The Influence of Diagnosis, Age, and Gender on Surgical Outcomes in Patients With Adult Spinal Deformity

• DOI: 10.1177/2192568218772568
• Publication Date: 2018-04-30T04:09:48Z
• Authors: Selim Ayhan; Selcen Yuksel; Vugar Nabiyev; Prashant Adhikari; Alba Villa-Casade...; Ferran Pellise; Francisco Sanchez...; Ahmet Alanay; Ibrahim Obeid; Frank Kleinstueck; Emre Acaroglu
• Keywords: Spinal Deformity; Spinal Surgery

Retrospective review of prospectively collected data from a multicentric database.To determine the clinical impact diagnosis, age, and gender on treatment outcomes in surgically treated adult spinal deformity (ASD) patients.A total 199 surgical patients with minimum follow-up 1 year were included analyzed for baseline characteristics. Patients separated into 2 groups based improvement health-related quality life (HRQOL) parameters by clinically important difference. Statistics used to analyze effect outcome measurements followed multivariate binary logistic regression model these results statistical significance.Age was found affect SF-36 PCS (Short From-36 Physical Component Summary) score significantly, an odds ratio 1.017 (unit unit) improving analysis (P < .05). The breaking point age this 37.5 years (AUC = 58.0, P A diagnosis idiopathic would increase probability Oswestry Disability Index (ODI) factor 0.219 0.581 times Gender not have significant any HRQOL scores.Age, along degenerative deformity, may positive effects likelihood (for age) ODI diagnosis) ASD be earlier than generally anticipated. does seem results. These patient counseling anticipated surgery.