2022 Volume 13 Issue 11 Pages 1229-1236
Introduction: Early post-operative rehabilitation for adult spinal deformity (ASD) have been reported to affect activities of daily living (ADL) recovery. We performed this study to investigate the influence of early postoperative ADL independence on health-related quality of life (HRQOL) in 2 years after surgery for ASD.
Methods: We reviewed 48 patients (34 females, average 69-year) who underwent fixation surgery for ASD. According to Barthel Index at 1 month after surgery, patients were divided into independent group (85 points or more; 34 cases) and requiring assistance group (80points or less; 14 cases). X-ray parameters (SVA, LL, PT, PI) were compared between two groups. HRQOL were evaluated using ODI and SRS22.
Result: ODI showed improvement in both groups, and independent group significantly improved 2-year after surgery. The amount of change in SRS22 domains (Function, Pain, Self-image, and Mental-health) were significantly larger in independent group (0.8, 1.4, 1.7, 1.3) than in requiring assistance group (0.5, 1.1, 1.3, 1.1). Although, there was no significant difference in spinopelvic parameters between two groups.
Conclusion: Patients with ADL independence in the early postoperative period of ASD had better HRQOL two years after surgery than those requiring assistance. It is possible that preoperative pain and mental distress may affect ADL independence in the early postoperative period.
