Näytä suppeat kuvailutiedot

dc.contributor.authorKyrölä, Kati
dc.contributor.authorRepo, Jussi
dc.contributor.authorMecklin, Jukka-Pekka
dc.contributor.authorYlinen, Jari
dc.contributor.authorKautiainen, Hannu
dc.contributor.authorHäkkinen, Arja
dc.date.accessioned2018-03-21T10:38:17Z
dc.date.available2019-04-01T21:35:24Z
dc.date.issued2018
dc.identifier.citationKyrölä, K., Repo, J., Mecklin, J.-P., Ylinen, J., Kautiainen, H., & Häkkinen, A. (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. <i>Spine</i>, <i>43</i>(7), 497-502. <a href="https://doi.org/10.1097/BRS.0000000000002370" target="_blank">https://doi.org/10.1097/BRS.0000000000002370</a>
dc.identifier.otherCONVID_27170851
dc.identifier.otherTUTKAID_74721
dc.identifier.urihttps://jyx.jyu.fi/handle/123456789/57366
dc.description.abstractStudy Design. Cross-sectional, observational study. Objective. To study the occurrence of sagittal malalignment, the adaptability of a simplified sagittal modifiers grading of the Scoliosis Research Society (SRS)-Schwab adult spinal deformity (ASD) classification, and the deformity-specific SRS questionnaire version 30 (SRS-30) in an unselected adult cohort with symptomatic degenerative spinal disorders. Summary of Background Data. The sagittal modifiers of the SRS-Schwab ASD classification correlate with health-related quality of life (HRQoL) measures in patients with ASD. The deformities and disabilities caused by sagittal malalignment in patients with common degenerative spinal disorders of multiple etiologies are rarely studied. A simplified and categorizing version of the SRS-Schwab ASD classification in relation to the Oswestry Disability Index (ODI) and the SRS-30 outcomes has not yet been developed. Methods. We recruited 874 consecutive patients with degenerative spinal disorders between March 2013 and February 2014. Full spine radiographs were taken and the patients divided into sagittal deformity severity groups: mild or none, moderate, and marked deformity. Participants completed the ODI, SRS-30, and a general health questionnaire. Results. We included 637 patients in the analysis. The severity of sagittal deformity was mild or none in 407 (63.9%) patients, moderate in 159 (25.0%), and marked in 71 (11.1%). Linearity across the modifier grades and deformity classes was found for ODI total score (P ¼ 0.033), and the function/activity (P ¼ 0.004) and self-image/appearance (P¼ 0.030) domains of the SRS-30. Age, body mass index, duration of symptoms, and the use of painkillers increased while physical activity, working, and educational status decreased significantly with deformity severity. Conclusion. Sagittal spinopelvic malalignment is significantly related to deterioration of the ODI and the SRS-30 in symptomatic adults with degenerative spinal disorders. The SRS-Schwab classification sagittal modifiers categorized into three groups is a practical tool to detect various clinically significant grades of deformity in a cohort with no recognized ASD.
dc.language.isoeng
dc.publisherWolters Kluwer Health, Inc
dc.relation.ispartofseriesSpine
dc.subject.otherSRS-Schwab classification
dc.subject.othersagittal modifier
dc.subject.otheradult spinal deformity
dc.subject.otherSRS-30
dc.subject.otherODI
dc.subject.otherdegenerative spinal disorder
dc.subject.otherHRQOL
dc.subject.othersagittal alignment
dc.subject.otherpelvic tilt
dc.subject.otherlumbar lordosis
dc.subject.otherT1 Pelvic Angle
dc.subject.othersagittal vertical axis
dc.subject.otherpelvic incidence
dc.titleSpinopelvic 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
dc.typearticle
dc.identifier.urnURN:NBN:fi:jyu-201803141728
dc.contributor.laitosLiikuntatieteellinen tiedekuntafi
dc.contributor.laitosFaculty of Sport and Health Sciencesen
dc.contributor.oppiaineFysioterapiafi
dc.contributor.oppiainePhysiotherapyen
dc.type.urihttp://purl.org/eprint/type/JournalArticle
dc.date.updated2018-03-14T13:15:07Z
dc.type.coarhttp://purl.org/coar/resource_type/c_2df8fbb1
dc.description.reviewstatuspeerReviewed
dc.format.pagerange497-502
dc.relation.issn0362-2436
dc.relation.numberinseries7
dc.relation.volume43
dc.type.versionacceptedVersion
dc.rights.copyright© 2017 Wolters Kluwer Health, Inc. This is a final draft version of an article whose final and definitive form has been published by Wolters Kluwer Health, Inc. Published in this repository with the kind permission of the publisher.
dc.rights.accesslevelopenAccessfi
dc.subject.ysoselkäsairaudet
dc.subject.ysotoimintarajoitteet
dc.subject.ysoelämänlaatu
jyx.subject.urihttp://www.yso.fi/onto/yso/p2499
jyx.subject.urihttp://www.yso.fi/onto/yso/p3472
jyx.subject.urihttp://www.yso.fi/onto/yso/p10759
dc.relation.doi10.1097/BRS.0000000000002370
dc.type.okmA1


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