지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2021.9
- 수록면
- 467 - 474 (8page)
- DOI
- 10.14245/ns.2142408.204
이용수
초록· 키워드
오류제보하기
Objective: The purpose of the present study was to evaluate the natural course of primary degenerative sagittal imbalance (PDSI), its aggravating factors, and health-related quality of life (HRQoL) associated with various spinal alignment parameters (SAPs) in patients with PDSI who have not undergone surgery.
Methods: One hundred three participants volunteered to participate. The SAPs, including T1 pelvic angle (T1PA), thoracolumbar tilt, and thoracolumbar slope (TLS), were measured on whole-spine standing radiographs. The back and lumbar muscle volumes were measured. To determine HRQoL at baseline and at 2-year follow-up, face-to-face questionnaires were administered, which included visual analogue scale of the back and leg, physical component summary/mental component summary of 36-item Short Form Health Survey, Oswestry Disability Index (ODI), and Mini-Mental State Examination.
Results: Overall HRQoL measures had improved after 2 years of follow-up compared to baseline. PDSI aggravation was observed in 18 participants (26.1%). TLS, sagittal vertical axis (SVA), and T1PA were strongly correlated with each other. TLS, SVA, and T1PA were correlated with ODI score. Among them, TLS was most highly correlated with ODI score. TLS greater than -3.5° was a predicting factor for PDSI aggravation (p=0.034; 95% confidence interval, 1.173?63.61; odds ratio, 8.636).
Conclusion: The present study implied that PDSI does not necessarily worsen with aging. TLS is an appropriate parameter for assessing the clinical situation in patients with PDSI. Furthermore, a TLS greater than -3.5° predicts PDSI aggravation; thus, TLS may be a useful parameter for predicting prognosis in PDSI.
목차
등록된 정보가 없습니다.
참고문헌 (22)
참고문헌 신청
Moon BJ / 2020 / Natural history and aggravating factors of sagittal imbalance in marked sagittal deformity compared with mild to moderate sagittal deformity: a prospective cohort study / Medicine 9:e19551
Schwab F / 2005 / Adult scoliosis: prevalence, SF-36, and nutritional parameters in an elderly volunteer population / Spine 30:1082~1085
rotopsaltis TS / 2018 / The lumbar pelvic angle, the lumbar component of the t1 pelvic angle, correlates with HRQOL, PI-LL mismatch, and it predicts global alignment / Spine 43:681~687
Kyrola K / 2018 / Spinopelvic changes based on the simplified SRS-Schwab adult spinal deformity classification: relationships with disability and health-related quality of life in adult patients with prolonged degenerative spinal disorders / Spine 43:497~502
Bridwell KH / 2009 / Does treatment (nonoperative and operative) improve the two-year quality of life in patients with adult symptomatic lumbar scoliosis: a prospective multicenter evidence-based medicine study / Spine 34:2171~2178
Schwab F / 2005 / Adult scoliosis: prevalence, SF-36, and nutritional parameters in an elderly volunteer population / Spine 30:1082~1085
rotopsaltis TS / 2018 / The lumbar pelvic angle, the lumbar component of the t1 pelvic angle, correlates with HRQOL, PI-LL mismatch, and it predicts global alignment / Spine 43:681~687
Kyrola K / 2018 / Spinopelvic changes based on the simplified SRS-Schwab adult spinal deformity classification: relationships with disability and health-related quality of life in adult patients with prolonged degenerative spinal disorders / Spine 43:497~502
Bridwell KH / 2009 / Does treatment (nonoperative and operative) improve the two-year quality of life in patients with adult symptomatic lumbar scoliosis: a prospective multicenter evidence-based medicine study / Spine 34:2171~2178
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