Does Substance Abuse Predict the Development of Mental Health Disorders in Adolescent Idiopathic Scoliosis…

Cohort studyClinical spine surgery· Jul 2026

Does Substance Abuse Predict the Development of Mental Health Disorders in Adolescent Idiopathic Scoliosis Patients?

Neil V Shah, Harleen Kaur, Rehan R Khan … Bassel G Diebo

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Pediatric OrthopedicsCohort studyPrognosisQ1IF 2.0

Substance abuse linked to higher odds of new mental health disorder in scoliosis patients

Does Substance Abuse Predict the Development of Mental Health Disorders in Adolescent Idiopathic Scoliosis Patients?

Neil V Shah … Bassel G Diebo

Clinical spine surgery · Jul 2026

Background

Mental health disease prevalence in patients with a substance abuse history has been well-described.

Purpose

This study aimed to determine whether substance abuse among adolescent idiopathic scoliosis (adolescent idiopathic scoliosis) patients is associated with increased odds of subsequent new-onset mental health disease (mental health disease).

Methods

Retrospective cohort study.

Results

substance abuse nearly 7 times the odds of a new mental health diagnosis

OR by subgroup · 95% CI

More results

At baseline, there were no significant differences between patient cohorts in demographic factors.

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Conclusion · 1 of 2

Adolescent idiopathic scoliosis patients with prior or current substance abuse/dependence were at increased 2-year risk of developing any new-onset mental health disease, specifically depressive disorders.

Conclusion · 2 of 2

This data may guide preoperative screening and optimization efforts for surgeons, as MHDs have been associated with poor outcomes following spine surgery. LEVEL OF EVIDENCE: Level III-retrospective cohort study.

Does Substance Abuse Predict the Development of Mental Health Disorders in Adolescent Idiopathic Scoliosis Patients?

Does Substance Abuse Predict the Development of Mental Health Disorders in Adolescent Idiopathic Scoliosis Patients?

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