지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2021.9
- 수록면
- 533 - 542 (10page)
- DOI
- 10.14245/ns.2040656.328
이용수
초록· 키워드
오류제보하기
Objective: Adult cervical deformity (ACD) is a debilitating spinal condition that causes significant pain, neurologic dysfunction, and functional impairment. Surgery is often performed to correct cervical alignment, but the optimal amount of correction required to improve patient-reported outcomes (PROs) are not yet well-defined.
Methods: A review of the literature was performed and Fisher z-transformation (Zr) was used to pool the correlation coefficients between alignment parameters and PROs. The strength of correlation was defined according to the following: poor (0<r≤0.3), fair (0.3<r≤0.5), moderate (0.5<r≤0.8), and strong (0.8<r≤1).
Results: Increased C2?7 sagittal vertical axis was fairly associated with increased Neck Disability Index (NDI) (pooled Zr=0.31; 95% confidence interval [CI], -0.03 to 0.58). Changes in T1 slope minus cervical lordosis poorly correlated with NDI (pooled Zr=-0.04; 95% CI, -0.23 to 0.30). Increased C7?S1 was poorly associated with worse EuroQoL 5-Dimension (pooled Zr=-0.22; 95% CI, -0.36 to -0.06). Correction of horizontal gaze did not correlate with legacy metrics. Modified Japanese Orthopedic Association correlated with C2-slope, C7?S1, and C2?S1.
Conclusion: Spinal alignment parameters variably correlated with improved health-related quality of life and myelopathy after corrective surgery for ACD. Further studies evaluating legacy PROs, Patient-Reported Outcomes Measurement System, and ACD specific instruments are needed for further validation.
목차
등록된 정보가 없습니다.
참고문헌 (43)
참고문헌 신청
Steinmetz MP / 2007 / Cervical deformity correction / Neurosurgery 60(1 Supp1 1):S90~S97
Ames CP / 2015 / Reliability assessment of a novel cervical spine deformity classification system / J Neurosurg Spine 23:673~683
Smith JS / 2017 / The health impact of adult cervical deformity in patients presenting for surgical treatment: comparison to united states population norms and chronic disease states based on the EuroQuol-5 Dimensions questionnaire / Neurosurgery 80:716~725
Pierce K / 2019 / PROMIS physical health domain scores are related to cervical deformity severity / J Craniovertebral Junction Spine 10:179
Kim HJ / 2015 / Comparison of smithpetersen osteotomy versus pedicle subtraction osteotomy versus anterior-posterior osteotomy types for the correction of cervical spine deformities / Spine 40:143~146
Ames CP / 2015 / Reliability assessment of a novel cervical spine deformity classification system / J Neurosurg Spine 23:673~683
Smith JS / 2017 / The health impact of adult cervical deformity in patients presenting for surgical treatment: comparison to united states population norms and chronic disease states based on the EuroQuol-5 Dimensions questionnaire / Neurosurgery 80:716~725
Pierce K / 2019 / PROMIS physical health domain scores are related to cervical deformity severity / J Craniovertebral Junction Spine 10:179
Kim HJ / 2015 / Comparison of smithpetersen osteotomy versus pedicle subtraction osteotomy versus anterior-posterior osteotomy types for the correction of cervical spine deformities / Spine 40:143~146
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