作者
Justin S Smith, Virginie Lafage, Christopher I Shaffrey, Frank Schwab, Renaud Lafage, Richard Hostin, Michael O'brien, Oheneba Boachie-Adjei, Behrooz A Akbarnia, Gregory M Mundis, Thomas Errico, Han Jo Kim, Themistocles S Protopsaltis, D Kojo Hamilton, Justin K Scheer, Daniel Sciubba, Tamir Ailon, Kai-Ming G Fu, Michael P Kelly, Lukas Zebala, Breton Line, Eric Klineberg, Munish Gupta, Vedat Deviren, Robert Hart, Doug Burton, Shay Bess, Christopher P Ames, International Spine Study Group
发表日期
2016/6/1
期刊
Neurosurgery
卷号
78
期号
6
页码范围
851-861
出版商
LWW
简介
BACKGROUND: High-quality studies that compare operative and nonoperative treatment for adult spinal deformity (ASD) are needed.
OBJECTIVE: To compare outcomes of operative and nonoperative treatment for ASD.
METHODS: This is a multicenter, prospective analysis of consecutive ASD patients opting for operative or nonoperative care. Inclusion criteria were age> 18 years and ASD. Operative and nonoperative patients were propensity matched with the baseline Oswestry Disability Index, Scoliosis Research Society-22r, thoracolumbar/lumbar Cobb angle, pelvic incidence–to–lumbar lordosis mismatch (PI-LL), and leg pain score. Analyses were confined to patients with a minimum of 2 years of follow-up.
RESULTS: Two hundred eighty-six operative and 403 nonoperative patients met the criteria, with mean ages of 53 and 55 years, 2-year follow-up rates of 86% and 55%, and mean follow-up of 24.7 and 24.8 …
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JS Smith, V Lafage, CI Shaffrey, F Schwab, R Lafage… - Neurosurgery, 2016