• Eur Spine J · Nov 2024

    Analysis of factors related to patient satisfaction in adult spinal deformity with a minimum follow-up of 5 years.

    • Hiroshi Taniwaki, Akira Matsumura, Yuki Kinoshita, Masatoshi Hoshino, Takashi Namikawa, Yusuke Hori, and Hiroaki Nakamura.
    • Scoliosis Center Department of Orthopedic Surgery, Osaka City General Hospital, 2-13-22 Miyakojimahondori, Miyakojima-Ku, Osaka, 534-0021, Japan.
    • Eur Spine J. 2024 Nov 26.

    ObjectiveNumerous studies have reported that corrective surgery improves postoperative health-related quality of life (HRQOL) in patients with adult spinal deformity (ASD), and postoperative HRQOL is maintained over 5-year follow-up. However, few studies have investigated factors associated with mid-term patient satisfaction. This study aimed to examine the factors contributing to 5-year patient satisfaction in patients with ASD following corrective surgery.MethodsThis study included 51 patients who underwent corrective surgery and were followed up for > 5 years postoperatively. We investigated radiographic parameters and patient-reported outcomes using the Scoliosis Research Society 22r (SRS-22r) questionnaire and 36-item Short-Form Health Survey (SF-36) preoperatively and at two postoperative time points: two years (PO2Y) and five years (PO5Y). Spearman's rank correlation analysis was used to assess the relationship between patient satisfaction at PO5Y and both radiographic parameters and HRQOL scores at PO2Y and PO5Y. Correlation between patient satisfaction at PO5Y and improvement of both radiographic parameters and HRQOL scores were also assessed.ResultsPatient satisfaction at PO5Y was significantly correlated with thoracic kyphosis, thoracolumbar kyphosis, and the distance between the C7-plumb line and the center of the sacral vertical line at PO2Y and PO5Y. Notably, the improvement of the function and social function domains of the SRS-22r and the SF-36, respectively, both at PO2Y and PO5Y, demonstrated a significantly weak correlation with patient satisfaction at PO5Y.ConclusionThese findings underscore the significance of functional and social function improvements following corrective surgery, as they contribute to higher levels of satisfaction among patients with ASD.© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.

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