{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T19:48:24Z","timestamp":1782935304915,"version":"3.54.5"},"reference-count":29,"publisher":"Springer Science and Business Media LLC","issue":"4","license":[{"start":{"date-parts":[[2026,1,26]],"date-time":"2026-01-26T00:00:00Z","timestamp":1769385600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,1,26]],"date-time":"2026-01-26T00:00:00Z","timestamp":1769385600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Spine Deform"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>Mental health disorders (MHD) represent a growing concern in the pediatric population. This study aims to evaluate whether the presence of a mental health disorder influences perioperative and postoperative outcomes in patients with adolescent idiopathic scoliosis (AIS) undergoing surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Using the TriNetX collaborative network, a retrospective cohort study was conducted including pediatric patients aged 18 and under who underwent surgery for AIS. Patients were divided based on the presence or absence of a preoperative DSM-5 psychiatric diagnosis. 1:1 propensity score matching was applied to balance covariates. Statistical analyses on primary outcomes were performed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      PSM included 913 patients per cohort. MHD patients had higher odds of wound dehiscence at 3\u00a0months (OR 1.92; 95% CI 1.08\u20133.43), 6\u00a0months (OR 1.93; 95% CI 1.10\u20133.39), 1\u00a0year (OR 1.85; 95% CI 1.07\u20133.17), and 2\u00a0years (OR 1.74; 95% CI 1.04\u20132.91). They also had increased risk of implant mechanical breakdown at 1\u00a0year (OR 2.65; 95% CI 1.27\u20135.52) and 2\u00a0years (OR 2.41; 95% CI 1.28\u20134.53). Similarly, they also had higher readmission at 3\u00a0months (OR 1.45; 95% CI 1.03\u20132.04), and ED visits at 2\u00a0years (OR 1.31; 95% CI 1.03\u20131.66). Following Holm\u2013Bonferroni correction, the only outcome that remained significant was mechanical breakdown at 1\u00a0year (OR 2.65; 95% CI 1.27\u20135.52;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.049) and 2\u00a0years (OR 2.41; 95% CI 1.28\u20134.53;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.035).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Mental health disorders in AIS patients were associated with higher rates of postoperative complications, with only mechanical failure remaining significant after correction. These findings suggest that preoperative mental health disorders may be an important factor in recovery and surgical outcomes. Further research is needed to better understand these associations and to develop targeted perioperative strategies to optimize care for this population.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s43390-026-01288-z","type":"journal-article","created":{"date-parts":[[2026,1,26]],"date-time":"2026-01-26T09:40:05Z","timestamp":1769420405000},"page":"1319-1330","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Impact of preoperative mental health disorders on postoperative outcomes in patients with adolescent idiopathic scoliosis undergoing surgery"],"prefix":"10.1007","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3196-2996","authenticated-orcid":false,"given":"Emily K.","family":"Vallee","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ellen","family":"Lutnick","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander","family":"Yunke","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maxwell M.","family":"Scott","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabrielle A.","family":"Orie","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lauren","family":"Harte","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Allison S.","family":"Binkley","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael R.","family":"Ferrick","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeremy P.","family":"Doak","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,1,26]]},"reference":[{"issue":"2","key":"1288_CR1","doi-asserted-by":"publisher","first-page":"1","DOI":"10.15585\/mmwr.su7102a1","volume":"71","author":"RH Bitsko","year":"2022","unstructured":"Bitsko RH, Claussen AH, Lichstein J et al (2022) Mental health surveillance among children - United States, 2013-2019. 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