6 takeaways from study on health-related quality of life for adult spinal deformity patients


Researchers from St. Louis-based Washington University School of Medicine and New York City-based Columbia University College of Physicians and Surgeons examined health-related quality of life measures for complex spinal reconstructive surgery patients.

The study included 84 patients with complex adult spinal deformity.


Journal of Neurosurgery: Spine published the study.


Here are six takeaways:


1. Of the patients, 21 percent underwent posterior fusion; 40 percent received a posterior column osteotomy; and 38 percent received a three-column osteotomy.


2. The researchers found 75 percent of patients received a revision procedure.


3. The study revealed significant improvements in all Scoliosis Research Society-22r domains:
• Pain: +0.8 (p < 0.001)
• Self-image: +1.4 (p < 0.001)
• Function: +0.46 (p < 0.001)
• Satisfaction: +1.6 (p < 0.001)
• Mental health: +0.28 (p = 0.04)


4. More than half of the patients saw a minimum clinically important difference in all SRS-22r domains scores, except for the mental health domain.


5. Of the 321 patients experiencing complications, 29.8 percent had a major complication and 17 percent had a postoperative neurological deficit.


6. The researchers concluded patients experienced the greatest improvements in the SRS pain and self-image domains following complex ASD surgery.



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