Activities of daily living and patient satisfaction after long fusion for adult spinal deformity: a retrospective study
| العنوان: | Activities of daily living and patient satisfaction after long fusion for adult spinal deformity: a retrospective study |
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| المؤلفون: | Yoichi Shimada, Eiji Abe, Hiroaki Kijima, Toshiki Abe, Yoshinori Ishikawa, Naohisa Miyakoshi, Takashi Kobayashi |
| المصدر: | European Spine Journal. 28:1670-1677 |
| بيانات النشر: | Springer Science and Business Media LLC, 2019. |
| سنة النشر: | 2019 |
| مصطلحات موضوعية: | Male, medicine.medical_specialty, Activities of daily living, Supine position, Arthrodesis, medicine.medical_treatment, Scoliosis, Spinal Curvatures, 03 medical and health sciences, 0302 clinical medicine, Patient satisfaction, Quality of life, Activities of Daily Living, medicine, Humans, Orthopedics and Sports Medicine, Patient Reported Outcome Measures, Aged, Retrospective Studies, Aged, 80 and over, 030222 orthopedics, business.industry, Retrospective cohort study, Middle Aged, medicine.disease, Spinal Fusion, Treatment Outcome, Patient Satisfaction, Quality of Life, Physical therapy, Female, Surgery, Neurosurgery, business, 030217 neurology & neurosurgery, Follow-Up Studies |
| الوصف: | Spinal instrumented arthrodesis improves health-related quality of life (HRQOL), although mobility is impaired. This study evaluates activities of daily livings after thoracolumbosacroiliac arthrodesis for adult spinal deformity and patient satisfaction. Fifty patients who underwent surgery filled self-administered questionnaires (1-year preoperative and postoperative conditions), and 36 patients (3 men and 33 women; mean age 71.4 years) participated in the study. Twenty-five activities, including weeding, snow shoveling, toilet activities, and sleeping postures, were examined. Spinal alignment with Scoliosis Research Society (SRS)—Schwab classification, HRQOL with SRS-22, complications, and patient satisfaction were evaluated. Pre- and postoperative conditions were statistically compared. Spinal alignment improved postoperatively. Comparison data revealed that strenuous activities, such as weeding and farm work, significantly deteriorated postoperatively in 42.1–87.5% patients. Other basic activities, excluding Western toilet usage, sleeping supine, laundry and kitchen chores, and changing jacket/pants, also significantly deteriorated in 21–88% patients. Only activities such as sleeping supine, standing upright, vacuuming, doing laundry, and reaching for objects placed at heights became possible with significant difference postoperatively among activities that could not be performed preoperatively. Light activities were continued, but strenuous activities were restricted. Nevertheless, the patient satisfaction rate was 70%. Six patients exhibited complications; however, none were dissatisfied with surgery outcomes. Instrumentation or proximal junctional failures were associated with at least one strenuous work activity. Thoracolumbosacroiliac arthrodesis does not always improve activities postoperatively. Therefore, surgical indication for patients who continue activities preoperatively should be carefully decided. Level 3. These slides can be retrieved under Electronic Supplementary Material. |
| تدمد: | 1432-0932 0940-6719 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::b61ecf6be2e58146b3a8dcc9cd0eb85aTest https://doi.org/10.1007/s00586-019-05893-7Test |
| حقوق: | CLOSED |
| رقم الانضمام: | edsair.doi.dedup.....b61ecf6be2e58146b3a8dcc9cd0eb85a |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14320932 09406719 |
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