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Open Access 16-09-2023 | Original Article

Health-related quality of life 2 years after pedicle subtraction osteotomy for sagittal imbalance: a single-center experience of 65 patients

Authors: Pierre-Pascal Girod, Sara Lener, Nikolaus Kögl, Sebastian Hartmann, Anto Abramovic, Laura Krismer, Markus Santer, Martin Ortler, Claudius Thomé

Published in: Acta Neurochirurgica | Issue 11/2023

Abstract

Purpose

Pedicle subtraction osteotomy (PSO) as an invasive procedure with high reoperation and complication rates in an often elderly population has often been questioned. The purpose of our study was to evaluate the impact of PSO for sagittal imbalance (SI) on patient-reported outcomes including self-reported satisfaction and health-related quality of life 2 years postoperatively.

Methods

Consecutive patients who underwent correction of their spinal deformity by thoracolumbar PSO were assessed using self-reporting questionnaires 2 years postoperatively. Outcome was measured by visual analogue scale (VAS) for back and leg pain, Oswestry Disability Index (ODI), and EQ-5D scores. Additionally, a Patient Satisfaction Index (PSI) rated in four grades (A: very satisfied to D: not satisfied), walking range, and the Timed Up and Go (TUG) Test were evaluated.

Results

Sixty-five patients were included, and each parameter was assessed preoperatively and 24 months postoperatively. The intervention led to significant improvements in back pain (8.1 ± 1.2 vs. 2.9 ± 1.9; p < 0.001), as well as ODI scores (57.7 ± 13.9 vs. 32.6 ± 18.9; p < 0.001), walking range (589 ± 1676 m vs. 3265 ± 3405 m; p < 0.001), and TUG (19.2 s vs. 9.7 s; p < 0.05). 90.7% of patients (n = 59/65) reported a PSI grade “A” or “B” 24 months postoperatively.

Conclusion

Patient satisfaction 24 months after PSO for SI is high. Quality of life improved significantly by restoring sagittal balance.

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Title: Health-related quality of life 2 years after pedicle subtraction osteotomy for sagittal imbalance: a single-center experience of 65 patients
Authors: Pierre-Pascal Girod
Sara Lener
Nikolaus Kögl
Sebastian Hartmann
Anto Abramovic
Laura Krismer
Markus Santer
Martin Ortler
Claudius Thomé
Publication date: 16-09-2023
Publisher: Springer Vienna
Published in: Acta Neurochirurgica / Issue 11/2023
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI: https://doi.org/10.1007/s00701-023-05787-0

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Health-related quality of life 2 years after pedicle subtraction osteotomy for sagittal imbalance: a single-center experience of 65 patients

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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