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Improvement in SRS-22R Self-Image Correlate Most with Patient Satisfaction after 3-Column Osteotomy.

Publication ,  Journal Article
Gum, JL; Shasti, M; Yeramaneni, S; Carreon, LY; Hostin, RA; Kelly, MP; Lafage, V; Smith, JS; Passias, PG; Kebaish, K; Shaffrey, CI; Burton, DL ...
Published in: Spine (Phila Pa 1976)
June 15, 2021

STUDY DESIGN: Longitudinal cohort. OBJECTIVES: The aim of this study was to examine the relationship between patient satisfaction, patient-reported outcome measures (PROMs) and radiographic parameters in adult spine deformity (ASD) patients undergoing three-column osteotomies (3CO). SUMMARY OF BACKGROUND DATA: Identifying factors that influence patient satisfaction in ASD is important. Evidence suggests Scoliosis Research Society-22R (SRS-22R) Self-Image domain correlates with patient satisfaction in patients with ASD. METHODS: This is a retrospective review of ASD patients enrolled in a prospective, multicenter database undergoing a 3CO with complete SRS-22R pre-op and minimum 2-years postop. Spearman correlations were used to evaluate associations between the 2-year SRS Satisfaction score and changes in SRS-22R domain scores, Oswestry Disability Index (ODI), and radiographic parameters. RESULTS: Of 135 patients eligible for 2-year follow-up, 98 patients (73%) had complete pre- and 2-year postop data. The cohort was mostly female (69%) with mean BMI of 29.7 kg/m2 and age of 61.0 years. Mean levels fused was 12.9 with estimated blood loss of 2695 cc and OR time of 407 minutes; 27% were revision surgeries. There was a statistically significant improvement between pre- and 2-year post-op PROMs and all radiographic parameters except Coronal Vertical Axis. The majority of patients had an SRS Satisfaction score of ≥3.0 (90%) or ≥4.0 (68%), consistent with a moderate ceiling effect. Correlations of patient satisfaction was significant for Pain (0.43, P < 0.001), Activity (0.39, P < 0.001), Mental (0.38, P = 0.001) Self-Image (0.52, P < 0.001). ODI and Short-Form-36 Physical component summary had a moderate correlation as well, with mental component summary being weak. There was no statistically significant correlation between any radiographic or operative parameters and patient satisfaction. CONCLUSION: There was statistically significant improvement in all PROMs and radiographic parameters, except coronal vertical axis at 2 years in ASD patients undergoing 3CO. Improvement in SRS Self-Image domain has the strongest correlation with patient satisfaction.Level of Evidence: 3.

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Published In

Spine (Phila Pa 1976)

DOI

EISSN

1528-1159

Publication Date

June 15, 2021

Volume

46

Issue

12

Start / End Page

822 / 827

Location

United States

Related Subject Headings

  • Self Concept
  • Scoliosis
  • Retrospective Studies
  • Reoperation
  • Radiography
  • Patient Satisfaction
  • Patient Reported Outcome Measures
  • Osteotomy
  • Orthopedics
  • Middle Aged
 

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Gum, J. L., Shasti, M., Yeramaneni, S., Carreon, L. Y., Hostin, R. A., Kelly, M. P., … ISSG, . (2021). Improvement in SRS-22R Self-Image Correlate Most with Patient Satisfaction after 3-Column Osteotomy. Spine (Phila Pa 1976), 46(12), 822–827. https://doi.org/10.1097/BRS.0000000000003897
Gum, Jeffrey L., Mark Shasti, Samrat Yeramaneni, Leah Y. Carreon, Richard A. Hostin, Michael P. Kelly, Virginie Lafage, et al. “Improvement in SRS-22R Self-Image Correlate Most with Patient Satisfaction after 3-Column Osteotomy.Spine (Phila Pa 1976) 46, no. 12 (June 15, 2021): 822–27. https://doi.org/10.1097/BRS.0000000000003897.
Gum JL, Shasti M, Yeramaneni S, Carreon LY, Hostin RA, Kelly MP, et al. Improvement in SRS-22R Self-Image Correlate Most with Patient Satisfaction after 3-Column Osteotomy. Spine (Phila Pa 1976). 2021 Jun 15;46(12):822–7.
Gum, Jeffrey L., et al. “Improvement in SRS-22R Self-Image Correlate Most with Patient Satisfaction after 3-Column Osteotomy.Spine (Phila Pa 1976), vol. 46, no. 12, June 2021, pp. 822–27. Pubmed, doi:10.1097/BRS.0000000000003897.
Gum JL, Shasti M, Yeramaneni S, Carreon LY, Hostin RA, Kelly MP, Lafage V, Smith JS, Passias PG, Kebaish K, Shaffrey CI, Burton DL, Ames CP, Schwab FJ, Protopsaltis T, Bess RS, ISSG. Improvement in SRS-22R Self-Image Correlate Most with Patient Satisfaction after 3-Column Osteotomy. Spine (Phila Pa 1976). 2021 Jun 15;46(12):822–827.

Published In

Spine (Phila Pa 1976)

DOI

EISSN

1528-1159

Publication Date

June 15, 2021

Volume

46

Issue

12

Start / End Page

822 / 827

Location

United States

Related Subject Headings

  • Self Concept
  • Scoliosis
  • Retrospective Studies
  • Reoperation
  • Radiography
  • Patient Satisfaction
  • Patient Reported Outcome Measures
  • Osteotomy
  • Orthopedics
  • Middle Aged