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Which Is More Predictive Value for Mechanical Complications: Fixed Thoracolumbar Alignment (T1 Pelvic Angle) Versus Dynamic Global Balance Parameter (Odontoid-Hip Axis Angle)
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 구성욱 | - |
dc.contributor.author | 김경현 | - |
dc.contributor.author | 김근수 | - |
dc.contributor.author | 박정윤 | - |
dc.contributor.author | 장현준 | - |
dc.contributor.author | 조용은 | - |
dc.contributor.author | 진동규 | - |
dc.contributor.author | 하윤 | - |
dc.date.accessioned | 2021-12-28T17:29:11Z | - |
dc.date.available | 2021-12-28T17:29:11Z | - |
dc.date.issued | 2021-09 | - |
dc.identifier.issn | 2586-6583 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/187123 | - |
dc.description.abstract | Objective: In this study, we investigate about relationship between postoperative global sagittal imbalance and occurrence of mechanical complications after adult spinal deformity (ASD) surgery. In global sagittal balance parameters, odontoid-hip axis (OD-HA) angle and T1 pelvic angle (TPA) were analyzed. Methods: Between January 2009 and December 2016, 199 consecutive patients (26 males and 173 females) with ASD underwent corrective fusion of more than 4 levels and were followed up for more than 2 years. Immediate postoperative and postoperative 2 years whole spine x-rays were checked for evaluating immediate postoperative OD-HA, TPA, and other parameters. In clinical outcomes, back and leg pain visual analogue scale, Scoliosis Research Society-22 spinal deformity questionnaire (SRS-22), Oswestry Disability Index (ODI), 36- item Short Form Health Survey (SF-36) were evaluated. Results: Based on the occurrence of mechanical complications, a comparative analysis was performed for each parameter. In univariable analysis, mechanical complications were significantly much more occurred in OD-HA abnormal group (odds ratio [OR], 3.296; p < 0.001; area under the curve [AUC] = 0.645). In multivariable analysis, the result was much more related (OR, 2.924; p = 0.001; AUC = 0.727). In contrast, there was no significant difference between normal and the occurrence of mechanical complications in TPA. In clinical outcomes (normal vs. abnormal), the differences of SRS-22 (0.88 ± 0.73 vs. 0.68 ± 0.64, p = 0.042), ODI (-24.72 ± 20.16 vs. -19.01 ± 19.95, p = 0.046), SF-36 physical composite score (19.33 ± 18.55 vs. 12.90 ± 16.73, p = 0.011) were significantly improved in OD-HA normal group. Conclusion: The goal of ASD surgery is to improve patient life quality through correction. In our study, TPA was associated with spinopelvic parameter and OD-HA angle was associated with health-related quality of life and complications. OD-HA angle is predictable factor for mechanical complications after ASD surgery. | - |
dc.description.statementOfResponsibility | open | - |
dc.language | English | - |
dc.publisher | Korean Spinal Neurosurgery Society | - |
dc.relation.isPartOf | NEUROSPINE | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.title | Which Is More Predictive Value for Mechanical Complications: Fixed Thoracolumbar Alignment (T1 Pelvic Angle) Versus Dynamic Global Balance Parameter (Odontoid-Hip Axis Angle) | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Neurosurgery (신경외과학교실) | - |
dc.contributor.googleauthor | Kwang-Ryeol Kim | - |
dc.contributor.googleauthor | Jean-Charles Le Huec | - |
dc.contributor.googleauthor | Hyun-Jun Jang | - |
dc.contributor.googleauthor | Sung-Hyun Noh | - |
dc.contributor.googleauthor | Jeong-Yoon Park | - |
dc.contributor.googleauthor | Yoon Ha | - |
dc.contributor.googleauthor | Sung-Uk Kuh | - |
dc.contributor.googleauthor | Dong-Kyu Chin | - |
dc.contributor.googleauthor | Keun-Su Kim | - |
dc.contributor.googleauthor | Byung-Ho Jin | - |
dc.contributor.googleauthor | Yong-Eun Cho | - |
dc.contributor.googleauthor | Kyung-Hyun Kim | - |
dc.identifier.doi | 10.14245/ns.2142452.226 | - |
dc.contributor.localId | A00196 | - |
dc.contributor.localId | A00308 | - |
dc.contributor.localId | A00330 | - |
dc.contributor.localId | A01650 | - |
dc.contributor.localId | A06104 | - |
dc.contributor.localId | A03865 | - |
dc.contributor.localId | A03979 | - |
dc.contributor.localId | A04255 | - |
dc.relation.journalcode | J03945 | - |
dc.identifier.eissn | 2586-6591 | - |
dc.identifier.pmid | 34610691 | - |
dc.subject.keyword | Cervical deformity | - |
dc.subject.keyword | Complication | - |
dc.subject.keyword | Posture balance | - |
dc.subject.keyword | Thoracolumbar deformity | - |
dc.contributor.alternativeName | Kuh, Sung Uk | - |
dc.contributor.affiliatedAuthor | 구성욱 | - |
dc.contributor.affiliatedAuthor | 김경현 | - |
dc.contributor.affiliatedAuthor | 김근수 | - |
dc.contributor.affiliatedAuthor | 박정윤 | - |
dc.contributor.affiliatedAuthor | 장현준 | - |
dc.contributor.affiliatedAuthor | 조용은 | - |
dc.contributor.affiliatedAuthor | 진동규 | - |
dc.contributor.affiliatedAuthor | 하윤 | - |
dc.citation.volume | 18 | - |
dc.citation.number | 3 | - |
dc.citation.startPage | 597 | - |
dc.citation.endPage | 607 | - |
dc.identifier.bibliographicCitation | NEUROSPINE, Vol.18(3) : 597-607, 2021-09 | - |
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