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Related Experiment Video

Updated: Jul 16, 2025

Evaluation of Patients' Posture and Gait Profile After Lumbar Fusion Surgery by Video Rasterstereography and Treadmill Gait Analysis
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Measuring Outcomes in Spinal Deformity Surgery.

Stephen M Bergin1, Muhammad M Abd-El-Barr1, Oren N Gottfried1

  • 1Department of Neurosurgery, Division of Spine, Duke University, 2301 Erwin Road, Durham, NC 27710, USA.

Neurosurgery Clinics of North America
|September 17, 2023
PubMed
Summary
This summary is machine-generated.

Patient-reported outcomes (PROs) are crucial for assessing adult spinal deformity surgery, with improved sagittal alignment correlating to better quality of life. Standardizing PROs will enhance global comparisons and value-based care.

Keywords:
Patient-reported outcomesSpinal deformity outcomesSurgery

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Area of Science:

  • Orthopedics
  • Spine Surgery
  • Patient-Reported Outcomes

Background:

  • Adult spinal deformity outcome assessment has shifted from radiographic measures to patient-centered health-related quality of life.
  • Oswestry Disability Index and Scoliosis Research Society-22 Patient Questionnaire are primary patient-reported outcome (PRO) tools in deformity surgery.

Purpose of the Study:

  • To review the evolution of outcome assessment in adult spinal deformity.
  • To highlight the importance of patient-reported outcomes (PROs) and their correlation with surgical correction.
  • To discuss emerging outcome measurement methods and the need for standardized core domains.

Main Methods:

  • Literature review of outcome assessment in adult spinal deformity.
  • Analysis of predominantly used patient-reported outcome (PRO) measurements.
  • Discussion of the correlation between radiographic parameters and PROs.
  • Exploration of newer functional and accelerometer-based outcome measures.

Main Results:

  • Correction of sagittal alignment in adult spinal deformity surgery correlates with improved patient-reported outcomes (PROs).
  • Established PROs like Oswestry Disability Index and SRS-22 are widely used.
  • Newer methods like functional outcomes and accelerometer data show potential but require further validation.

Conclusions:

  • Patient-centered outcome assessment is paramount in adult spinal deformity.
  • Standardizing a core set of outcome domains is essential for international comparison and benchmarking.
  • Adoption of standardized outcomes will advance value-based healthcare in spine surgery.