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Evaluation of Patients' Posture and Gait Profile After Lumbar Fusion Surgery by Video Rasterstereography and Treadmill Gait Analysis

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Can Social Function Improve in Older Patients Undergoing Multi-Level Spinal Deformity Surgery?

Mauricio Campos Daziano¹, Lauren Daunt², Vanessa Vashishth²

¹Department of Orthopedic Surgery, School of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile.

Global Spine Journal

|December 27, 2025

Summary

Adult spinal deformity surgery significantly improved social functioning in elderly patients, enhancing personal relationships and reducing limitations on social activities. This positive impact was observed two years post-operation.

Keywords:

adult spinal deformity elderly population patient reported outcome measures social function spine surgery

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Multilevel Oblique Lumbar Interbody Fusion in Degenerative Lumbar Disc Disease with Instability

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Published on: July 25, 2025

Area of Science:

Orthopedics
Spinal Surgery
Geriatric Medicine

Background:

Adult spinal deformity (ASD) negatively impacts patients' social lives.
Understanding the effects of surgical intervention on social functioning in elderly patients with ASD is crucial.

Purpose of the Study:

To evaluate the impact of adult spinal deformity surgery on social functioning in patients aged 60 and older.
To assess changes in personal relationships and social activity limitations following spinal fusion surgery.

Main Methods:

Post-hoc analysis of a prospective multicenter observational study.
Included patients ≥60 years undergoing ≥5 levels of spinal fusion.
Assessed social function using Scoliosis Research Society-22r (SRS-22r) questionnaire and Oswestry Disability Index (ODI) at baseline and 2-year follow-up.

Main Results:

40.6% of patients reported significant impact on personal relationships pre-op vs. 14.7% at 2 years (SRS-22r Q14).
47.7% experienced limitations in social outings pre-op vs. 17.1% at 2 years (SRS-22r Q18).
Social function rated as normal increased from 8.7% pre-op to 44.1% at 2 years (ODI Q9).

Conclusions:

Adult spinal deformity surgery demonstrated a positive impact on social functioning in elderly patients.
Improvements in personal relationships and social activity participation were noted post-surgery.
Spinal fusion surgery can enhance the quality of life for older adults with spinal deformities.