scholarly journals Adult Spinal Deformity Surgery and Frailty: A Systematic Review

2021 ◽  
pp. 219256822110042
Author(s):  
Carl Laverdière ◽  
Miltiadis Georgiopoulos ◽  
Christopher P. Ames ◽  
Jason Corban ◽  
Pouyan Ahangar ◽  
...  
Keyword(s):  
Systematic Review ◽  
Thoracic Spine ◽  
Spinal Deformity ◽  
Adult Spinal Deformity ◽  
Postoperative Outcomes ◽  
Patient Specific ◽  
Frailty Status ◽  
Sf 36 ◽  
Comorbidity Burden ◽  
Related Quality

Study Design: Systematic review. Objectives: Adult spinal deformity (ASD) can be a debilitating condition with a profound impact on patients’ health-related quality of life (HRQoL). Many reports have suggested that the frailty status of a patient can have a significant impact on the outcome of the surgery. The present review aims to identify all pre-operative patient-specific frailty markers that are associated with postoperative outcomes following corrective surgery for ASD of the lumbar and thoracic spine. Methods: A systematic review of the literature was performed to identify findings regarding pre-operative markers of frailty and their association with postoperative outcomes in patients undergoing ASD surgery of the lumbar and thoracic spine. The search was performed in the following databases: PubMed, Embase, Cochrane and CINAHL. Results: An association between poorer performance on frailty scales and worse postoperative outcomes. Comorbidity indices were even more frequently employed with similar patterns of association between increased comorbidity burden and postoperative outcomes. Regarding the assessment of HRQoL, worse pre-operative ODI, SF-36, SRS-22 and NRS were shown to be predictors of post-operative complications, while ODI, SF-36 and SRS-22 were found to improve post-operatively. Conclusions: The findings of this review highlight the true breadth of the concept of “frailty” in ASD surgical correction. These parameters, which include frailty scales and various comorbidity and HRQoL indices, highlight the importance of identifying these factors preoperatively to ensure appropriate patient selection while helping to limit poor postoperative outcomes.

scholarly journals Lowest Instrumented Vertebra Selection to S1 or Ilium Versus L4 or L5 in Adult Spinal Deformity: Factors for Consideration in 349 Patients With a Mean 46-Month Follow-Up

2021 ◽  
pp. 219256822110091
Author(s):  
Yu-Cheng Yao ◽  
Han Jo Kim ◽  
Mathieu Bannwarth ◽  
Justin Smith ◽  
Shay Bess ◽  
...  
Keyword(s):  
Spinal Deformity ◽  
Sagittal Alignment ◽  
Adult Spinal Deformity ◽  
Operating Time ◽  
Patient Demographics ◽  
Lowest Instrumented Vertebra ◽  
Related Quality ◽  
Health Related

Study Design: Retrospective cohort study. Objective: To compare the outcomes of patients with adult spinal deformity (ASD) following spinal fusion with the lowest instrumented vertebra (LIV) at L4/L5 versus S1/ilium. Methods: A multicenter ASD database was evaluated. Patients were categorized into 2 groups based on LIV levels—groups L (fusion to L4/L5) and S (fusion to S1/ilium). Both groups were propensity matched by age and preoperative radiographic alignments. Patient demographics, operative details, radiographic parameters, revision rates, and health-related quality of life (HRQOL) scores were compared. Results: Overall, 349 patients had complete data, with a mean follow-up of 46 months. Patients in group S (n = 311) were older and had larger sagittal and coronal plane deformities than those in group L (n = 38). After matching, 28 patients were allocated to each group with similar demographic, radiographic, and clinical parameters. Sagittal alignment restoration at postoperative week 6 was significantly better in group S than in group L, but it was similar in both groups at the 2-year follow-up. Fusion to S1/ilium involved a longer operating time, higher PJK rates, and greater PJK angles than that to L4/L5. There were no significant differences in the complication and revision rates between the groups. Both groups showed significant improvements in HRQOL scores. Conclusions: Fusion to S1/ilium had better sagittal alignment restoration at postoperative week 6 and involved higher PJK rates and greater PJK angles than that to L4/L5. The clinical outcomes and rates of revision surgery and complications were similar between the groups.

A Systematic Review of Risk Factors Associated With Distal Junctional Failure in Adult Spinal Deformity Surgery

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Jake M. McDonnell ◽  
Daniel P. Ahern ◽  
Scott C. Wagner ◽  
Patrick B. Morrissey ◽  
Ian D. Kaye ◽  
...  
Keyword(s):  
Risk Factors ◽  
Systematic Review ◽  
Spinal Deformity ◽  
Adult Spinal Deformity ◽  
Factors Associated ◽  
Spinal Deformity Surgery

scholarly journals ĐÁNH GIÁ KẾT QUẢ BƯỚC ĐẦU PHẪU THUẬT BỆNH NHÂN BIẾN DẠNG CỘT SỐNG DO THOÁI HÓA BẰNG PHƯƠNG PHÁP CỐ ĐỊNH CỘT SỐNG LỐI SAU NGỰC THẮT LƯNG ĐẾN S2 BẰNG VÍT QUA KHỚP CÙNG CHẬU, GIẢI ÉP, HÀN XƯƠNG LIÊN THÂN ĐỐT THẮT LƯNG CÙNG TẠI KHOA PHẪU THUẬT CỘT SỐNG BỆNH V

2022 ◽  
Vol 509 (2) ◽  
Author(s):  
Nguyễn Lê Bảo Tiến ◽  
Nguyễn Viết Lực ◽  
Võ Văn Thanh ◽  
Ngô Thanh Tú ◽  
Phạm Hồng Phong
Keyword(s):  
Thoracic Spine ◽  
Spinal Deformity ◽  
Adult Spinal Deformity

Mục tiêu: Đánh giá sự cải thiện kết quả lâm sàng và chỉ số trên phim Xquang toàn bộ cột sống sau phẫu thuật điều trị biến dạng cột sống thoái hóa bằng phương pháp phẫu thuật cố định cột sống lối sau ngực thắt lưng đến S2 bằng vít qua khớp cùng chậu, giải ép, hàn xương liên thân đốt thắt lưng cùng (Long Fusion from Sacrum to Thoracic Spine - LFSTS). Phương pháp: nghiên cứu hồi cứu trên 15 bệnh nhân được chẩn đoán Biến dạng cột sống thoái hóa ở người trưởng thành (Adult spinal deformity - ASD) được phẫu thuật LFSTS tại khoa Phẫu thuật cột sống Bệnh viện Hữu nghị Việt Đức từ 1/2018 đến tháng 01/2021. Kết quả: có 14 bệnh nhân nữ (93,3%) và 1 bệnh nhân nam (6,7%), độ tuổi trung bình là 63,6±6,4. Sự cải thiện về SVA trước mổ là 75,19mm sau mổ là 42,22mm. Có sự cải thiện có ý nghĩa thống kê về chất lượng cuộc sống của bệnh nhân qua các chỉ số ODI, bộ câu hỏi SRS-22. Kết luận: Phẫu thuật LFSTS đem lại kết quả tốt về cân bằng đứng dọc trên Xquang và sự cải thiện về chất lượng cuộc sống của bệnh nhân.

Frailty and Health-Related Quality of Life Improvement Following Adult Spinal Deformity Surgery

2018 ◽  
Vol 112 ◽  
pp. e548-e554 ◽  
Author(s):  
Daniel B.C. Reid ◽  
Alan H. Daniels ◽  
Tamir Ailon ◽  
Emily Miller ◽  
Daniel M. Sciubba ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Spinal Deformity ◽  
Adult Spinal Deformity ◽  
Health Related Quality ◽  
Related Quality ◽  
Spinal Deformity Surgery ◽  
Health Related ◽  
Life Improvement

scholarly journals Impact of compensatory mechanism on health-related quality of life in adult spinal deformity surgery

Scoliosis ◽  
2015 ◽  
Vol 10 (S1) ◽  
Author(s):  
Sho Kobayashi ◽  
Tomohiko Hasegawa ◽  
Yu Yamato ◽  
Tatsuya Yasuda ◽  
Hideyuki Arima ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Spinal Deformity ◽  
Adult Spinal Deformity ◽  
Compensatory Mechanism ◽  
Health Related Quality ◽  
Related Quality ◽  
Spinal Deformity Surgery ◽  
Health Related
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