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Operative treatment of adult spinal deformity improves health-related quality of life

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MINNEAPOLIS — When compared with conservative treatments, operative treatments of adult spinal deformities result in better health-related quality of life outcomes in patients who have any deformity types, according to a speaker here.

Shay Bess, MD, said the same pattern was followed for all different types of scoliosis deformity groups: The operative cohort had worse baseline quality metrics, but improved more at final follow-up than the nonoperative cohort.

“The operative group, despite having worse health-related quality of life, were similar or better than the nonoperatives at final follow-up and improved on all quality metrics at final follow up,” he said at the Scoliosis Research Society Annual Meeting.

Shay Bess

Bess and colleagues compared the outcomes of 128 patients with adult spinal deformities undergoing surgery and 149 patients receiving conservative treatment. Operative patients reported more disability and deformity than the nonoperative cohort at baseline.

Operative patients with lumbar, double and mixed scoliosis had worse pretreatment levels of health-related quality of life (HRQOL) when compared with the nonoperative patients (P < .05), Bess said.

At final follow-up, operative patients had more improvement in HRQOL outcomes at all levels than patients treated conservatively (P < .05). Additionally, operative patients had greater SRS-22r self-image scores, despite being lower at baselines, than conservative treatment patients, Bess said. – by Robert Linnehan

Reference:

Bess S, et al. Paper #19. Presented at: Scoliosis Research Society Annual Meeting; Sept. 30-Oct. 3, 2015; Minneapolis.

Disclosure: Bess reports he is on the advisory board of Allosource and receives grants and/or research support from DePuy Synthes, Innovasis and K2M. He reports he is a consultant for NuVasive and receives other financial or material support from Pioneer.