Spine literature: Incremental Impact of Lower Extremity Arthritis and Cervical Deformity on Patient-Reported Outcome Measures in Thoracolumbar Spinal Deformity Patients.

Summary (English)

Educational summary of peer-reviewed work on spinal disorders (not medical advice).

Article: Incremental Impact of Lower Extremity Arthritis and Cervical Deformity on Patient-Reported Outcome Measures in Thoracolumbar Spinal Deformity Patients.

Authors (excerpt): Michael J Farias, Bassel G Diebo, Manjot Singh, Joseph E Nassar, Zvipo M Chisango

Overview: BACKGROUND AND OBJECTIVES: Thoracolumbar spinal deformity frequently coexists with cervical spine deformity (CD) and lower extremity osteoarthritis (OA), complicating management and compounding functional disability. This study investigates the additive burden of these conditions on patient-reported outcome measures (PROMs). METHODS: This retrospective analysis assessed primary thoracolumbar deformity patients undergoing corrective surgery. Demographics, spinopelvic alignment, and PROMs were characterized. Severe CD was defined by ≥1 Ames criterion. Hip (HOA) and knee (KOA) OA were defined as Kellgren-Lawrence grade ≥3. Hierarchical regression and mixed-effects models evaluated the incremental and longitudinal impacts of these conditions on PROMs. RESULTS: Among 816 patients (mean age 60.4 years, 67.1% female), 24.8% had CD, 43.7% HOA, and 40.4% KOA at baseline. Regression revealed that HOA worsened Oswestry Disability Index (ODI)…

Full citation: Incremental Impact of Lower Extremity Arthritis and Cervical Deformity on Patient-Reported Outcome Measures in Thoracolumbar Spinal Deformity Patients.. Neurosurgery. PubMed: PMID 41538236; DOI: 10.1227/neu.0000000000003857.

Consult the original paper for methods, statistics, and clinical applicability.

Summary (Bulgarian)

Това е обобщение за пациенти и специалисти, базирано на официалното резюме в PubMed. Публикацията е в списание Neurosurgery и засяга теми, свързани с гръбначния стълб (диагностика, лечение или епидемиология — според съдържанието на оригиналната статия). Не замества очен преглед при лекар и не представлява персонализиран медицински съвет.

Заглавие: Spine literature: Incremental Impact of Lower Extremity Arthritis and Cervical Deformity on Patient-Reported Outcome Measures in Thoracolumbar Spinal Deformity Patients.

Оригинално резюме (английски, съкратено): BACKGROUND AND OBJECTIVES: Thoracolumbar spinal deformity frequently coexists with cervical spine deformity (CD) and lower extremity osteoarthritis (OA), complicating management and compounding functional disability. This study investigates the additive burden of these conditions on patient-reported outcome measures (PROMs). METHODS: This retrospective analysis assessed primary thoracolumbar deformity patients undergoing corrective surgery. Demographics, spinopelvic alignment, and PROMs were characterized. Severe CD was defined by ≥1 Ames criterion. Hip (HOA) and knee (KOA) OA were defined as Kellgren-Lawrence grade ≥3. Hierarchical regression and mixed-effects models evaluated the incremental and longitudinal impacts of these conditions on PROMs. RESULTS: Among…

Source: Incremental Impact of Lower Extremity Arthritis and Cervical Deformity on Patient-Reported Outcome Measures in Thoracolumbar Spinal Deformity Patients.. Neurosurgery. PubMed: PMID 41538236; DOI: 10.1227/neu.0000000000003857.