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학제간연구 과학기술학 뇌인지과학 기술정책 기타 복합학

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논문 기본 정보

자료유형
학술저널
저자정보
David Christopher Kieser (University of Otago) Louis Boissiere (L’Institut de la Colonne Vertébrale CHU Pellegrin) Anouar Bourghli (Orthopedic and Spinal Surgery Department Kingdom Hospital) Kazunori Hayashi (L’Institut de la Colonne Vertébrale CHU Pellegrin) Derek Cawley (L’Institut de la Colonne Vertébrale CHU Pellegrin) Caglar Yilgor (Acibadem University School of Medicine) Ahmet Alanay (Acibadem University School of Medicine) Emre Acaroglu (Spine Surgery Unit Ankara Acibadem ARTES Spine Center) Frank Kleinstueck (Spine Center Schulthess Klinik) Javier Pizones (Spine Center Schulthess Klinik) Ferran Pellise (Spine Surgery Unit Hospital Universitario Val Hebron) Francisco Javier Sanchez Perez-Grueso (Spine Surgery Unit Hospital Universitario La Paz) Ibrahim Obeid (L’Institut de la Colonne Vertébrale CHU Pellegrin) European Spine Study Group (European Spine Study Group)
저널정보
대한척추신경외과학회 Neurospine Neurospine 제18권 제3호
발행연도
2021.9
수록면
475 - 480 (6page)
DOI
10.14245/ns.2142458.229

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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.
#Spine #Deformity #Scoliosis #Coronal malalignment

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참고문헌 (21)

참고문헌 신청
Good CR / 2011 / Adult spine deformity / Curr Rev Musculoskelet Med 4:159~167 google schola Schwab F / 2005 / Adult scoliosis: prevalence, SF-36, and nutritional parameters in an elderly volunteer population / Spine 30:1082~1085 google schola Acaroglu E / 2016 / A decision analysis to identify the ideal treatment for adult spinal deformity: is surgery better than non-surgical treatment in improving health-related quality of life and decreasing the disease burden? / Eur Spine J 25:2390~2400 google schola Glassman SD / 2005 / The impact of positive sagittal balance in adult spinal deformity / Spine 30:2024~2029 google schola Lafage V / 2009 / Pelvic tilt and truncal inclination: two key radiographic parameters in the setting of adults with spinal deformity / Spine 34:E599~E606 google schola

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