Neurospine.
2023 Sep;20(3):837-848. 10.14245/ns.2346454.227.
Outcomes of Surgical Treatment for Patients With Mild Scoliosis and Age-Appropriate Sagittal Alignment With Minimum 2-Year Follow-up
- Scheer JK
1 - Smith JS2
- Passias PG3
- Kim HJ4
- Bess S5
- Burton DC6
- Klineberg EO7
- Lafage V8
- Gupta M9
- Ames CP1
- The International Spine Study Group1
- Affiliations
-
- 1Department of Neurological Surgery, University of California, San Francisco, San Francisco, CA, USA
- 2Department of Neurosurgery, University of Virginia Health System, Charlottesville, VA, USA
- 3Department of Orthopaedic Surgery, NYU Hospital for Joint Diseases, New York, NY, USA
- 4Department of Orthopaedic Surgery, Hospital for Special Surgery, New York City, NY, USA
- 5Presbyterian St. Lukes Medical Center, Denver, CO, USA
- 6Department of Orthopaedic Surgery, University of Kansas Medical Center, Kansas City, KS, USA
- 7Department of Orthopaedic Surgery, University of California, Davis, CA, USA
- 8Department of Orthopaedics, Lenox Hill Hospital, Northwell Health, New York, NY, USA
- 9Department of Orthopedic Surgery, Washington University School of Medicine, St Louis, MO, USA
- KMID: 2546033
- DOI: http://doi.org/10.14245/ns.2346454.227
Abstract
Objective
The goal of this study was to determine if patients with mild scoliosis and age-appropriate sagittal alignment have favorable outcomes following surgical correction.
Methods
Retrospective review of a prospective, multicenter adult spinal deformity database. Inclusion criteria: operative patients age ≥18 years, and preoperative pelvic tilt, mismatch between pelvic incidence and lumbar lordosis (PI–LL), and C7 sagittal vertical axis all within established age-adjusted thresholds with minimum 2-year follow-up. Health-related quality of life (HRQoL) scores: Oswestry Disability Index (ODI), 36-item Short Form health survey (SF-36), Scoliosis Research Society-22R (SRS22R), back/leg pain Numerical Rating Scale and minimum clinically important difference (MCID)/substantial clinical benefit (SCB). Two-year and preoperative HRQoL radiographic data were compared. Patients with mild scoliosis (Mild Scoli, Max coronal Cobb 10°–30°) were compared to those with larger curves (Scoli).
Results
One hundred fifty-one patients included from 667 operative patients (82.8% women; average age, 56.4 ± 16.2 years). Forty-two patients (27.8%) included in Mild Scoli group. Mild Scoli group had significantly worse baseline leg pain, ODI, and physical composite scores (p < 0.02). Mean 2-year maximum coronal Cobb angle was significantly improved compared to baseline (p < 0.001). All 2-year HRQoL measures were significantly improved compared to (p < 0.001) except mental composite score, SRS activity and SRS mental for the Mild Scoli group (p > 0.05). From the mild Scoli group, 36%–74% met either MCID or SCB for the HRQoL measures. Sixty-four point three percent had minimum 1 complication, 28.6% had a major complication, 35.7% had reoperation.
Conclusion
Mild scoliosis patients with age-appropriate sagittal alignment benefit from surgical correction, decompression, and stabilization at 2 years postoperative despite having a high complication rate.
- Full Text Links
-
- Actions
-
Cited
- CITED
-
- Close
- Share
-
- Similar articles
-
- Impacts of Adult Spinal Deformity Surgery on Coronal Malalignment: Commentary on “Outcomes of Surgical Treatment for Patients With Mild Scoliosis and Age-Appropriate Sagittal Alignment With Minimum 2-Year Follow-up”
- Spino-Pelvic Parameters in Adult Spinal Deformities
- Normal Age-Adjusted Sagittal Spinal Alignment Is Achieved with Surgical Correction in Adolescent Idiopathic Scoliosis
- The Relationship between Sagittal Spinal Alignment and Surgical Results in Degenerative Lumbar Scoliosis with Spinal Stenosis
- Comparison of Surgical Burden, Radiographic and Clinical Outcomes According to the Severity of Baseline Sagittal Imbalance in Adult Spinal Deformity Patients
