지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2021.9
- 수록면
- 597 - 607 (11page)
- DOI
- 10.14245/ns.2142452.226
이용수
초록· 키워드
오류제보하기
Objective: In this study, we investigate about relationship between postoperative global sagittal imbalance and occurrence of mechanical complications after adult spinal deformity (ASD) surgery. In global sagittal balance parameters, odontoid-hip axis (OD-HA) angle and T1 pelvic angle (TPA) were analyzed.
Methods: Between January 2009 and December 2016, 199 consecutive patients (26 males and 173 females) with ASD underwent corrective fusion of more than 4 levels and were followed up for more than 2 years. Immediate postoperative and postoperative 2 years whole spine x-rays were checked for evaluating immediate postoperative OD-HA, TPA, and other parameters. In clinical outcomes, back and leg pain visual analogue scale, Scoliosis Research Society-22 spinal deformity questionnaire (SRS-22), Oswestry Disability Index (ODI), 36-item Short Form Health Survey (SF-36) were evaluated.
Results: Based on the occurrence of mechanical complications, a comparative analysis was performed for each parameter. In univariable analysis, mechanical complications were significantly much more occurred in OD-HA abnormal group (odds ratio [OR], 3.296; p<0.001; area under the curve [AUC]=0.645). In multivariable analysis, the result was much more related (OR, 2.924; p=0.001; AUC=0.727). In contrast, there was no significant difference between normal and the occurrence of mechanical complications in TPA. In clinical outcomes (normal vs. abnormal), the differences of SRS-22 (0.88±0.73 vs. 0.68± 0.64, p=0.042), ODI (-24.72±20.16 vs. -19.01±19.95, p=0.046), SF-36 physical composite score (19.33±18.55 vs. 12.90±16.73, p=0.011) were significantly improved in OD-HA normal group.
Conclusion: The goal of ASD surgery is to improve patient life quality through correction. In our study, TPA was associated with spinopelvic parameter and OD-HA angle was associated with health-related quality of life and complications. OD-HA angle is predictable factor for mechanical complications after ASD surgery.
목차
등록된 정보가 없습니다.
참고문헌 (41)
참고문헌 신청
Barrey C / 2011 / Sagittal balance disorders in severe degenerative spine. Can we identify the compensatory mechanisms? / Eur Spine J 20:626~633
Diebo BG / 2015 / Sagittal deformities of the spine: factors influencing the outcomes and complications / Eur Spine J 24(Suppl 1):S3~S15
Barton C / 2015 / Risk factors for rod fracture after posterior correction of adult spinal deformity with osteotomy: a retrospective case-series / Scoliosis 10:30
Shapiro GS / 2003 / Results of surgical treatment of adult idiopathic scoliosis with low back pain and spinal stenosis: a study of long-term clinical radiographic outcomes / Spine 28:358~363
Yamada K / 2016 / Targeted therapy for low back pain in elderly degenerative lumbar scoliosis: a cohort study / Spine 41:872~879
Diebo BG / 2015 / Sagittal deformities of the spine: factors influencing the outcomes and complications / Eur Spine J 24(Suppl 1):S3~S15
Barton C / 2015 / Risk factors for rod fracture after posterior correction of adult spinal deformity with osteotomy: a retrospective case-series / Scoliosis 10:30
Shapiro GS / 2003 / Results of surgical treatment of adult idiopathic scoliosis with low back pain and spinal stenosis: a study of long-term clinical radiographic outcomes / Spine 28:358~363
Yamada K / 2016 / Targeted therapy for low back pain in elderly degenerative lumbar scoliosis: a cohort study / Spine 41:872~879
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