ArticleEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2019
Activities of daily living and patient satisfaction after long fusion for adult spinal deformity: a retrospective study.
Article in 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, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed.
- Factors associated with favorable outcomes of floating fusion or lumbosacral spinal fusion in adult spinal deformity surgery: an analysis of the incidence of mechanical complications from a multicenter study.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 · 2026Article
- Proximal and distal junctional failures after a short-segment minimally invasive surgery combination that incorporates anterior column realignment (ACR) for adult spinal deformity.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 · 2026Article
- Limitations of fusion without pelvic foundation in adult spinal deformity surgery.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 · 2026Article
- Procedural, Reimbursement, and Geographic Trends in Adult Spinal Deformity Correction Surgery: A Medicare Analysis.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 · 2026Article
- Impact of Lumbar Arthrodesis on Activities of Daily Living in Japanese Patients with Adult Spinal Deformity Using a Novel Questionnaire Focused on Oriental Lifestyle.Journal of clinical medicine · 2025Article
- Pelvic Kinematics during Gait Following Long-Segment Spinal Fusion Due to Adult Spinal Deformity: An Analysis Using a Smartphone-Based Inertial Measurement Unit.Spine surgery and related research · 2025Article
- Independent Prognostic Factors Associated With Improved Patient-Reported Outcomes in the Prospective Evaluation of Elderly Deformity Surgery (PEEDS) Study.Global spine journal · 2024Article
- Comparative advantages of activities with lumbosacral preservation for adult spinal deformity surgery: a retrospective Japanese cohort study.Asian spine journal · 2024Article
- Distal Junctional Failure After Fusion Stopping at L5 in Patients With Adult Spinal Deformity: Incidence, Risk Factors, and Radiographic Criteria.Neurospine · 2024Article
- Development of patient-reported outcome for adult spinal deformity: validation study.Scientific reports · 2024Article
- Adolescent Perception of Stiffness After Spinal Fusion Surgery.Journal of patient experience · 2024Article
- Skip Fusion With Sacral-Alar-Iliac Screw Fixation for Pelvic Ring and Lumbar Fractures: A Case Report.Cureus · 2023Article
- Activity and sports resumption after long segment fusions to the pelvis for adult spinal deformity: survey results of AO Spine members.Spine deformity · 2023Article
- Comparative Study for Characteristics of Locomotive Syndrome in Patients with Lumbar Stenosis and Adult Spinal Deformity.Journal of clinical medicine · 2023Article
- Psychometric Evaluation and External Validity of the Japanese Version of Lumbar Stiffness Disability Index.Spine surgery and related research · 2022Article
- Clinical impact of short limited lumbar fusion for adult spinal deformity with postural and radiological abnormalities.Scientific reports · 2022Article
- Utilization of S1 Foraminal Hooks for Augmentation of S1 Screws in Adult Spinal Deformity Surgery: Comparative Study With Iliac Screws.Neurospine · 2021Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeSpinal instrumented arthrodesis improves health-related quality of life (HRQOL), although mobility is impaired. This study evaluates activities of daily livings after thoracolumbosacroiliac arthrodesis for adult spinal deformity and patient satisfaction.
methodsFifty patients who underwent surgery filled self-administered questionnaires (1-year preoperative and postoperative conditions), and 36 patients (3 men and 33 women; mean age 71.4 years) participated in the study. Twenty-five activities, including weeding, snow shoveling, toilet activities, and sleeping postures, were examined. Spinal alignment with Scoliosis Research Society (SRS)-Schwab classification, HRQOL with SRS-22, complications, and patient satisfaction were evaluated. Pre- and postoperative conditions were statistically compared.
resultsSpinal alignment improved postoperatively. Comparison data revealed that strenuous activities, such as weeding and farm work, significantly deteriorated postoperatively in 42.1-87.5% patients. Other basic activities, excluding Western toilet usage, sleeping supine, laundry and kitchen chores, and changing jacket/pants, also significantly deteriorated in 21-88% patients. Only activities such as sleeping supine, standing upright, vacuuming, doing laundry, and reaching for objects placed at heights became possible with significant difference postoperatively among activities that could not be performed preoperatively. Light activities were continued, but strenuous activities were restricted. Nevertheless, the patient satisfaction rate was 70%. Six patients exhibited complications; however, none were dissatisfied with surgery outcomes. Instrumentation or proximal junctional failures were associated with at least one strenuous work activity.
conclusionsThoracolumbosacroiliac arthrodesis does not always improve activities postoperatively. Therefore, surgical indication for patients who continue activities preoperatively should be carefully decided. LEVEL OF EVIDENCE: Level 3. These slides can be retrieved under Electronic Supplementary Material.
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