Sistema de Salut de Catalunya
Institut Català de la Salut
[Kieser DC] Department of Orthopaedic Surgery and Musculoskeletal Medicine, University of Otago, Christchurch School of Medicine, Christchurch, New Zealand. [Boissiere L, Hayashi K, Cawley D] L’Institut de la Colonne Vertébrale, CHU Pellegrin, Bordeaux, France. [Bourghli A] Orthopedic and Spinal Surgery Department, Kingdom Hospital, Riyadh, Saudi Arabia. [Yilgor C] Acibadem University School of Medicine, Istanbul, Turkey. [Pellise F] Unitat de Cirurgia de Columna, Vall d’Hebron Hospital Universitari, Barcelona, Spain
Vall d'Hebron Barcelona Hospital Campus
2022-03-31T08:59:04Z
2022-03-31T08:59:04Z
2021-09
Deformitat; Escoliosi; Columna vertebral
Deformidad; Escoliosis; Espina dorsal
Deformity; Scoliosis; Spine
Objective To evaluate Obeid-coronal malalignment (O-CM) modifiers according to age, sagittal alignment, and patient-reported outcome measures (PROMs), in the mobile spine. Methods Retrospective review of a prospective multicenter adult spinal deformity (ASD) database with 1,243 (402 nonoperative, 841 operative) patients with no prior fusion surgery. Patients were included if they were aged over 18 years and were affected by spinal deformity defined by one of: Cobb angle ≥ 20°, pelvic tilt ≥ 25°, sagittal vertical axis ≥ 5 cm, thoracic kyphosis ≥ 60°. Patients were classified according to the O-CM classification and compared to coronally aligned patients. Multivariate analysis was performed on the relationship between PROMs and age, global tilt (GT) and coronal malalignment (CM). Results Four hundred forty-three patients had CM of more than 2 cm compared to 800 who did not. The distribution of these modifiers was correlated to age. After multivariate analysis, using age and GT as confounding factors, we found that before the age of 50 years, 2A1 patients had worse sex life and greater satisfaction than patients without CM. After 50 years of age, patients with CM (1A1, 1A2) had worse self-image and those with 2A2, 2B had worse self-image, satisfaction, and 36-item Short Form Health Survey physical function. Self-image was the consistent determinant of patients opting for surgery for all ages. Conclusion CM distribution according to O-CM modifiers is age dependent. A clear correlation between the coronal malalignment and PROMs exists when using the O-CM classification and in the mobile spine, this typically affects self-image and satisfaction. Thus, CM classified according to O-CM modifiers is correlated to PROMs and should be considered in ASD
Article
Published version
English
Columna vertebral - Malformacions - Cirurgia; Edat òssia; PUBLIC HEALTH::Epidemiology and Biostatistics::Epidemiology::Epidemiologic Studies::Epidemiology, Descriptive::Population Characteristics::Age Effect; DISEASES::Musculoskeletal Diseases::Bone Diseases::Bone Malalignment; Other subheadings::Other subheadings::Other subheadings::/surgery; SALUD PÚBLICA::epidemiología y bioestadística::epidemiología::estudios epidemiológicos::epidemiología descriptiva::Características de la Población::efecto edad; ENFERMEDADES::enfermedades musculoesqueléticas::enfermedades óseas::desviación ósea; Otros calificadores::Otros calificadores::Otros calificadores::/cirugía
Korean Spinal Neurosurgery Society
Neurospine;18(3)
https://doi.org/10.14245/ns.2142458.229
Attribution-NonCommercial 4.0 International
http://creativecommons.org/licenses/by-nc/4.0/
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