Author/Authors :
kieser, d. university of otago - christchurch school of medicine - department of orthopaedic surgery and musculoskeletal medicine, New Zealand , boissière, l. bordeaux university hospital - spinal unit, Bordeaux, France , boissière, l. polyclinique jean villar - elsan, Bruges, France , ghailane, s. bordeaux university hospital - spinal unit, Bordeaux, France , larrieu, d. bordeaux university hospital - spinal unit, Bordeaux, France , larrieu, d. polyclinique jean villar - elsan, Bruges, France , bourghli, a. kingdom hospital - orthopedic and spinal surgery department, Riyadh, Saudi Arabia , yilgor, c. acibadem mehmet ali aydinlar university - school of medicine - department of orthopedics and traumatology, Istanbul, Turkey , alanay, a. acibadem mehmet ali aydinlar university - school of medicine - department of orthopedics and traumatology, Istanbul, Turkey , pelissé, f. hospital universitario val hebron - spine surgery unit, Barcelona, Spain , sanchez perez grueso, f.-j. hospital universitario la paz - spine surgery unit, Madrid, Spain , kleinstück, f. schulthess klinik, Zurich, Switzerland , acaroglu, e. ankara artes spine center, Ankara, Turkey , yoshida, g. bordeaux university hospital - spinal unit, Bordeaux, France , gille, o. bordeaux university hospital - spinal unit, Bordeaux, France , vital, j.-m. bordeaux university hospital - spinal unit, Bordeaux, France , obeid, i. polyclinique jean villar - elsan, Bruges, France , obeid, i. bordeaux university hospital - spinal unit, Bordeaux, France
Abstract :
Hypothesis : Oswestry Disability Index (ODI) globally improves after spinopelvic fusion for adult spinal deformity (ASD), but some ODI domains do not improve. Design : Retrospective analysis of prospective data including operated patients from a multicenter database with a 2- year follow-up. Introduction : Posterior instrumented fusion is a successful treatment to improve quality of life in patients disabled by ASD. Most patients are satisfied with these procedures, but the benefits to specific activities of daily living remains unclear. Therefore, the aim of this study is to evaluate the impact of spinopelvic fusions on each ODI domain. Materials and Methods : A total of 45 consecutive patients were enrolled. Inclusion criteria were spinopelvic fusion with the upper instrumented vertebra (UIV) between T8 to T12. Mean differences, between preoperative and the 2-year follow- up, for each ODI domain were compared with a t-test, and p 0.05 was considered significant. Results: Global ODI significantly improved after surgery (52.0 vs. 38.5; p = 0.001). Large (more than 1 point) improvements were observed for pain and sexual life, moderate (between 0.5 and 1 point) improvements were observed for walking, sitting, standing, social life and traveling, limited (less than 0.2) improvements were observed for personal care, lifting and sleeping. Discussion : Spinopelvic fusion reduces the overall level of disability in patients with ASD. Specifically, it provides a large improvement in pain and sexual function, a moderate improvement in walking, sitting, standing, social life and traveling and a limited improvement in sleeping, personal care and lifting. This information should be used to fully inform patients of the specific benefits provided by spinopelvic fusion in ASD.
