The health impact of symptomatic adult spinal deformity: Comparison of deformity types to United States population norms and chronic diseases

Shay Bess, Breton Line, Kai Ming Fu, Ian Mccarthy, Virgine Lafage, Frank Schwab, Christopher Shaffrey, Christopher Ames, Behrooz Akbarnia, Han Jo, Michael Kelly, Douglas Burton, Robert Hart, Eric Klineberg, Khaled Kebaish, Richard Hostin, Gregory Mundis, Praveen Mummaneni, Justin S. Smith

Research output: Contribution to journalArticle

45 Citations (Scopus)

Abstract

Study Design. A retrospective analysis of a prospective, multicenter database. Objective. The aim of this study was to evaluate the health impact of symptomatic adult spinal deformity (SASD) by comparing Standard Form Version 2 (SF-36) scores for SASD with United States normative and chronic disease values. Summary of Background Data. Recent data have identified radiographic parameters correlating with poor health-related quality of life for SASD. Disability comparisons between SASD patients and patients with chronic diseases may provide further insight to the disease burden caused by SASD. Methods. Consecutive SASD patients, with no history of spine surgery, were enrolled into a multicenter database and evaluated for type and severity of spinal deformity. Baseline SF-36 physical component summary (PCS) and mental component summary (MCS) values for SASD patients were compared with reported U.S. normative and chronic disease SF-36 scores. SF-36 scores were reported as normative-based scores (NBS) and evaluated for minimally clinical important difference (MCID). Results. Between 2008 and 2011, 497 SASD patients were prospectively enrolled and evaluated. Mean PCS for all SASD was lower than U.S. total population (ASD=40.9; US=50; P0.05), whereas patients with lumbar scoliosis combined with severe sagittal malalignment (SVA >10cm) demonstrated worse PCS scores than values reported by patients with limited use of arms and legs (24.7 vs 29.1, respectively; P

Original languageEnglish (US)
Pages (from-to)224-233
Number of pages10
JournalSpine
Volume41
Issue number3
DOIs
StatePublished - Feb 1 2016
Externally publishedYes

Fingerprint

Chronic Disease
Health
Population
Databases
Scoliosis
Leg
Spine
Arm
Quality of Life

Keywords

  • adult spinal deformity
  • disability
  • health related quality of life
  • SF-36

ASJC Scopus subject areas

  • Clinical Neurology
  • Orthopedics and Sports Medicine

Cite this

The health impact of symptomatic adult spinal deformity : Comparison of deformity types to United States population norms and chronic diseases. / Bess, Shay; Line, Breton; Fu, Kai Ming; Mccarthy, Ian; Lafage, Virgine; Schwab, Frank; Shaffrey, Christopher; Ames, Christopher; Akbarnia, Behrooz; Jo, Han; Kelly, Michael; Burton, Douglas; Hart, Robert; Klineberg, Eric; Kebaish, Khaled; Hostin, Richard; Mundis, Gregory; Mummaneni, Praveen; Smith, Justin S.

In: Spine, Vol. 41, No. 3, 01.02.2016, p. 224-233.

Research output: Contribution to journalArticle

Bess, S, Line, B, Fu, KM, Mccarthy, I, Lafage, V, Schwab, F, Shaffrey, C, Ames, C, Akbarnia, B, Jo, H, Kelly, M, Burton, D, Hart, R, Klineberg, E, Kebaish, K, Hostin, R, Mundis, G, Mummaneni, P & Smith, JS 2016, 'The health impact of symptomatic adult spinal deformity: Comparison of deformity types to United States population norms and chronic diseases', Spine, vol. 41, no. 3, pp. 224-233. https://doi.org/10.1097/BRS.0000000000001202
Bess, Shay ; Line, Breton ; Fu, Kai Ming ; Mccarthy, Ian ; Lafage, Virgine ; Schwab, Frank ; Shaffrey, Christopher ; Ames, Christopher ; Akbarnia, Behrooz ; Jo, Han ; Kelly, Michael ; Burton, Douglas ; Hart, Robert ; Klineberg, Eric ; Kebaish, Khaled ; Hostin, Richard ; Mundis, Gregory ; Mummaneni, Praveen ; Smith, Justin S. / The health impact of symptomatic adult spinal deformity : Comparison of deformity types to United States population norms and chronic diseases. In: Spine. 2016 ; Vol. 41, No. 3. pp. 224-233.
@article{888e26b8c53f4d54b85ace4458faf8cc,
title = "The health impact of symptomatic adult spinal deformity: Comparison of deformity types to United States population norms and chronic diseases",
abstract = "Study Design. A retrospective analysis of a prospective, multicenter database. Objective. The aim of this study was to evaluate the health impact of symptomatic adult spinal deformity (SASD) by comparing Standard Form Version 2 (SF-36) scores for SASD with United States normative and chronic disease values. Summary of Background Data. Recent data have identified radiographic parameters correlating with poor health-related quality of life for SASD. Disability comparisons between SASD patients and patients with chronic diseases may provide further insight to the disease burden caused by SASD. Methods. Consecutive SASD patients, with no history of spine surgery, were enrolled into a multicenter database and evaluated for type and severity of spinal deformity. Baseline SF-36 physical component summary (PCS) and mental component summary (MCS) values for SASD patients were compared with reported U.S. normative and chronic disease SF-36 scores. SF-36 scores were reported as normative-based scores (NBS) and evaluated for minimally clinical important difference (MCID). Results. Between 2008 and 2011, 497 SASD patients were prospectively enrolled and evaluated. Mean PCS for all SASD was lower than U.S. total population (ASD=40.9; US=50; P0.05), whereas patients with lumbar scoliosis combined with severe sagittal malalignment (SVA >10cm) demonstrated worse PCS scores than values reported by patients with limited use of arms and legs (24.7 vs 29.1, respectively; P",
keywords = "adult spinal deformity, disability, health related quality of life, SF-36",
author = "Shay Bess and Breton Line and Fu, {Kai Ming} and Ian Mccarthy and Virgine Lafage and Frank Schwab and Christopher Shaffrey and Christopher Ames and Behrooz Akbarnia and Han Jo and Michael Kelly and Douglas Burton and Robert Hart and Eric Klineberg and Khaled Kebaish and Richard Hostin and Gregory Mundis and Praveen Mummaneni and Smith, {Justin S.}",
year = "2016",
month = "2",
day = "1",
doi = "10.1097/BRS.0000000000001202",
language = "English (US)",
volume = "41",
pages = "224--233",
journal = "Spine",
issn = "0362-2436",
publisher = "Lippincott Williams and Wilkins",
number = "3",

}

TY - JOUR

T1 - The health impact of symptomatic adult spinal deformity

T2 - Comparison of deformity types to United States population norms and chronic diseases

AU - Bess, Shay

AU - Line, Breton

AU - Fu, Kai Ming

AU - Mccarthy, Ian

AU - Lafage, Virgine

AU - Schwab, Frank

AU - Shaffrey, Christopher

AU - Ames, Christopher

AU - Akbarnia, Behrooz

AU - Jo, Han

AU - Kelly, Michael

AU - Burton, Douglas

AU - Hart, Robert

AU - Klineberg, Eric

AU - Kebaish, Khaled

AU - Hostin, Richard

AU - Mundis, Gregory

AU - Mummaneni, Praveen

AU - Smith, Justin S.

PY - 2016/2/1

Y1 - 2016/2/1

N2 - Study Design. A retrospective analysis of a prospective, multicenter database. Objective. The aim of this study was to evaluate the health impact of symptomatic adult spinal deformity (SASD) by comparing Standard Form Version 2 (SF-36) scores for SASD with United States normative and chronic disease values. Summary of Background Data. Recent data have identified radiographic parameters correlating with poor health-related quality of life for SASD. Disability comparisons between SASD patients and patients with chronic diseases may provide further insight to the disease burden caused by SASD. Methods. Consecutive SASD patients, with no history of spine surgery, were enrolled into a multicenter database and evaluated for type and severity of spinal deformity. Baseline SF-36 physical component summary (PCS) and mental component summary (MCS) values for SASD patients were compared with reported U.S. normative and chronic disease SF-36 scores. SF-36 scores were reported as normative-based scores (NBS) and evaluated for minimally clinical important difference (MCID). Results. Between 2008 and 2011, 497 SASD patients were prospectively enrolled and evaluated. Mean PCS for all SASD was lower than U.S. total population (ASD=40.9; US=50; P0.05), whereas patients with lumbar scoliosis combined with severe sagittal malalignment (SVA >10cm) demonstrated worse PCS scores than values reported by patients with limited use of arms and legs (24.7 vs 29.1, respectively; P

AB - Study Design. A retrospective analysis of a prospective, multicenter database. Objective. The aim of this study was to evaluate the health impact of symptomatic adult spinal deformity (SASD) by comparing Standard Form Version 2 (SF-36) scores for SASD with United States normative and chronic disease values. Summary of Background Data. Recent data have identified radiographic parameters correlating with poor health-related quality of life for SASD. Disability comparisons between SASD patients and patients with chronic diseases may provide further insight to the disease burden caused by SASD. Methods. Consecutive SASD patients, with no history of spine surgery, were enrolled into a multicenter database and evaluated for type and severity of spinal deformity. Baseline SF-36 physical component summary (PCS) and mental component summary (MCS) values for SASD patients were compared with reported U.S. normative and chronic disease SF-36 scores. SF-36 scores were reported as normative-based scores (NBS) and evaluated for minimally clinical important difference (MCID). Results. Between 2008 and 2011, 497 SASD patients were prospectively enrolled and evaluated. Mean PCS for all SASD was lower than U.S. total population (ASD=40.9; US=50; P0.05), whereas patients with lumbar scoliosis combined with severe sagittal malalignment (SVA >10cm) demonstrated worse PCS scores than values reported by patients with limited use of arms and legs (24.7 vs 29.1, respectively; P

KW - adult spinal deformity

KW - disability

KW - health related quality of life

KW - SF-36

UR - http://www.scopus.com/inward/record.url?scp=84959478467&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84959478467&partnerID=8YFLogxK

U2 - 10.1097/BRS.0000000000001202

DO - 10.1097/BRS.0000000000001202

M3 - Article

C2 - 26571174

AN - SCOPUS:84959478467

VL - 41

SP - 224

EP - 233

JO - Spine

JF - Spine

SN - 0362-2436

IS - 3

ER -