The Impact of Corrective Surgery on Health-Related Quality of Life Subclasses in Adult Scoliosis: Will Degree of Correction Prognosticate Degree of Improvement?
Purpose Objectives in scoliosis corrective surgery include restoration of normal sagittal and coronal parameters to achieve patient satisfaction. HRQLs improvements remain limited after corrective surgery. The aim of this study was to evaluate the HRQL subclass variability specific to the sagittal a...
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| Veröffentlicht in: | European spine journal 2021-07, Vol.30 (7), p.2033-2039 |
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| creator | Cawley, D. T. Takemoto, M. Boissiere, L. Larrieu, D. Kieser, D. C. Fujishiro, T. Hayashi, K. Bourghli, A. Yilgor, C. Alanay, A. Perez Grueso, F. J. Pelisse, F. Kleinstück, F. Vital, J. M. Obeid, I. |
| description | Purpose
Objectives in scoliosis corrective surgery include restoration of normal sagittal and coronal parameters to achieve patient satisfaction. HRQLs improvements remain limited after corrective surgery. The aim of this study was to evaluate the HRQL subclass variability specific to the sagittal and coronal correction in adult scoliosis surgery.
Methods
This multi-centre prospective analysis of consecutive adult spinal deformity (ASD) patients, from five European centres, only included multilevel instrumentation for scoliosis. d-(delta) values for each parameter represented pre to post-operative changes. Parameters included demographics, baseline, 1- and 2-year. HRQL outcomes (Oswestry disability index (ODI), Scoliosis Research Society (SRS)-22 and Short Form (SF36)), sagittal correction including relative spinopelvic alignment (dRSA) and coronal correction including major Cobb (dCobb) angles.
Results
A total of 353 patients reached 1-year and 2-year follow up. All HRQL total scores significantly improved postoperatively, including ODI, SRS-22 and SF36. HRQL subclasses which displayed persistent improvements correlated to dRSA included sex-life, self-image, fatigue, vitality, social functioning. The only HRQL subclass improvement that correlated with dCobb was self-image.
Conclusion
Adult scoliosis surgery improves overall HRQL, having a minimal effect on each variable. Importantly, greater coronal deformity correction affects only greater self-image scores, whereas with greater sagittal correction there are many greater HRQL sub-class impacts. Correction and restoration of coronal balance is one of the surgical goals in adult scoliosis but the degree to which Cobb angle is corrected, apart from self-image, does not correlate with gains in sub-classes of HRQL. These results need to be taken into account when planning surgery. |
| doi_str_mv | 10.1007/s00586-021-06786-4 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2518739533</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2518739533</sourcerecordid><originalsourceid>FETCH-LOGICAL-c375t-eefd23d8b0e66c290f4297c932f52a508fe2ed60c0c080fb4b9b65a3cd70359d3</originalsourceid><addsrcrecordid>eNp9kU1v1DAQhi0EokvhD3BAlrhwCUzsOIm5oGr5aKWV-GgRR8txxltXTlxsp9L-G34qXrZAxQH5YEt-5p3RPIQ8reFlDdC9SgCibytgdQVtV17NPbKqG84qkJzdJyuQDVRtV8sj8iilK4BaSGgfkiPOJUDTiRX5cXGJ9Gy61ibTYOk6xIgmuxuk50vcYtzRMNNT1D5fVl_Q64wj_bxo7_Juz2-c3ZOD8TolTNTN9GRcfKbnJngXkkuv6TfnPX2L24h4t0XJ_RTDdg4pO1Ny7yBlnhhucMI5v3lMHljtEz65vY_J1_fvLtan1ebjh7P1yaYyvBO5QrQj42M_ALatYRJsw2Rnyh6sYFpAb5Hh2IIppwc7NIMcWqG5GTvgQo78mLw45JbW3xdMWU0uGfRezxiWpJio-45LwXlBn_-DXoUlzmW6QolGlD1zUSh2oEwMKUW06jq6ScedqkHt_amDP1X8qV_-VFOKnt1GL8OE45-S38IKwA9AKl9zEfS3939ifwLhnqdH</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2554500135</pqid></control><display><type>article</type><title>The Impact of Corrective Surgery on Health-Related Quality of Life Subclasses in Adult Scoliosis: Will Degree of Correction Prognosticate Degree of Improvement?</title><source>SpringerLink Journals - AutoHoldings</source><creator>Cawley, D. T. ; Takemoto, M. ; Boissiere, L. ; Larrieu, D. ; Kieser, D. C. ; Fujishiro, T. ; Hayashi, K. ; Bourghli, A. ; Yilgor, C. ; Alanay, A. ; Perez Grueso, F. J. ; Pelisse, F. ; Kleinstück, F. ; Vital, J. M. ; Obeid, I.</creator><creatorcontrib>Cawley, D. T. ; Takemoto, M. ; Boissiere, L. ; Larrieu, D. ; Kieser, D. C. ; Fujishiro, T. ; Hayashi, K. ; Bourghli, A. ; Yilgor, C. ; Alanay, A. ; Perez Grueso, F. J. ; Pelisse, F. ; Kleinstück, F. ; Vital, J. M. ; Obeid, I. ; European Spine Study Group, ESSG</creatorcontrib><description>Purpose
Objectives in scoliosis corrective surgery include restoration of normal sagittal and coronal parameters to achieve patient satisfaction. HRQLs improvements remain limited after corrective surgery. The aim of this study was to evaluate the HRQL subclass variability specific to the sagittal and coronal correction in adult scoliosis surgery.
Methods
This multi-centre prospective analysis of consecutive adult spinal deformity (ASD) patients, from five European centres, only included multilevel instrumentation for scoliosis. d-(delta) values for each parameter represented pre to post-operative changes. Parameters included demographics, baseline, 1- and 2-year. HRQL outcomes (Oswestry disability index (ODI), Scoliosis Research Society (SRS)-22 and Short Form (SF36)), sagittal correction including relative spinopelvic alignment (dRSA) and coronal correction including major Cobb (dCobb) angles.
Results
A total of 353 patients reached 1-year and 2-year follow up. All HRQL total scores significantly improved postoperatively, including ODI, SRS-22 and SF36. HRQL subclasses which displayed persistent improvements correlated to dRSA included sex-life, self-image, fatigue, vitality, social functioning. The only HRQL subclass improvement that correlated with dCobb was self-image.
Conclusion
Adult scoliosis surgery improves overall HRQL, having a minimal effect on each variable. Importantly, greater coronal deformity correction affects only greater self-image scores, whereas with greater sagittal correction there are many greater HRQL sub-class impacts. Correction and restoration of coronal balance is one of the surgical goals in adult scoliosis but the degree to which Cobb angle is corrected, apart from self-image, does not correlate with gains in sub-classes of HRQL. These results need to be taken into account when planning surgery.</description><identifier>ISSN: 0940-6719</identifier><identifier>EISSN: 1432-0932</identifier><identifier>DOI: 10.1007/s00586-021-06786-4</identifier><identifier>PMID: 33900475</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Demography ; Medicine ; Medicine & Public Health ; Neurosurgery ; Original Article ; Patient satisfaction ; Patients ; Quality of life ; Scoliosis ; Self image ; Surgery ; Surgical Orthopedics</subject><ispartof>European spine journal, 2021-07, Vol.30 (7), p.2033-2039</ispartof><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2021</rights><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2021.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-eefd23d8b0e66c290f4297c932f52a508fe2ed60c0c080fb4b9b65a3cd70359d3</citedby><cites>FETCH-LOGICAL-c375t-eefd23d8b0e66c290f4297c932f52a508fe2ed60c0c080fb4b9b65a3cd70359d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00586-021-06786-4$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00586-021-06786-4$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27903,27904,41467,42536,51297</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33900475$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Cawley, D. T.</creatorcontrib><creatorcontrib>Takemoto, M.</creatorcontrib><creatorcontrib>Boissiere, L.</creatorcontrib><creatorcontrib>Larrieu, D.</creatorcontrib><creatorcontrib>Kieser, D. C.</creatorcontrib><creatorcontrib>Fujishiro, T.</creatorcontrib><creatorcontrib>Hayashi, K.</creatorcontrib><creatorcontrib>Bourghli, A.</creatorcontrib><creatorcontrib>Yilgor, C.</creatorcontrib><creatorcontrib>Alanay, A.</creatorcontrib><creatorcontrib>Perez Grueso, F. J.</creatorcontrib><creatorcontrib>Pelisse, F.</creatorcontrib><creatorcontrib>Kleinstück, F.</creatorcontrib><creatorcontrib>Vital, J. M.</creatorcontrib><creatorcontrib>Obeid, I.</creatorcontrib><creatorcontrib>European Spine Study Group, ESSG</creatorcontrib><title>The Impact of Corrective Surgery on Health-Related Quality of Life Subclasses in Adult Scoliosis: Will Degree of Correction Prognosticate Degree of Improvement?</title><title>European spine journal</title><addtitle>Eur Spine J</addtitle><addtitle>Eur Spine J</addtitle><description>Purpose
Objectives in scoliosis corrective surgery include restoration of normal sagittal and coronal parameters to achieve patient satisfaction. HRQLs improvements remain limited after corrective surgery. The aim of this study was to evaluate the HRQL subclass variability specific to the sagittal and coronal correction in adult scoliosis surgery.
Methods
This multi-centre prospective analysis of consecutive adult spinal deformity (ASD) patients, from five European centres, only included multilevel instrumentation for scoliosis. d-(delta) values for each parameter represented pre to post-operative changes. Parameters included demographics, baseline, 1- and 2-year. HRQL outcomes (Oswestry disability index (ODI), Scoliosis Research Society (SRS)-22 and Short Form (SF36)), sagittal correction including relative spinopelvic alignment (dRSA) and coronal correction including major Cobb (dCobb) angles.
Results
A total of 353 patients reached 1-year and 2-year follow up. All HRQL total scores significantly improved postoperatively, including ODI, SRS-22 and SF36. HRQL subclasses which displayed persistent improvements correlated to dRSA included sex-life, self-image, fatigue, vitality, social functioning. The only HRQL subclass improvement that correlated with dCobb was self-image.
Conclusion
Adult scoliosis surgery improves overall HRQL, having a minimal effect on each variable. Importantly, greater coronal deformity correction affects only greater self-image scores, whereas with greater sagittal correction there are many greater HRQL sub-class impacts. Correction and restoration of coronal balance is one of the surgical goals in adult scoliosis but the degree to which Cobb angle is corrected, apart from self-image, does not correlate with gains in sub-classes of HRQL. These results need to be taken into account when planning surgery.</description><subject>Demography</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Neurosurgery</subject><subject>Original Article</subject><subject>Patient satisfaction</subject><subject>Patients</subject><subject>Quality of life</subject><subject>Scoliosis</subject><subject>Self image</subject><subject>Surgery</subject><subject>Surgical Orthopedics</subject><issn>0940-6719</issn><issn>1432-0932</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kU1v1DAQhi0EokvhD3BAlrhwCUzsOIm5oGr5aKWV-GgRR8txxltXTlxsp9L-G34qXrZAxQH5YEt-5p3RPIQ8reFlDdC9SgCibytgdQVtV17NPbKqG84qkJzdJyuQDVRtV8sj8iilK4BaSGgfkiPOJUDTiRX5cXGJ9Gy61ibTYOk6xIgmuxuk50vcYtzRMNNT1D5fVl_Q64wj_bxo7_Juz2-c3ZOD8TolTNTN9GRcfKbnJngXkkuv6TfnPX2L24h4t0XJ_RTDdg4pO1Ny7yBlnhhucMI5v3lMHljtEz65vY_J1_fvLtan1ebjh7P1yaYyvBO5QrQj42M_ALatYRJsw2Rnyh6sYFpAb5Hh2IIppwc7NIMcWqG5GTvgQo78mLw45JbW3xdMWU0uGfRezxiWpJio-45LwXlBn_-DXoUlzmW6QolGlD1zUSh2oEwMKUW06jq6ScedqkHt_amDP1X8qV_-VFOKnt1GL8OE45-S38IKwA9AKl9zEfS3939ifwLhnqdH</recordid><startdate>20210701</startdate><enddate>20210701</enddate><creator>Cawley, D. 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C. ; Fujishiro, T. ; Hayashi, K. ; Bourghli, A. ; Yilgor, C. ; Alanay, A. ; Perez Grueso, F. J. ; Pelisse, F. ; Kleinstück, F. ; Vital, J. M. ; Obeid, I.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-eefd23d8b0e66c290f4297c932f52a508fe2ed60c0c080fb4b9b65a3cd70359d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Demography</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Neurosurgery</topic><topic>Original Article</topic><topic>Patient satisfaction</topic><topic>Patients</topic><topic>Quality of life</topic><topic>Scoliosis</topic><topic>Self image</topic><topic>Surgery</topic><topic>Surgical Orthopedics</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cawley, D. 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M.</creatorcontrib><creatorcontrib>Obeid, I.</creatorcontrib><creatorcontrib>European Spine Study Group, ESSG</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>European spine journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cawley, D. T.</au><au>Takemoto, M.</au><au>Boissiere, L.</au><au>Larrieu, D.</au><au>Kieser, D. C.</au><au>Fujishiro, T.</au><au>Hayashi, K.</au><au>Bourghli, A.</au><au>Yilgor, C.</au><au>Alanay, A.</au><au>Perez Grueso, F. J.</au><au>Pelisse, F.</au><au>Kleinstück, F.</au><au>Vital, J. M.</au><au>Obeid, I.</au><aucorp>European Spine Study Group, ESSG</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Impact of Corrective Surgery on Health-Related Quality of Life Subclasses in Adult Scoliosis: Will Degree of Correction Prognosticate Degree of Improvement?</atitle><jtitle>European spine journal</jtitle><stitle>Eur Spine J</stitle><addtitle>Eur Spine J</addtitle><date>2021-07-01</date><risdate>2021</risdate><volume>30</volume><issue>7</issue><spage>2033</spage><epage>2039</epage><pages>2033-2039</pages><issn>0940-6719</issn><eissn>1432-0932</eissn><abstract>Purpose
Objectives in scoliosis corrective surgery include restoration of normal sagittal and coronal parameters to achieve patient satisfaction. HRQLs improvements remain limited after corrective surgery. The aim of this study was to evaluate the HRQL subclass variability specific to the sagittal and coronal correction in adult scoliosis surgery.
Methods
This multi-centre prospective analysis of consecutive adult spinal deformity (ASD) patients, from five European centres, only included multilevel instrumentation for scoliosis. d-(delta) values for each parameter represented pre to post-operative changes. Parameters included demographics, baseline, 1- and 2-year. HRQL outcomes (Oswestry disability index (ODI), Scoliosis Research Society (SRS)-22 and Short Form (SF36)), sagittal correction including relative spinopelvic alignment (dRSA) and coronal correction including major Cobb (dCobb) angles.
Results
A total of 353 patients reached 1-year and 2-year follow up. All HRQL total scores significantly improved postoperatively, including ODI, SRS-22 and SF36. HRQL subclasses which displayed persistent improvements correlated to dRSA included sex-life, self-image, fatigue, vitality, social functioning. The only HRQL subclass improvement that correlated with dCobb was self-image.
Conclusion
Adult scoliosis surgery improves overall HRQL, having a minimal effect on each variable. Importantly, greater coronal deformity correction affects only greater self-image scores, whereas with greater sagittal correction there are many greater HRQL sub-class impacts. Correction and restoration of coronal balance is one of the surgical goals in adult scoliosis but the degree to which Cobb angle is corrected, apart from self-image, does not correlate with gains in sub-classes of HRQL. These results need to be taken into account when planning surgery.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>33900475</pmid><doi>10.1007/s00586-021-06786-4</doi><tpages>7</tpages></addata></record> |
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| language | eng |
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| source | SpringerLink Journals - AutoHoldings |
| subjects | Demography Medicine Medicine & Public Health Neurosurgery Original Article Patient satisfaction Patients Quality of life Scoliosis Self image Surgery Surgical Orthopedics |
| title | The Impact of Corrective Surgery on Health-Related Quality of Life Subclasses in Adult Scoliosis: Will Degree of Correction Prognosticate Degree of Improvement? |
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