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Adult Spinal Deformity Surgery and Frailty: A Systematic Review
| Content Provider | SAGE Publishing |
|---|---|
| Author | Laverdière, Carl Georgiopoulos, Miltiadis Ames, Christopher P. Corban, Jason Ahangar, Pouyan Awadhi, Khaled Weber, Michael H. |
| Copyright Year | 2021 |
| Abstract | Study Design:Systematic review.Objectives:Adult spinal deformity (ASD) can be a debilitating condition with a profound impact on patients’ health-related quality of life (HRQoL). Many reports have suggested that the frailty status of a patient can have a significant impact on the outcome of the surgery. The present review aims to identify all pre-operative patient-specific frailty markers that are associated with postoperative outcomes following corrective surgery for ASD of the lumbar and thoracic spine.Methods:A systematic review of the literature was performed to identify findings regarding pre-operative markers of frailty and their association with postoperative outcomes in patients undergoing ASD surgery of the lumbar and thoracic spine. The search was performed in the following databases: PubMed, Embase, Cochrane and CINAHL.Results:An association between poorer performance on frailty scales and worse postoperative outcomes. Comorbidity indices were even more frequently employed with similar patterns of association between increased comorbidity burden and postoperative outcomes. Regarding the assessment of HRQoL, worse pre-operative ODI, SF-36, SRS-22 and NRS were shown to be predictors of post-operative complications, while ODI, SF-36 and SRS-22 were found to improve post-operatively.Conclusions:The findings of this review highlight the true breadth of the concept of “frailty” in ASD surgical correction. These parameters, which include frailty scales and various comorbidity and HRQoL indices, highlight the importance of identifying these factors preoperatively to ensure appropriate patient selection while helping to limit poor postoperative outcomes. |
| Related Links | https://journals.sagepub.com/doi/pdf/10.1177/21925682211004250?download=true |
| Starting Page | 689 |
| Ending Page | 699 |
| Page Count | 11 |
| ISSN | 21925682 |
| Issue Number | 4 |
| Volume Number | 12 |
| Journal | Global Spine Journal (GSJ) |
| e-ISSN | 21925690 |
| DOI | 10.1177/21925682211004250 |
| Language | English |
| Publisher | Sage Publications CA |
| Publisher Date | 2021-03-26 |
| Publisher Place | Los Angeles |
| Access Restriction | Open |
| Rights Holder | © The Author(s) 2021 |
| Subject Keyword | health-related quality of life degenerative adult spinal deformity outcomes index surgery spine frailty HRQoL comorbidity |
| Content Type | Text |
| Resource Type | Article |
| Subject | Orthopedics and Sports Medicine Neurology (clinical) Surgery |
