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Adult spinal deformity: a very heterogeneous population of patients with different needs

Yıl 2016, Cilt: 50 Sayı: 1, 57 - 62, 16.01.2016

Öz

Objective: The purpose of this study was to analyze and demonstrate the heterogeneity in adult spinal deformity (ASD) populations by baseline health-related quality of life (HRQL) data.
Methods: ASD was defined as patients over 18 years of age with any of the following: coronal deformity >20°, sagittal vertical axis (SVA) >5 cm, pelvic tilt >25°, or thoracic kyphosis >60°. Three hundred fifty-two patients meeting the above definition of ASD were analyzed for measures of HRQL (Oswestry disability index [ODI], SRS-22 [Scoliosis Research Society-22], and SF-36 [Short form-36 health survey] questionnaires) at presentation. Age groups were defined as 18–40, 40–60, and>60 years. Deformity was analyzed as either degenerative (DS) or idiopathic (IS) (294 patients; 71 degenerative, 223 idiopathic).
Results: There were significant differences between age groups–predominantly between the lower age group (18–40) and others –for all HRQL parameters except SRS-22 mental health and SF-36 mental component score. Similarly, HRQL measures for DS and IS deformities were significantly different. Regarding location of main curves, thoracolumbar/lumbar (TL/L) (70.2%) was dominant for the DS group and thoracic (55%) for the IS group. Mean age was 65 years for the DS group and 36 for the IS group, which were significantly different. Radiographic parameters were also significantly different between these groups, with IS patients having more coronal deformity and better sagittal balance.
Conclusion: ASD patients are very heterogeneous at presentation, depending on age and diagnosis. There is a distinct need to stratify ASD as early and late presentation ASD and/or by diagnosis. Patients with IS deformity may be very different from those with DS deformity, even at time of presentation. These differences must be taken into consideration in treatment of these patients, as well as for the analysis of the results of treatment.

Yıl 2016, Cilt: 50 Sayı: 1, 57 - 62, 16.01.2016

Öz

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Ayrıntılar

Birincil Dil İngilizce
Bölüm Orijinal Makale
Yazarlar

Rıfat Emre Acaroğlu Bu kişi benim

Ozgur Dede Bu kişi benim

Umit Guler Bu kişi benim

Montse Domingo-sabat Bu kişi benim

European Spine Study Group Bu kişi benim

Yayımlanma Tarihi 16 Ocak 2016
Yayımlandığı Sayı Yıl 2016 Cilt: 50 Sayı: 1

Kaynak Göster

APA Acaroğlu, R. E., Dede, O., Guler, U., Domingo-sabat, M., vd. (2016). Adult spinal deformity: a very heterogeneous population of patients with different needs. Acta Orthopaedica Et Traumatologica Turcica, 50(1), 57-62.
AMA Acaroğlu RE, Dede O, Guler U, Domingo-sabat M, Study Group ES. Adult spinal deformity: a very heterogeneous population of patients with different needs. Acta Orthopaedica et Traumatologica Turcica. Ocak 2016;50(1):57-62.
Chicago Acaroğlu, Rıfat Emre, Ozgur Dede, Umit Guler, Montse Domingo-sabat, ve European Spine Study Group. “Adult Spinal Deformity: A Very Heterogeneous Population of Patients With Different Needs”. Acta Orthopaedica Et Traumatologica Turcica 50, sy. 1 (Ocak 2016): 57-62.
EndNote Acaroğlu RE, Dede O, Guler U, Domingo-sabat M, Study Group ES (01 Ocak 2016) Adult spinal deformity: a very heterogeneous population of patients with different needs. Acta Orthopaedica et Traumatologica Turcica 50 1 57–62.
IEEE R. E. Acaroğlu, O. Dede, U. Guler, M. Domingo-sabat, ve E. S. Study Group, “Adult spinal deformity: a very heterogeneous population of patients with different needs”, Acta Orthopaedica et Traumatologica Turcica, c. 50, sy. 1, ss. 57–62, 2016.
ISNAD Acaroğlu, Rıfat Emre vd. “Adult Spinal Deformity: A Very Heterogeneous Population of Patients With Different Needs”. Acta Orthopaedica et Traumatologica Turcica 50/1 (Ocak 2016), 57-62.
JAMA Acaroğlu RE, Dede O, Guler U, Domingo-sabat M, Study Group ES. Adult spinal deformity: a very heterogeneous population of patients with different needs. Acta Orthopaedica et Traumatologica Turcica. 2016;50:57–62.
MLA Acaroğlu, Rıfat Emre vd. “Adult Spinal Deformity: A Very Heterogeneous Population of Patients With Different Needs”. Acta Orthopaedica Et Traumatologica Turcica, c. 50, sy. 1, 2016, ss. 57-62.
Vancouver Acaroğlu RE, Dede O, Guler U, Domingo-sabat M, Study Group ES. Adult spinal deformity: a very heterogeneous population of patients with different needs. Acta Orthopaedica et Traumatologica Turcica. 2016;50(1):57-62.