out the same amount both sides"

“more even shoulders”

Methods

We reviewed SAQ scores and Cobb angles for 10 patients diagnosed with AIS. SAQ scores, which range from 5 to 50, were assessed alongside corresponding Cobb angles. Statistical analysis was performed to calculate the Pearson correlation coefficient and determine the significance of the relationship between SAQ scores and Cobb angles.

Discussion & Conclusion

The moderate negative correlation between SAQ scores and Cobb angles suggests that as scoliosis severity increases, patients' perceptions of their appearance tend to be less favorable. This finding has potential clinical implications, highlighting the importance of addressing the psychological impact of scoliosis on patients' well-being and body image. However, further research with larger sample sizes is warranted to better understand this relationship. This preliminary study provides initial insights into the correlation between SAQ scores and Cobb angles in patients with AIS. The observed moderate negative correlation suggests a potential impact of scoliosis severity on patients' perceptions of their appearance. Healthcare providers should consider addressing the psychological aspects of scoliosis management to better support patients' well-being.

References

Saunders et al. "Development of a spinal appearance questionnaire: a quality of life measure for scoliosis patients." Spine 2011.