Outcomes of Operative and Nonoperative Treatment in Patients with Adult Spinal Deformity with a Minimum 2-Year Follow-Up: A Meta-Analysis
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Choi, Sung Hoon | - |
dc.contributor.author | Son, Seung Min | - |
dc.contributor.author | Goh, Tae Sik | - |
dc.contributor.author | Park, Wonseok | - |
dc.contributor.author | Lee, Jung Sub | - |
dc.date.accessioned | 2022-07-10T20:53:55Z | - |
dc.date.available | 2022-07-10T20:53:55Z | - |
dc.date.created | 2021-05-14 | - |
dc.date.issued | 2018-12 | - |
dc.identifier.issn | 1878-8750 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/148765 | - |
dc.description.abstract | Background More recent studies have focused on clinical outcomes of operative versus nonoperative treatment in patients with adult spinal deformity (ASD). However, scientific support for ASD surgery is weak. We compared outcomes of operative and nonoperative treatment of ASD with minimum 2-year follow-up in a meta-analysis. Method MEDLINE and EMBASE databases, from the earliest available date of indexing through May 10, 2018, were searched for studies evaluating outcomes of operative and nonoperative treatment of ASD. Two authors performed data extraction independently. Any discrepancies were resolved by consensus. Results Four comparative studies were identified. Postoperative back pain numeric rating scale and leg pain numeric rating scale scores were significantly lower with operative treatment compared with nonoperative treatment (P < 0.00001, weighted mean difference [WMD] = −2.76 [−3.45, −2.07] vs. P < 0.0001, WMD = −2.31 [−3.33, −1.28]). Postoperative Oswestry Disability Index and Scoliosis Research Society-22 questionnaire scores were significantly better with operative treatment compared with nonoperative treatment (P < 0.00001, WMD = −10.96 [−13.56, −8.36] vs. P < 0.00001, WMD = 0.68 [0.48, 0.87]). The complication rate of operative treatment was 17%–71.5%. Conclusions Our meta-analysis showed that operative treatment has been demonstrated to significantly reduce disability and pain and to improve clinical outcomes compared with nonoperative treatment. Further large, multicenter, well-designed studies are necessary to substantiate our results. | - |
dc.language | 영어 | - |
dc.language.iso | en | - |
dc.publisher | Elsevier BV | - |
dc.title | Outcomes of Operative and Nonoperative Treatment in Patients with Adult Spinal Deformity with a Minimum 2-Year Follow-Up: A Meta-Analysis | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Choi, Sung Hoon | - |
dc.identifier.doi | 10.1016/j.wneu.2018.08.179 | - |
dc.identifier.scopusid | 2-s2.0-85053874600 | - |
dc.identifier.wosid | 000450668300102 | - |
dc.identifier.bibliographicCitation | World Neurosurgery, v.120, pp.e870 - e876 | - |
dc.relation.isPartOf | World Neurosurgery | - |
dc.citation.title | World Neurosurgery | - |
dc.citation.volume | 120 | - |
dc.citation.startPage | e870 | - |
dc.citation.endPage | e876 | - |
dc.type.rims | ART | - |
dc.type.docType | 정기학술지(Article(Perspective Article포함)) | - |
dc.description.journalClass | 1 | - |
dc.description.isOpenAccess | N | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Neurosciences & Neurology | - |
dc.relation.journalResearchArea | Surgery | - |
dc.relation.journalWebOfScienceCategory | Clinical Neurology | - |
dc.relation.journalWebOfScienceCategory | Surgery | - |
dc.subject.keywordPlus | IDIOPATHIC SCOLIOSIS | - |
dc.subject.keywordPlus | SURGICAL-TREATMENT | - |
dc.subject.keywordPlus | KOREAN VERSION | - |
dc.subject.keywordPlus | BACK-PAIN | - |
dc.subject.keywordPlus | MULTICENTER | - |
dc.subject.keywordPlus | COMPLICATIONS | - |
dc.subject.keywordPlus | VALIDATION | - |
dc.subject.keywordPlus | QUALITY | - |
dc.subject.keywordAuthor | Adult spinal deformity | - |
dc.subject.keywordAuthor | Meta-analysis | - |
dc.subject.keywordAuthor | Nonoperative | - |
dc.subject.keywordAuthor | Operative | - |
dc.identifier.url | https://www.sciencedirect.com/science/article/pii/S1878875018319624?via%3Dihub | - |
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.
222, Wangsimni-ro, Seongdong-gu, Seoul, 04763, Korea+82-2-2220-1365
COPYRIGHT © 2021 HANYANG UNIVERSITY.
Certain data included herein are derived from the © Web of Science of Clarivate Analytics. All rights reserved.
You may not copy or re-distribute this material in whole or in part without the prior written consent of Clarivate Analytics.