BACKGROUND CONTEXT: Health-related quality-of-life (HRQOL) measures are being used more frequently in the evaluation of the adult deformity patient. This is due in part to the validation of the deformity-specific Scolios Research Society-22 (SRS-22). Hence, relationships between HRQOL outcomes and traditional measures of success such as deformity correction, fusion healing, and complications are being established. PURPOSE: To examine the pattern of HRQOL outcome responses after adult deformity surgery. STUDY DESIGN: Analysis of prospective multicenter cohort. PATIENT SAMPLE: Two hundred and eighty-three adult deformity patients with preoperative, 1-, and 2-year postoperative outcome measures. OUTCOME MEASURES: SRS-22, Short Form-12 (SF-12), Oswestry Disability Index (ODI), and back and leg pain numeric rating scale scores. METHODS: Preoperative versus postoperative health status measures were evaluated by matched-pairs sample t test statistics and post hoc analysis of variance (ANOVA) findings. RESULTS: SRS-22 improved from a mean 3.03 points at baseline to 3.21 points at 6 months, 3.71 points at 1 year, and 3.70 points at 2 years post-op. Mean ODI score was 37.0 points pre-op and improved to 27.0 points at 6 months, and 22.8 points at 1 and 2 years post-op. Mean SF-12 physical component score was 33.7 points at baseline, improving to 36.9 points at 6 months, 40.6 points at 1 year, and 40.5 points at 2 years post-op. Paired samples analysis comparing 6-month and 1-year post-op scores showed deterioration for numeric rating scale leg pain (p=0.05). There was a trend for improvement in SF-12 physical component score (p=0.06). Significant improvement between 6 months and 1 year post-op was noted for ODI (p=0.02) and SRS total score (p<0.0001). Comparison of 1- versus 2-year postoperative scores revealed no statistically significant differences for any of the HRQOL parameters. CONCLUSIONS: This study supports the application of HRQOL measures, including the deformity-specific SRS-22, as a valuable tool in the assessment of adult deformity patients. Change in outcome score stabilized after the 1-year postoperative interval, for most patients.
BACKGROUND CONTEXT: Health-related quality-of-life (HRQOL) measures are being used more frequently in the evaluation of the adult deformitypatient. This is due in part to the validation of the deformity-specific Scolios Research Society-22 (SRS-22). Hence, relationships between HRQOL outcomes and traditional measures of success such as deformity correction, fusion healing, and complications are being established. PURPOSE: To examine the pattern of HRQOL outcome responses after adult deformity surgery. STUDY DESIGN: Analysis of prospective multicenter cohort. PATIENT SAMPLE: Two hundred and eighty-three adult deformitypatients with preoperative, 1-, and 2-year postoperative outcome measures. OUTCOME MEASURES: SRS-22, Short Form-12 (SF-12), Oswestry Disability Index (ODI), and back and leg pain numeric rating scale scores. METHODS: Preoperative versus postoperative health status measures were evaluated by matched-pairs sample t test statistics and post hoc analysis of variance (ANOVA) findings. RESULTS: SRS-22 improved from a mean 3.03 points at baseline to 3.21 points at 6 months, 3.71 points at 1 year, and 3.70 points at 2 years post-op. Mean ODI score was 37.0 points pre-op and improved to 27.0 points at 6 months, and 22.8 points at 1 and 2 years post-op. Mean SF-12 physical component score was 33.7 points at baseline, improving to 36.9 points at 6 months, 40.6 points at 1 year, and 40.5 points at 2 years post-op. Paired samples analysis comparing 6-month and 1-year post-op scores showed deterioration for numeric rating scale leg pain (p=0.05). There was a trend for improvement in SF-12 physical component score (p=0.06). Significant improvement between 6 months and 1 year post-op was noted for ODI (p=0.02) and SRS total score (p<0.0001). Comparison of 1- versus 2-year postoperative scores revealed no statistically significant differences for any of the HRQOL parameters. CONCLUSIONS: This study supports the application of HRQOL measures, including the deformity-specific SRS-22, as a valuable tool in the assessment of adult deformitypatients. Change in outcome score stabilized after the 1-year postoperative interval, for most patients.
Authors: Shian Liu; Frank Schwab; Justin S Smith; Eric Klineberg; Christopher P Ames; Gregory Mundis; Richard Hostin; Khaled Kebaish; Vedat Deviren; Munish Gupta; Oheneba Boachie-Adjei; Robert A Hart; Shay Bess; Virginie Lafage Journal: Ochsner J Date: 2014
Authors: Tamas F Fekete; M Loibl; D Jeszenszky; D Haschtmann; P Banczerowski; F S Kleinstück; H J Becker; F Porchet; A F Mannion Journal: Eur Spine J Date: 2017-10-27 Impact factor: 3.134
Authors: Ayesha Quddusi; Hubert A J Eversdijk; Anita M Klukowska; Marlies P de Wispelaere; Julius M Kernbach; Marc L Schröder; Victor E Staartjes Journal: Eur Spine J Date: 2019-10-22 Impact factor: 3.134
Authors: Miranda L van Hooff; Wilco C H Jacobs; Paul C Willems; Michel W J M Wouters; Marinus de Kleuver; Wilco C Peul; Raymond W J G Ostelo; Peter Fritzell Journal: Acta Orthop Date: 2015 Impact factor: 3.717