PMID- 37798979
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20231026
IS  - 2586-6583 (Print)
IS  - 2586-6591 (Electronic)
IS  - 2586-6591 (Linking)
VI  - 20
IP  - 3
DP  - 2023 Sep
TI  - Outcomes of Surgical Treatment for Patients With Mild Scoliosis and 
      Age-Appropriate Sagittal Alignment With Minimum 2-Year Follow-up.
PG  - 837-848
LID - 10.14245/ns.2346454.227 [doi]
AB  - OBJECTIVE: The goal of this study was to determine if patients with mild 
      scoliosis and age-appropriate sagittal alignment have favorable outcomes 
      following surgical correction. METHODS: Retrospective review of a prospective, 
      multicenter adult spinal deformity database. Inclusion criteria: operative 
      patients age >/=18 years, and preoperative pelvic tilt, mismatch between pelvic 
      incidence and lumbar lordosis (PI-LL), and C7 sagittal vertical axis all within 
      established age-adjusted thresholds with minimum 2-year follow-up. Health-related 
      quality of life (HRQoL) scores: Oswestry Disability Index (ODI), 36-item Short 
      Form health survey (SF-36), Scoliosis Research Society-22R (SRS22R), back/leg 
      pain Numerical Rating Scale and minimum clinically important difference 
      (MCID)/substantial clinical benefit (SCB). Two-year and preoperative HRQoL 
      radiographic data were compared. Patients with mild scoliosis (Mild Scoli, Max 
      coronal Cobb 10 degrees -30 degrees ) were compared to those with larger curves (Scoli). RESULTS: 
      One hundred fifty-one patients included from 667 operative patients (82.8% women; 
      average age, 56.4 +/- 16.2 years). Forty-two patients (27.8%) included in Mild 
      Scoli group. Mild Scoli group had significantly worse baseline leg pain, ODI, and 
      physical composite scores (p < 0.02). Mean 2-year maximum coronal Cobb angle was 
      significantly improved compared to baseline (p < 0.001). All 2-year HRQoL 
      measures were significantly improved compared to (p < 0.001) except mental 
      composite score, SRS activity and SRS mental for the Mild Scoli group (p > 0.05). 
      From the mild Scoli group, 36%-74% met either MCID or SCB for the HRQoL measures. 
      Sixty-four point three percent had minimum 1 complication, 28.6% had a major 
      complication, 35.7% had reoperation. CONCLUSION: Mild scoliosis patients with 
      age-appropriate sagittal alignment benefit from surgical correction, 
      decompression, and stabilization at 2 years postoperative despite having a high 
      complication rate.
FAU - Scheer, Justin K
AU  - Scheer JK
AD  - Department of Neurological Surgery, University of California, San Francisco, San 
      Francisco, CA, USA.
FAU - Smith, Justin S
AU  - Smith JS
AD  - Department of Neurosurgery, University of Virginia Health System, 
      Charlottesville, VA, USA.
FAU - Passias, Peter G
AU  - Passias PG
AD  - Department of Orthopaedic Surgery, NYU Hospital for Joint Diseases, New York, NY, 
      USA.
FAU - Kim, Han Jo
AU  - Kim HJ
AD  - Department of Orthopaedic Surgery, Hospital for Special Surgery, New York City, 
      NY, USA.
FAU - Bess, Shay
AU  - Bess S
AD  - Presbyterian St. Lukes Medical Center, Denver, CO, USA.
FAU - Burton, Douglas C
AU  - Burton DC
AD  - Department of Orthopaedic Surgery, University of Kansas Medical Center, Kansas 
      City, KS, USA.
FAU - Klineberg, Eric O
AU  - Klineberg EO
AD  - Department of Orthopaedic Surgery, University of California, Davis, CA, USA.
FAU - Lafage, Virginie
AU  - Lafage V
AD  - Department of Orthopaedics, Lenox Hill Hospital, Northwell Health, New York, NY, 
      USA.
FAU - Gupta, Munish
AU  - Gupta M
AD  - Department of Orthopedic Surgery, Washington University School of Medicine, St 
      Louis, MO, USA.
FAU - Ames, Christopher P
AU  - Ames CP
AD  - Department of Neurological Surgery, University of California, San Francisco, San 
      Francisco, CA, USA.
CN  - International Spine Study Group
LA  - eng
PT  - Journal Article
DEP - 20230930
PL  - Korea (South)
TA  - Neurospine
JT  - Neurospine
JID - 101724936
CIN - Neurospine. 2023 Sep;20(3):849-851. PMID: 37798980
PMC - PMC10562222
OTO - NOTNLM
OT  - Adult spinal deformity
OT  - Complications
OT  - Mild scoliosis
OT  - Outcomes
OT  - Sagittal alignment
COIS- Conflict of Interest The authors have nothing to disclose.
EDAT- 2023/10/06 06:43
MHDA- 2023/10/06 06:44
PMCR- 2023/09/01
CRDT- 2023/10/06 02:39
PHST- 2023/04/17 00:00 [received]
PHST- 2023/07/26 00:00 [accepted]
PHST- 2023/10/06 06:44 [medline]
PHST- 2023/10/06 06:43 [pubmed]
PHST- 2023/10/06 02:39 [entrez]
PHST- 2023/09/01 00:00 [pmc-release]
AID - ns.2346454.227 [pii]
AID - ns-2346454-227 [pii]
AID - 10.14245/ns.2346454.227 [doi]
PST - ppublish
SO  - Neurospine. 2023 Sep;20(3):837-848. doi: 10.14245/ns.2346454.227. Epub 2023 Sep 
      30.