Search Results

You are looking at 1 - 10 of 185 items for :

Clear All
Free access

Justin K. Scheer, Jessica A. Tang, Justin S. Smith, Eric Klineberg, Robert A. Hart, Gregory M. Mundis Jr., Douglas C. Burton, Richard Hostin, Michael F. O'Brien, Shay Bess, Khaled M. Kebaish, Vedat Deviren, Virginie Lafage, Frank Schwab, Christopher I. Shaffrey, Christopher P. Ames and the International Spine Study Group

standards for these events. HRQOL measures can also be used to compare the rate of the recovery and clinical change timeline of reoperation versus primary surgery to determine the extent to which a reoperation may slow or potentially permanently limit clinical improvement following deformity surgery. This study attempts to address in detail the following 4 primary aims: 1) determine prevalence of reoperation following surgery for adult spinal deformity, 2) assess indications for these reoperations, 3) evaluate for a relation between specific radiographic parameters and

Full access

Themistocles S. Protopsaltis, Justin K. Scheer, Jamie S. Terran, Justin S. Smith, D. Kojo Hamilton, Han Jo Kim, Greg M. Mundis Jr., Robert A. Hart, Ian M. McCarthy, Eric Klineberg, Virginie Lafage, Shay Bess, Frank Schwab, Christopher I. Shaffrey, Christopher P. Ames and International Spine Study Group

A dult spinal deformity has been studied extensively in the literature with a majority of publications focusing on thoracolumbar deformity and its effect on health-related quality of life (HRQOL) measures. 1 , 3 , 6 , 7 , 10 , 11 , 13 , 14 , 16 , 17 Among patients with thoracolumbar deformities, positive sagittal alignment has been associated with pain and disability. 2 , 7 , 11 , 13 , 16 Few studies have correlated validated health measures and positive cervical sagittal alignment. 16 , 17 Tang et al. 16 demonstrated that a C2–7 sagittal vertical axis

Full access

Joshua Bakhsheshian, Justin K. Scheer, Jeffrey L. Gum, Richard Hostin, Virginie Lafage, Shay Bess, Themistocles S. Protopsaltis, Douglas C. Burton, Malla Kate Keefe, Robert A. Hart, Gregory M. Mundis Jr., Christopher I. Shaffrey, Frank Schwab, Justin S. Smith, Christopher P. Ames and The International Spine Study Group

I t is well known that deformity of the spine has a significant impact on the health-related quality of life (HRQOL) of adults; 2 , 17 however, the impact of the mental health burden in patients with adult spinal deformity (ASD) treated with surgical spinal reconstruction is less clear. Although screening for a history of mental health disease has been advocated in the preoperative planning for reconstructive spine surgery, 14 a survey completed by 110 spine surgeons from the US revealed that only 37% routinely use some form of mental health screening

Restricted access

Philipp Dammann, Annika Herten, Alejandro N. Santos, Laurèl Rauschenbach, Bixia Chen, Marvin Darkwah Oppong, Börge Schmidt, Michael Forsting, Christoph Kleinschnitz and Ulrich Sure

assessment of the patient’s postoperative physical and psychological condition should therefore reflect such impairment, for example, by measuring health-related quality of life (HRQOL), 18 anxiety and depression, 19 or life satisfaction. 20 Although these measures are not disease-specific but are generic tools, they do provide information beyond mere ordinal functional scores and better reflect the patient’s everyday life situation. So far, only a very few small studies have reported on, for example, postoperative HRQOL in BSCM. 21–23 Because our center has a

Restricted access

Justin K. Scheer, Virginie Lafage, Justin S. Smith, Vedat Deviren, Richard Hostin, Ian M. McCarthy, Gregory M. Mundis, Douglas C. Burton, Eric Klineberg, Munish C. Gupta, Khaled M. Kebaish, Christopher I. Shaffrey, Shay Bess, Frank Schwab, Christopher P. Ames and the International Spine Study Group (ISSG)

outcomes in the elderly without considering the younger patient population. To date, no study has directly investigated the relationship between patient age and health-related quality of life (HRQOL) outcomes specifically for those undergoing major spinal deformity correction via PSO or VCR. Therefore, the goal of the present study was to characterize the relationship between age and HRQOL in patients treated with PSO or VCR. Methods This study was a retrospective review of 374 patients who had undergone a 3-column osteotomy (299 PSOs and 75 VCRs) and were part of

Restricted access

Shawyon Baygani, Kristin Zieles and Andrew Jea

years and for parents to report as proxies for children and adolescents aged 2–18 years. Administration time can be less than 5 minutes. High reported reliability (> 0.88) has been noted. 17 , 22 , 23 Multiple language translations are available. It has been utilized in several outcomes studies in pediatric surgery, cardiovascular surgery, plastic surgery, neurosurgery, and spine surgery. 3 , 5 , 12 , 14 , 19 , 24 We selected the PedsQL as our outcomes instrument as it was the most frequently utilized health-related QOL (HRQOL) measure for the pediatric age group in

Restricted access

Yoji Ogura, Jeffrey L. Gum, Alex Soroceanu, Alan H. Daniels, Breton Line, Themistocles Protopsaltis, Richard A. Hostin, Peter G. Passias, Douglas C. Burton, Justin S. Smith, Christopher I. Shaffrey, Virginie Lafage, Renaud Lafage, Eric O. Klineberg, Han Jo Kim, Andrew Harris, Khaled Kebaish, Frank Schwab, Shay Bess, Christopher P. Ames, Leah Y. Carreon and the International Spine Study Group (ISSG)

and leg pain were evaluated using a numeric rating scale (NRS). 9 Health-related quality-of-life (HRQOL) outcome measures including the Oswestry Disability Index (ODI), 10 36-Item Short Form Health Survey (SF-36), 11 and 22-Item Scoliosis Research Society questionnaire (SRS-22r) 12 were collected. Statistical Analysis Differences between two independent groups were analyzed using the Fisher exact probability test or Mann-Whitney U-test depending on the variable type. The Wilcoxon rank-sum test was used to compare pre- and postoperative mean values (mean ± SD) in

Free access

Kelly Russell, Erin Selci, Brian Black and Michael J. Ellis

R ecently , health-related quality of life (HRQOL) has emerged as an important outcome measure in clinical and research studies among children and adolescents with a variety of acute and chronic medical conditions. HRQOL is a multidimensional patient-reported outcome that aims to measure the effect of a medical condition on the patient’s perceptions of his or her physical, mental, and social functioning. 36 Among the suggested advantages of incorporating HRQOL measures into clinical practice and research is the opportunity to evaluate the “hidden morbidity” or

Full access

Lisa Millgård Sagberg, Ole Solheim and Asgeir S. Jakola

of adverse effects, also with regard to the short term due to the aggressive course of the disease. However, the palliative setting is not readily reflected in the neurosurgical literature, where the focus traditionally has been on resection grades, progression-free survival, and overall survival, none providing any direct information on quality of survival. To elucidate the patients’ health-related quality of life (HRQoL) during the disease, a patient-reported outcome (PRO) is a necessity. Although HRQoL is more often reported in the oncological literature, the

Free access

Daniel Hansen, Aditya Vedantam, Valentina Briceño, Sandi K. Lam, Thomas G. Luerssen and Andrew Jea

of life (HRQOL) outcomes using validated tools. Robust HRQOL outcomes data are important for clinical outcome and cost-effectiveness studies, because they most closely reflect the basis of treatment—to improve quality of life for the patient. The purpose of our study was to perform a thorough review of HRQOL outcomes instrument use in the pediatric neurosurgical literature, in an effort to highlight trends and pattern usage. Our aim was for the results to aid authors deciding among HRQOL measures for clinical studies, or professional societies and governing bodies