Effect of Perioperative Mental Status on Health-related Quality of Life in Patients With Adult Spinal Deformities

Study Design.
A retrospective study.
Objective.
We aimed to evaluate the impact of mental status on the clinical outcomes of patients with adult spinal deformity (ASD).
Summary of Background Data.
Limited information is currently available on how preoperative mental status affects postoperative health-related quality of life (HRQOL) in patients with ASD.
Methods.
We enrolled 165 patients with ASD who underwent corrective surgery at a single university hospital between March 2010 and September 2015. We compared Scoliosis Research Society-22r (SRS-22r) and Oswestry Disability Index (ODI) scores using various x-ray parameters at these time points: preoperative period and postoperative 2 years. Additionally, to determine the associations between perioperative complications and mental health disorders, we examined these x-ray parameters: lumbar lordosis, thoracic kyphosis, sacral slope, pelvic incidence, pelvic tilt, sagittal vertical axis (SVA), and T1 pelvic angle (TPA).
Results.
We found correlations between the preoperative SRS-22r total score and preoperative ODI (r = −0.692, P 

Source: Spine - January 8, 2020 Category: Orthopaedics Tags: CLINICAL CASE SERIES Source Type: research