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Focus groups of adolescents between ages 11 and 21 years who underwent PSIF for spinal deformity were performed. Focus groups were evaluated for common themes, and a 36-question survey was designed. Survey responses were analyzed relative to last instrumented vertebra (LIV) and Scoliosis Research Society-22 (SRS-22) scores. Five focus groups were held with 18 patients in total. Three main themes were identified by participants: 56% identified difficulty bending forward, 44% identified difficulty hunching while sitting, and 56% identified difficulty with twisting motions. Patients with more distal LIV reported significant more difficulty with self-care\/grooming ( P\u2009=\u2009.014) and chores ( P\u2009&lt;\u2009.001). SRS-22 function\/activity scores correlated well with survey categories in self-care\/grooming ( r\u2009=\u2009.61; P\u2009=\u2009.049) and recreation ( r\u2009=\u2009.69; P\u2009=\u2009.019). Focus groups suggest that spinal stiffness is frequently perceived and leads to alteration in daily tasks in adolescents after spinal fusion.<\/jats:p>","DOI":"10.1177\/23743735241282937","type":"journal-article","created":{"date-parts":[[2024,9,30]],"date-time":"2024-09-30T03:47:44Z","timestamp":1727668064000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Adolescent Perception of Stiffness After Spinal Fusion Surgery"],"prefix":"10.1177","volume":"11","author":[{"given":"Sarah E.","family":"Lindsay","sequence":"first","affiliation":[{"name":"Orthopaedics and Rehabilitation Department, Oregon Health & Science University, Portland, OR, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Austin","family":"Thompson","sequence":"additional","affiliation":[{"name":"Orthopaedics and Rehabilitation Department, Oregon Health & Science University, Portland, OR, 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