Erkilinc Mehmet, Fernandez Laviel, Kara Deniz, Jauregui Julio, Ries Tomas, Gupta Munish
Department of Orthopedic Surgery, St. Louis University, St. Louis, USA.
St. Louis University, SSM Health Cardinal Glennon Childrens Hospital, 1465 South Grand Blvd, Saint Louis, MO, 63104, USA.
Eur Spine J. 2025 May 26. doi: 10.1007/s00586-025-08952-4.
To determine the differences in radiographic and health-related quality of life outcomes of patients who were either younger or older than 65 years of age and underwent a revision adult spinal deformity surgery.
This is a single center study that retrospectively evaluated the functional scores and radiographic parameters in patients who underwent a revision adult spinal deformity surgery between January 2015 and June 2020. Radiographic measurements and HRQOLs were measured pre-operatively, post-operatively and at final follow up. A total of 103 patients met inclusion criteria. These were divided into 2 groups, under 65 years (n = 60 patients), and over 65 years of age (n = 43 patients).
Analysis of the radiographic parameters at the various time points demonstrated statistically significant differences between preoperative and early postoperative parameters, except for thoracic kyphosis TK(p = 0.018). In both group, there was statistically significant improvement in PI-LL difference and LL. Comparison of the early postoperative follow-up data and last follow-up data showed statistically significant difference for PT (p = 0.013), TK (p = 0.012) and SVA (p = 0.015). When analyzing HRQOLs at the various time points, there was a statistically significant improvement in both groups between preoperative and final follow up scores and there was no significant difference between two groups. Complications in patients over 65 years of age occurred in 10/43(23%). In the under 65 group, complications occurred in 16/60 (27%).
This study demonstrated similar improvement in radiographic parameters and functional outcome scores in patients undergoing revision ASD surgery stratified according to age.
确定年龄小于或大于65岁且接受成人脊柱畸形翻修手术的患者在影像学和健康相关生活质量结果方面的差异。
这是一项单中心研究，回顾性评估了2015年1月至2020年6月期间接受成人脊柱畸形翻修手术的患者的功能评分和影像学参数。在术前、术后及末次随访时测量影像学指标和健康相关生活质量。共有103例患者符合纳入标准。这些患者被分为两组，65岁以下（n = 60例患者）和65岁以上（n = 43例患者）。
对不同时间点的影像学参数分析显示，除胸椎后凸角TK外（p = 0.018），术前和术后早期参数之间存在统计学显著差异。在两组中，PI-LL差值和LL均有统计学显著改善。术后早期随访数据与末次随访数据比较，PT（p = 0.013）、TK（p = 0.012）和SVA（p = 0.015）存在统计学显著差异。在分析不同时间点的健康相关生活质量时，两组术前和末次随访评分之间均有统计学显著改善，且两组之间无显著差异。65岁以上患者的并发症发生率为10/43（23%）。在65岁以下组中，并发症发生率为16/60（27%）。
本研究表明，根据年龄分层的接受成人脊柱畸形翻修手术的患者在影像学参数和功能结果评分方面有相似的改善。
