| アイテムタイプ |
itemtype_ver1(1) |
| 公開日 |
2024-12-11 |
| タイトル |
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|
タイトル |
Longitudinal impact of multi-segment spinal fixation surgery on mobility status and clinical outcomes in adult spinal deformity: a multicenter retrospective study |
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言語 |
en |
| 著者 |
Ouchida, Jun
Nakashima, Hiroaki
Ito, Sadayuki
Segi, Naoki
Yamauchi, Ippei
Oishi, Ryotaro
Miyairi, Yuichi
Morita, Yoshinori
Ode, Yukihito
Nagatani, Yasuhiro
Okada, Yuya
Tsushima, Mikito
Kanemura, Tokumi
Machino, Masaaki
Ohara, Tetsuya
Ota, Kyotaro
Tachi, Hiroto
Tsuji, Taichi
Kagami, Yujiro
Shinjo, Ryuichi
Imagama, Shiro
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| アクセス権 |
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アクセス権 |
open access |
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アクセス権URI |
http://purl.org/coar/access_right/c_abf2 |
| 権利 |
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|
権利情報 |
This version of the article has been accepted for publication, after peer review (when applicable) and is subject to Springer Nature’s AM terms of use, but is not the Version of Record and does not reflect post-acceptance improvements, or any corrections. The Version of Record is available online at: http://dx.doi.org/10.1007/s00586-024-08397-1. |
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言語 |
en |
| 内容記述 |
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内容記述タイプ |
Abstract |
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内容記述 |
Purpose: To investigate changes in postoperative mobility status in patients with ASD, and the determining factors that influence these changes and their impact on clinical outcomes, including the rate of home discharge and long-term mobility. Methods: A total of 299 patients with ASD who underwent multi-segment posterior spinal fusion were registered in a multi-center database were investigated. Patient mobility status was assessed using walking aids and classified into five levels (1: independent, 2: cane, 3: walker, 4: assisted, and 5: wheelchair) preoperatively, at discharge, and after 2 years. We determined improvements or declines in the patient's mobility based on changes in the classification levels. The analysis focused on the factors contributing to the deterioration of postoperative mobility. Results: Two years postoperatively, 87% of patients maintained or improved mobility. However, 27% showed decreased mobility status at discharge, associated with a lower rate of home discharge (49% vs. 80% in the maintained mobility group) and limited improvement in mobility status (35% vs. 5%) after 2 years. Notably, postoperative increases in thoracic kyphosis (7.0 ± 12.1 vs. 2.0 ± 12.4°, p = 0.002) and lower lumbar lordosis (4.2 ± 13.1 vs. 1.8 ± 12.6°, p = 0.050) were substantial factors in mobility decline. Conclusion: Postoperative mobility often temporarily decreases but generally improves after 2 years. However, an overcorrection in sagittal alignment, evidenced by increased TK, could detrimentally affect patients’ mobility status. Transient mobility decline associated with overcorrection may require further rehabilitation or hospitalization. Further studies are required to determine the biomechanical effects of surgical correction on mobility. |
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言語 |
en |
| 出版者 |
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出版者 |
Springer |
|
言語 |
en |
| 言語 |
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|
言語 |
eng |
| 資源タイプ |
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資源タイプresource |
http://purl.org/coar/resource_type/c_6501 |
|
タイプ |
journal article |
| 出版タイプ |
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出版タイプ |
AM |
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出版タイプResource |
http://purl.org/coar/version/c_ab4af688f83e57aa |
| 関連情報 |
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|
関連タイプ |
isVersionOf |
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|
識別子タイプ |
DOI |
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|
関連識別子 |
https://doi.org/10.1007/s00586-024-08397-1 |
| 収録物識別子 |
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収録物識別子タイプ |
PISSN |
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収録物識別子 |
0940-6719 |
| 書誌情報 |
en : European Spine Journal
巻 33,
号 10,
p. 3894-3903,
発行日 2024-10
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| ファイル公開日 |
|
|
日付 |
2025-10-01 |
|
日付タイプ |
Available |
article2.pdf (598 KB)
