Long-Term Effects on Sexual Function in Women Treated With Scoliosis Correction for Adolescent Idiopathic Scoliosis.

Autor:	Schroeder JE; Department of Orthopedics, Spine Surgery Unit, Hadassah Hebrew University Medical Center, Jerusalem, Israel., Michaeli T; Department of Orthopedics, Spine Surgery Unit, Hadassah Hebrew University Medical Center, Jerusalem, Israel., Luria M; Department of Obstetrics and Gynecology, Hadassah Hebrew University Medical Center, Jerusalem Israel., Itshayek E; Department of Neurosurgery, Beilinson medical Center, Petah Tikva, Israel., Kaplan L; Department of Orthopedics, Spine Surgery Unit, Hadassah Hebrew University Medical Center, Jerusalem, Israel.
Jazyk:	angličtina
Zdroj:	Global spine journal [Global Spine J] 2023 Oct; Vol. 13 (8), pp. 2239-2244. Date of Electronic Publication: 2022 Feb 26.
DOI:	10.1177/21925682221079263
Abstrakt:	Study Design: Retrospective cohort study with a cross-sectional comparison. Objectives: To assess sexual function and experience in adult women who had scoliotic correction for adolescent idiopathic scoliosis (AIS). Methods: Women ages 18-40 years with a history of scoliosis, who were braced or underwent uncomplicated posterior scoliosis correction for AIS, followed for two years or more since treatment were included. Sexual function was assessed using the Female Sexual Distress Scale-Revised (FSDS-R) and the Female Sexual Function Index (FSFI) questionnaires. Participants' scores were compared to those of a control group consisting of age-matched healthy women. Results: Of 115 women who responded to the questionnaires, 40 (35%) had surgical treatment (mean age 25.1; range 19-35 years; mean time since surgery 8.2 years; range 3-12 years) and 35 (30%) were braced (mean age 23.3; range 18-27 years; mean time since treatment 3.6 years; range 3-5 years). The control group consisted of a cohort of 40 (35%) aged-matched healthy women. According to the FSDS-R, significantly more women with scoliotic correction for AIS reported sexual distress compared to healthy controls (25% vs 12%, respectively), and the difference in the total mean scores (7.05 vs 5.34, respectively), was significant (P < .001). Additionally, the mean overall FSFI score for scoliotic-corrected women was 24.2 (range 17.5-29.1) within the pathological range (<26.55) of sexual dysfunction. Conclusions: High rates of sexual distress and dysfunction were reported in women with a history of AIS, thus, there appears to be long-term consequences years after deformity correction by brace or surgical correction.
Databáze:	MEDLINE
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