Cosmetic parameters associated with SRS-22r improvement postoperatively in patients with adolescent idiopathic scoliosis: a 2-year follow-up.

@article{maheshati2026cosmetic,
  title = {{Cosmetic parameters associated with SRS-22r improvement postoperatively in patients with adolescent idiopathic scoliosis: a 2-year follow-up.}},
  author = {Aoran Maheshati and Zhengye Zhao and Xueyi Zhang and Di Liu and Guilin Chen and Ziquan Li and Kexin Xu and Qing Li and Baozhong Zhang and Terry Jianguo Zhang and Nan Wu},
  journal = {Journal of orthopaedic surgery and research},
  year = {2026},
  month = aug,
  doi = {10.1186/s13018-026-07086-7},
  url = {https://europepmc.org/article/MED/42972391},
  note = {CC BY-NC-ND},
}

TY  - JOUR
TI  - Cosmetic parameters associated with SRS-22r improvement postoperatively in patients with adolescent idiopathic scoliosis: a 2-year follow-up.
AU  - Aoran Maheshati
AU  - Zhengye Zhao
AU  - Xueyi Zhang
AU  - Di Liu
AU  - Guilin Chen
AU  - Ziquan Li
AU  - Kexin Xu
AU  - Qing Li
AU  - Baozhong Zhang
AU  - Terry Jianguo Zhang
AU  - Nan Wu
PY  - 2026
DA  - 2026/08/05
JO  - Journal of orthopaedic surgery and research
DO  - 10.1186/s13018-026-07086-7
UR  - https://europepmc.org/article/MED/42972391
AB  - Background  Adolescent idiopathic scoliosis (AIS) significantly impacts physical appearance and quality of life. This exploratory study aims to investigate potential association between cosmetic parameters and minimal clinical improvement in SRS-22r scores at a 2-year follow-up in AIS patients.Methods  A total of 79 patients were included. Data, including the SRS-22r questionnaire and cosmetic parameters were systematically collected pre- and at 2-year follow-ups. Patients were divided into subgroups based on the Minimal Clinically Important Difference (MCID) values for different domains of the SRS-22r, including Total Improved (TI) and Non-Improved (TNI), Function Improved (FI) and Non-Improved (FNI), Self-image Improved (SI) and Non-Improved (SNI), Pain Improved (PI) and Non-Improved (PNI). Cosmetic corrections (p < 0.05) were included in multivariate regression to explore potential associations with SRS-22r improvement.Results  Significant differences in Medial Shoulder Tilt (MS), Lateral Shoulder Tilt (LS), Neck Angle (NA), Angle of Trunk Rotation (ATR), Scapula Asymmetry (SA), Waistline Depth Difference (WD), and Waistline Height Distance (WH) were observed pre- and postoperatively. The "TI" subgroup showed higher MS correction (1.63 ± 3.17°) than the "TNI" subgroup (0.38 ± 1.74°, p = 0.041). The "FI" subgroup showed greater ATR correction (4.82 ± 2.83°) than the "FNI" subgroup (2.82 ± 3.45°, p = 0.008). WD correction was higher in the "PI" subgroup (6.65 ± 8.58 mm) than in the "PNI" subgroup (1.93 ± 5.95 mm, p = 0.025). Logistic regression analysis suggested that, in this exploratory model, MS correction was associated with total domain improvement (OR = 1.240, p = 0.037), ATR correction was associated with function domian improvement (OR = 1.204, p = 0.022), and WD correction was associated with pain domain improvement (OR = 1.098, p = 0.017).Conclusions  In addition to shoulder balance, spinal rotation and waistline asymmetry represent exploratory factors associated with SRS-22r improvement. These findings are hypothesis-generating, as the overall cohort did not achieve MCID thresholds; subgroup analyses explored responder characteristics rather than population-level efficacy.
SN  - 1749-799X
ER  -