Impact of pedicle subtraction osteotomy on health-related quality of life (HRQOL) measures in patients undergoing surgery for adult spinal deformity: a systematic review and meta-analysis
Autor: | Nasir A. Quraishi, Dritan Pasku, Ahmad M. Tarawneh, Jagdeep Singh, Muralidharan Venkatesan |
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Rok vydání: | 2020 |
Předmět: |
Adult
medicine.medical_specialty medicine.medical_treatment Scoliosis Osteotomy 03 medical and health sciences 0302 clinical medicine Quality of life medicine Humans Orthopedics and Sports Medicine Retrospective Studies 030222 orthopedics business.industry medicine.disease Sagittal plane Surgery Oswestry Disability Index Systematic review medicine.anatomical_structure Treatment Outcome Meta-analysis Quality of Life Neurosurgery business 030217 neurology & neurosurgery Follow-Up Studies |
Zdroj: | European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society. 29(12) |
ISSN: | 1432-0932 |
Popis: | Systematic review and meta-analysis. Three-column osteotomies (3-CO) have gained popularity in the last decade as part of the armamentarium for the surgical correction of sagittal imbalance in patients with adult spinal deformity (ASD). Three-column osteotomies in the form of pedicle subtraction osteotomy (PSO) may be necessary to achieve adequate correction for severe and rigid spinal deformity. Studies reporting improvement in health-related quality of life (HRQOL) with validated outcome measures after PSO surgery are sparse and currently consist of small series. Evaluate the improvement in HRQOL measures following PSO for adult spinal deformity. Two independent reviewers conducted a systematic review of the English literature between period 1996 and 2019 for articles reporting outcome of PSO in patients with ASD according to PRISMA (Preferred Reporting Items for Systematic reviews and Meta-Analyses) guidelines. Inclusion criteria were studies consisting of patient-reported outcome Oswestry Disability Index (ODI) and Scoliosis Research Society 22 or 24 (SRS) outcomes after PSO surgery for adult spine deformity patients (18 years or older) with a minimum follow-up of 1 year. Eight studies with 431 PSOs were included in the meta-analysis. The results showed a statistically significant improvement in ODI in PSO (P |
Databáze: | OpenAIRE |
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