The study authors examined Scoli-RISK-1 secondary analysis as a predictor of HRQOL after complex spinal deformity surgery. They queried datasets from patients who underwent the procedure and completed two-year follow ups for SF-36 and SRS-22R. There were 206 cases included in the analysis, with 69 percent being of female patients.
The study authors reported:
1. The patient’s age, ASA grade, maximum preoperative Cobb angle, number of three-column osteotomies and neurologic complication type were associated with two-year SF-36 Physical Component Scores.
2. The maximum preoperative Cobb angle and the number of serious adverse events were associated with the two-year SRS-22R total scores.
3. The study authors observed most of the factors associated with the outcomes scores were beyond the surgeons’ control, but still advised “surgeons should medically optimize a patient prior to surgery to minimize the risk of complications and offer the best chance of improving the patient’s quality of life.”
4. The factors predicting lower two-year HRQOL scores after surgery for the complex adult spinal deformity patients included:
• Older age
• Higher ASA grade
• Larger Cobb angle preoperatively
• More three-column osteotomies
• Neurologic complications
• Nonneurologic complications
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