Physical and Psychological Impact of Scar Cosmesis After Cervical Spine Fusion Surgery.

Autor: Meade MH; Orthopaedic Surgery Department, Jefferson Health New Jersey, Stratford, New Jersey, USA., Narayanan R; Orthopaedic Surgery Department, Rothman Orthopedic Institute at Thomas Jefferson University, Philadelphia, Pennsylvania, USA. Electronic address: rajkishen.narayanan@gmail.com., Buchan L; Orthopaedic Surgery Department, Jefferson Health New Jersey, Stratford, New Jersey, USA., Bridges T; Orthopaedic Surgery Department, Jefferson Health New Jersey, Stratford, New Jersey, USA., Opara OA; Orthopaedic Surgery Department, Rothman Orthopedic Institute at Thomas Jefferson University, Philadelphia, Pennsylvania, USA., Brush PL; Orthopaedic Surgery Department, Rothman Orthopedic Institute at Thomas Jefferson University, Philadelphia, Pennsylvania, USA., Lee Y; Orthopaedic Surgery Department, Rothman Orthopedic Institute at Thomas Jefferson University, Philadelphia, Pennsylvania, USA., Glover A; Orthopaedic Surgery Department, Rothman Orthopedic Institute at Thomas Jefferson University, Philadelphia, Pennsylvania, USA., Takagi-Stewart J; Orthopaedic Surgery Department, Rothman Orthopedic Institute at Thomas Jefferson University, Philadelphia, Pennsylvania, USA., Ducaji E; Orthopaedic Surgery Department, Rothman Orthopedic Institute at Thomas Jefferson University, Philadelphia, Pennsylvania, USA., Kurd MF; Orthopaedic Surgery Department, Rothman Orthopedic Institute at Thomas Jefferson University, Philadelphia, Pennsylvania, USA., Canseco JA; Orthopaedic Surgery Department, Rothman Orthopedic Institute at Thomas Jefferson University, Philadelphia, Pennsylvania, USA., Hilibrand AS; Orthopaedic Surgery Department, Rothman Orthopedic Institute at Thomas Jefferson University, Philadelphia, Pennsylvania, USA., Vaccaro AR; Orthopaedic Surgery Department, Rothman Orthopedic Institute at Thomas Jefferson University, Philadelphia, Pennsylvania, USA., Schroeder GD; Orthopaedic Surgery Department, Rothman Orthopedic Institute at Thomas Jefferson University, Philadelphia, Pennsylvania, USA., Kepler CK; Orthopaedic Surgery Department, Rothman Orthopedic Institute at Thomas Jefferson University, Philadelphia, Pennsylvania, USA.
Jazyk: angličtina
Zdroj: World neurosurgery [World Neurosurg] 2024 Sep; Vol. 189, pp. e1077-e1082. Date of Electronic Publication: 2024 Jul 18.
DOI: 10.1016/j.wneu.2024.07.085
Abstrakt: Introduction: Patients' and surgeons' perceptions of cutaneous scarring can vary, causing unpleasant physical and psychological outcomes. This study aims to bridge the current scientific literature gap and understand the impact of patient-perceived scar cosmesis after anterior and posterior cervical spine surgery.
Methods: Retrospective review of patients ≥18 years old who underwent anterior or posterior cervical spine surgery from 2017 to 2022 at a large, urban academic group. To select patients with adequate time for surgical scar maturation, only patients who were greater than 6 months postsurgery were included. The Scar Questionaire Survey (SCAR-Q) survey, a surgical scar assessment tool, was administered to patients to assess patient perceptions of scar symptomatology, appearance, and psychosocial impact. Scores range from 0 to 100, with 100 as the best outcome. An additional 5-item Likert scale question was administered to assess overall surgical satisfaction.
Results: All 854 respondents who completed the survey were stratified into 2 groups "Unsatisfied vs. Satisfied." Patients who were "unsatisfied" with their surgery had the lowest outcome scores for SCAR-Q appearance, symptom, and psychosocial scores than those who were "Satisfied" (P < 0.001). Females had significantly "higher/more favorable" responses for SCAR-Q Appearance (77.5 vs. 82.8 P < 0.001) and Psychosocial (87.4 vs. 94.3 P < 0.001) scores compared to males. Regression analysis performed for each component score showed that increases in all 3 component scores were significant in patients in the satisfied group.
Conclusions: Our study demonstrates that cervical spine surgery patients unsatisfied with their surgical outcome have lower scar-related scores, highlighting the impact of cosmetic closure and appearance.
(Copyright © 2024 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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