Recovery following adult spinal deformity surgery: the effect of complications and reoperation in 149 patients with 2-year follow-up

Justin K. Scheer, Gregory M. Mundis, Eric Klineberg, Robert Hart, Vedat Deviren, Douglas C. Burton, Themistocles S. Protopsaltis, Munish Gupta, John D. Rolston, Shay Bess, Christopher I. Shaffrey, Frank Schwab, Virginie Lafage, Justin S. Smith, Christopher P. Ames, Spine Study Group (Issg) International Spine Study Group (Issg)

Research output: Contribution to journalArticle

18 Citations (Scopus)

Abstract

Purpose: To identify the effect of complications and reoperation on the recovery process following adult spinal deformity (ASD) surgery by examining health-related quality of life (HRQOL) measures over time via an integrated health state analysis (IHS).

Methods: A retrospective review of a multicenter, prospective ASD database was conducted. Complication number, type, and need for reoperation (REOP) or not (NOREOP) were recorded. Patients were stratified as having no complication (NOCOMP), any complication (COMP), only minor complications (MINOR) and any major complications (MAJOR). HRQOL measures included Oswestry Disability Index (ODI), Short Form-36 (SF-36), and Scoliosis Research Society-22 (SRS22) at baseline, 6 weeks, 1 and 2 years postoperatively. All HRQOL scores were normalized to each patient’s baseline scores and an IHS was then calculated.

Results: 149 patients were included. COMP, MINOR, and MAJOR had significantly lower normalized SRS mental scores at 1 and 2 years than NOCOMP (p <0.05). REOP had significantly worse normalized 1 and 2 year mental component score (MCS), SRS mental, and total score than NOCOMP (p <0.05). COMP, MINOR, and MAJOR all had significantly lower SRS mental IHSs than NOCOMP (p <0.05). REOP had significantly lower IHSs for MCS and SRS satisfaction than NOREOP (p <0.05). REOP had a significantly lower MCS and SRS mental IHS than NOCOMP (p <0.05).

Conclusion: An IHS analysis suggests there was a significantly protracted mental recovery phase associated with patients that had at least one complication, as well as either a minor and major complication. The addition of a reoperation also adversely affected the mental recovery as well as overall satisfaction.

Original languageEnglish (US)
JournalEuropean Spine Journal
DOIs
StateAccepted/In press - Feb 6 2015

Fingerprint

Reoperation
Quality of Life
Health
Scoliosis
Mental Health
Databases
Research

Keywords

  • Adult spinal deformity
  • Area under the curve
  • Complications
  • HRQOL
  • Integrated health state
  • Reoperation

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

Scheer, J. K., Mundis, G. M., Klineberg, E., Hart, R., Deviren, V., Burton, D. C., ... International Spine Study Group (Issg), S. S. G. I. (Accepted/In press). Recovery following adult spinal deformity surgery: the effect of complications and reoperation in 149 patients with 2-year follow-up. European Spine Journal. https://doi.org/10.1007/s00586-015-3787-3

Recovery following adult spinal deformity surgery : the effect of complications and reoperation in 149 patients with 2-year follow-up. / Scheer, Justin K.; Mundis, Gregory M.; Klineberg, Eric; Hart, Robert; Deviren, Vedat; Burton, Douglas C.; Protopsaltis, Themistocles S.; Gupta, Munish; Rolston, John D.; Bess, Shay; Shaffrey, Christopher I.; Schwab, Frank; Lafage, Virginie; Smith, Justin S.; Ames, Christopher P.; International Spine Study Group (Issg), Spine Study Group (Issg).

In: European Spine Journal, 06.02.2015.

Research output: Contribution to journalArticle

Scheer, JK, Mundis, GM, Klineberg, E, Hart, R, Deviren, V, Burton, DC, Protopsaltis, TS, Gupta, M, Rolston, JD, Bess, S, Shaffrey, CI, Schwab, F, Lafage, V, Smith, JS, Ames, CP & International Spine Study Group (Issg), SSGI 2015, 'Recovery following adult spinal deformity surgery: the effect of complications and reoperation in 149 patients with 2-year follow-up', European Spine Journal. https://doi.org/10.1007/s00586-015-3787-3
Scheer, Justin K. ; Mundis, Gregory M. ; Klineberg, Eric ; Hart, Robert ; Deviren, Vedat ; Burton, Douglas C. ; Protopsaltis, Themistocles S. ; Gupta, Munish ; Rolston, John D. ; Bess, Shay ; Shaffrey, Christopher I. ; Schwab, Frank ; Lafage, Virginie ; Smith, Justin S. ; Ames, Christopher P. ; International Spine Study Group (Issg), Spine Study Group (Issg). / Recovery following adult spinal deformity surgery : the effect of complications and reoperation in 149 patients with 2-year follow-up. In: European Spine Journal. 2015.
@article{7bd5cf868c39440492764658c952cec7,
title = "Recovery following adult spinal deformity surgery: the effect of complications and reoperation in 149 patients with 2-year follow-up",
abstract = "Purpose: To identify the effect of complications and reoperation on the recovery process following adult spinal deformity (ASD) surgery by examining health-related quality of life (HRQOL) measures over time via an integrated health state analysis (IHS).Methods: A retrospective review of a multicenter, prospective ASD database was conducted. Complication number, type, and need for reoperation (REOP) or not (NOREOP) were recorded. Patients were stratified as having no complication (NOCOMP), any complication (COMP), only minor complications (MINOR) and any major complications (MAJOR). HRQOL measures included Oswestry Disability Index (ODI), Short Form-36 (SF-36), and Scoliosis Research Society-22 (SRS22) at baseline, 6 weeks, 1 and 2 years postoperatively. All HRQOL scores were normalized to each patient’s baseline scores and an IHS was then calculated.Results: 149 patients were included. COMP, MINOR, and MAJOR had significantly lower normalized SRS mental scores at 1 and 2 years than NOCOMP (p <0.05). REOP had significantly worse normalized 1 and 2 year mental component score (MCS), SRS mental, and total score than NOCOMP (p <0.05). COMP, MINOR, and MAJOR all had significantly lower SRS mental IHSs than NOCOMP (p <0.05). REOP had significantly lower IHSs for MCS and SRS satisfaction than NOREOP (p <0.05). REOP had a significantly lower MCS and SRS mental IHS than NOCOMP (p <0.05).Conclusion: An IHS analysis suggests there was a significantly protracted mental recovery phase associated with patients that had at least one complication, as well as either a minor and major complication. The addition of a reoperation also adversely affected the mental recovery as well as overall satisfaction.",
keywords = "Adult spinal deformity, Area under the curve, Complications, HRQOL, Integrated health state, Reoperation",
author = "Scheer, {Justin K.} and Mundis, {Gregory M.} and Eric Klineberg and Robert Hart and Vedat Deviren and Burton, {Douglas C.} and Protopsaltis, {Themistocles S.} and Munish Gupta and Rolston, {John D.} and Shay Bess and Shaffrey, {Christopher I.} and Frank Schwab and Virginie Lafage and Smith, {Justin S.} and Ames, {Christopher P.} and {International Spine Study Group (Issg)}, {Spine Study Group (Issg)}",
year = "2015",
month = "2",
day = "6",
doi = "10.1007/s00586-015-3787-3",
language = "English (US)",
journal = "European Spine Journal",
issn = "0940-6719",
publisher = "Springer Verlag",

}

TY - JOUR

T1 - Recovery following adult spinal deformity surgery

T2 - the effect of complications and reoperation in 149 patients with 2-year follow-up

AU - Scheer, Justin K.

AU - Mundis, Gregory M.

AU - Klineberg, Eric

AU - Hart, Robert

AU - Deviren, Vedat

AU - Burton, Douglas C.

AU - Protopsaltis, Themistocles S.

AU - Gupta, Munish

AU - Rolston, John D.

AU - Bess, Shay

AU - Shaffrey, Christopher I.

AU - Schwab, Frank

AU - Lafage, Virginie

AU - Smith, Justin S.

AU - Ames, Christopher P.

AU - International Spine Study Group (Issg), Spine Study Group (Issg)

PY - 2015/2/6

Y1 - 2015/2/6

N2 - Purpose: To identify the effect of complications and reoperation on the recovery process following adult spinal deformity (ASD) surgery by examining health-related quality of life (HRQOL) measures over time via an integrated health state analysis (IHS).Methods: A retrospective review of a multicenter, prospective ASD database was conducted. Complication number, type, and need for reoperation (REOP) or not (NOREOP) were recorded. Patients were stratified as having no complication (NOCOMP), any complication (COMP), only minor complications (MINOR) and any major complications (MAJOR). HRQOL measures included Oswestry Disability Index (ODI), Short Form-36 (SF-36), and Scoliosis Research Society-22 (SRS22) at baseline, 6 weeks, 1 and 2 years postoperatively. All HRQOL scores were normalized to each patient’s baseline scores and an IHS was then calculated.Results: 149 patients were included. COMP, MINOR, and MAJOR had significantly lower normalized SRS mental scores at 1 and 2 years than NOCOMP (p <0.05). REOP had significantly worse normalized 1 and 2 year mental component score (MCS), SRS mental, and total score than NOCOMP (p <0.05). COMP, MINOR, and MAJOR all had significantly lower SRS mental IHSs than NOCOMP (p <0.05). REOP had significantly lower IHSs for MCS and SRS satisfaction than NOREOP (p <0.05). REOP had a significantly lower MCS and SRS mental IHS than NOCOMP (p <0.05).Conclusion: An IHS analysis suggests there was a significantly protracted mental recovery phase associated with patients that had at least one complication, as well as either a minor and major complication. The addition of a reoperation also adversely affected the mental recovery as well as overall satisfaction.

AB - Purpose: To identify the effect of complications and reoperation on the recovery process following adult spinal deformity (ASD) surgery by examining health-related quality of life (HRQOL) measures over time via an integrated health state analysis (IHS).Methods: A retrospective review of a multicenter, prospective ASD database was conducted. Complication number, type, and need for reoperation (REOP) or not (NOREOP) were recorded. Patients were stratified as having no complication (NOCOMP), any complication (COMP), only minor complications (MINOR) and any major complications (MAJOR). HRQOL measures included Oswestry Disability Index (ODI), Short Form-36 (SF-36), and Scoliosis Research Society-22 (SRS22) at baseline, 6 weeks, 1 and 2 years postoperatively. All HRQOL scores were normalized to each patient’s baseline scores and an IHS was then calculated.Results: 149 patients were included. COMP, MINOR, and MAJOR had significantly lower normalized SRS mental scores at 1 and 2 years than NOCOMP (p <0.05). REOP had significantly worse normalized 1 and 2 year mental component score (MCS), SRS mental, and total score than NOCOMP (p <0.05). COMP, MINOR, and MAJOR all had significantly lower SRS mental IHSs than NOCOMP (p <0.05). REOP had significantly lower IHSs for MCS and SRS satisfaction than NOREOP (p <0.05). REOP had a significantly lower MCS and SRS mental IHS than NOCOMP (p <0.05).Conclusion: An IHS analysis suggests there was a significantly protracted mental recovery phase associated with patients that had at least one complication, as well as either a minor and major complication. The addition of a reoperation also adversely affected the mental recovery as well as overall satisfaction.

KW - Adult spinal deformity

KW - Area under the curve

KW - Complications

KW - HRQOL

KW - Integrated health state

KW - Reoperation

UR - http://www.scopus.com/inward/record.url?scp=84922455201&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84922455201&partnerID=8YFLogxK

U2 - 10.1007/s00586-015-3787-3

DO - 10.1007/s00586-015-3787-3

M3 - Article

C2 - 25657105

AN - SCOPUS:84922455201

JO - European Spine Journal

JF - European Spine Journal

SN - 0940-6719

ER -