不同病理类型的成人脊柱畸形(特发性腰椎侧弯症和新生儿腰椎侧弯症)会影响术前和术后的自我形象吗?

IF 2.3 Q2 ORTHOPEDICS
Asian Spine Journal Pub Date : 2024-06-01 Epub Date: 2024-05-20 DOI:10.31616/asj.2023.0361
Hiroshi Taniwaki, Akira Matsumura, Yuki Kinoshita, Masatoshi Hoshino, Takashi Namikawa, Yusuke Hori, Hiroaki Nakamura
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引用次数: 0

摘要

研究设计目的:本研究旨在探讨在接受成人特发性脊柱侧凸(AdIS)矫正手术的患者中,与脊柱侧凸研究学会-22修订版(SRS-22r)自我形象领域相关的因素:成人脊柱畸形(ASD)可分为成人特发性脊柱侧弯症(AdIS)和新生儿脊柱侧弯症(de novo scoliosis)。然而,还没有研究调查过不同的 ASD 病理对自我形象的影响:本研究共纳入了60名接受过矫正手术的患者,并在术后进行了2年以上的随访。AdIS被定义为青少年特发性脊柱侧凸,患者无矫正手术史,有原发性胸腰/腰椎(TL/L)曲线,手术时年龄≥30岁:AdIS组(23人;平均年龄53.1岁)和从头开始组(37人;平均年龄70.0岁)在术前的主要胸椎和TL/L曲线、矢状垂直轴、胸椎后凸和胸腰椎后凸方面存在显著差异。AdIS 组和新生组在 SRS-22r 自我形象领域(术前/术后 2 年 [PO2Y])的得分分别为 2.2/4.4 和 2.3/3.7,两组间的 PO2Y 有显著差异(P结论:AdIS是一种脊柱畸形病理,被认为是与接受矫正手术患者的SRS- 22r自我形象相关的重要因素。AdIS 不仅仅是根据病理学进行分类,而且在矫正手术后自我形象改善的临床方面也存在差异。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Do different pathologies of adult spinal deformity (idiopathic lumbar scoliosis against de novo lumbar scoliosis) affect preoperative and postoperative selfimage?

Study design: Retrospective single-center study.

Purpose: This study aimed to examine the factors associated with the self-image domain of the Scoliosis Research Society-22 revised (SRS-22r) in patients who underwent corrective surgery for adult idiopathic scoliosis (AdIS).

Overview of literature: Adult spinal deformity (ASD) can be classified into AdIS and de novo scoliosis. However, no studies have investigated the effect of different ASD pathologies on self-image.

Methods: This study enrolled 60 patients who underwent corrective surgery and were followed up for >2 years postoperatively. AdIS was defined as adolescent idiopathic scoliosis in patients who had no history of corrective surgery, had a primary thoracolumbar/lumbar (TL/L) curve, and were ≥30 years old at the time of surgery.

Results: The AdIS (n=23; mean age, 53.1 years) and de novo (n=37; mean age, 70.0 years) groups were significantly different in terms of the main thoracic and TL/L curves, sagittal vertical axis, thoracic kyphosis, and thoracolumbar kyphosis preoperatively. The scores in the self-image domain of the SRS-22r (before surgery/2 years after surgery [PO2Y]) were 2.2/4.4 and 2.3/3.7 in the AdIS and de novo groups, respectively, and PO2Y was significantly different between the two groups (p<0.001). Multivariate regression analysis revealed that AdIS was an independent factor associated with self-image at PO2Y (p=0.039).

Conclusions: AdIS, a spinal deformity pathology, was identified as a significant factor associated with the self-image domain of SRS-22r in patients who underwent corrective surgery. AdIS is not solely classified based on pathology but also differs in terms of the clinical aspect of self-image improvement following corrective surgery.

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来源期刊
Asian Spine Journal
Asian Spine Journal ORTHOPEDICS-
CiteScore
5.10
自引率
4.30%
发文量
108
审稿时长
24 weeks
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