{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,5]],"date-time":"2026-11-05T19:44:24Z","timestamp":1793907864024,"version":"4.8.0"},"reference-count":34,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2021,4,7]],"date-time":"2021-04-07T00:00:00Z","timestamp":1617753600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Global Spine Journal"],"published-print":{"date-parts":[[2023,4]]},"abstract":"<jats:sec>\n                    <jats:title>Study Design:<\/jats:title>\n                    <jats:p>Cross-sectional.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>To evaluate the perception and satisfaction among adolescent idiopathic scoliosis (AIS) patients on Neck Tilt with Medial Shoulder Imbalance and Lateral Shoulder Imbalance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Lenke 1 and 2 AIS patients were stratified into 6 groups of preoperative\/ postoperative Balanced (B), Lateral Shoulder Imbalance (LSI) (&gt;2\u2009cm), and Neck Tilt with Medial Shoulder Imbalance (NT) (Grade 3). Patients were interviewed using Modified Neck and Shoulder Appearance and SRS-22r questionnaires. T1 tilt, Cervical Axis (CA), Clavicle Angle (Cla-A) and Radiographic Shoulder Height (RSH) were measured.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>A total of 120 Lenke 1 and 2 AIS patients were recruited. NT patients were aware and unhappy with their abnormal neck with medial shoulder appearances ( P &lt; .001). Similarly, LSI patients were aware and unhappy with their abnormal lateral shoulder appearances ( P &lt; .001). NT group had larger preoperative\/ postoperative T1 tilt (9.2 \u00b1 5.0\u00b0; 9.5 \u00b1 5.3\u00b0) and CA (4.6 \u00b1 3.1\u00b0; 7.0 \u00b1 2.0\u00b0) ( P &lt; .01). LSI group had larger preoperative\/ postoperative Cla-A (4.8 \u00b1 2.8\u00b0; 4.0 \u00b1 1.3\u00b0) and RSH (20.1 \u00b1 9.4\u2009mm; 17.0 \u00b1 6.6\u2009mm) ( P &lt; .001). Postoperative B group scored higher in overall SRS-22r scores, self-image and satisfaction domains (4.2 \u00b1 0.3; 4.0 \u00b1 0.5; 4.4 \u00b1 0.5) while preoperative LSI scored the lowest comparatively (3.5 \u00b1 0.4; 2.4 \u00b1 0.5; 3.3 \u00b1 0.5) ( P &lt; .001).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>NT and LSI were major concerns among AIS patients. Both NT and LSI groups were unhappy with their appearances. NT group had larger T1 tilt\/ CA whereas LSI group had larger Cla-A\/ RSH. Postoperative B group scored higher in overall SRS-22r scores, self-image and satisfaction domains.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/21925682211007795","type":"journal-article","created":{"date-parts":[[2021,4,7]],"date-time":"2021-04-07T04:25:27Z","timestamp":1617769527000},"page":"752-763","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":25,"title":["Patients\u2019 Perception and Satisfaction on Neck and Shoulder Imbalance in Adolescent Idiopathic Scoliosis"],"prefix":"10.1177","volume":"13","author":[{"given":"Sin Ying","family":"Lee","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery (NOCERAL), Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pei Ying","family":"Ch\u2019ng","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery (NOCERAL), Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3076-228X","authenticated-orcid":false,"given":"Tat Seng","family":"Wong","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery (NOCERAL), Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiu Wen","family":"Ling","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery (NOCERAL), Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Weng Hong","family":"Chung","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery (NOCERAL), Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4198-1541","authenticated-orcid":false,"given":"Chee Kidd","family":"Chiu","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery (NOCERAL), Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7245-0295","authenticated-orcid":false,"given":"Chris Yin Wei","family":"Chan","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery (NOCERAL), Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mei Li","family":"Lean","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery (NOCERAL), Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9512-3155","authenticated-orcid":false,"given":"Mun Keong","family":"Kwan","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery (NOCERAL), Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2021,4,7]]},"reference":[{"key":"bibr1-21925682211007795","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-017-5289-y"},{"key":"bibr2-21925682211007795","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-200209150-00009"},{"key":"bibr3-21925682211007795","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e31826e2bbb"},{"key":"bibr4-21925682211007795","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-015-4016-9"},{"key":"bibr5-21925682211007795","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-007-0546-0"},{"key":"bibr6-21925682211007795","doi-asserted-by":"publisher","DOI":"10.1186\/s12891-017-1730-y"},{"issue":"5","key":"bibr7-21925682211007795","first-page":"5005","volume":"11","author":"Zhao J","year":"2018","journal-title":"Int J Clin Exp 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