Adult Spinal Deformity: Epidemiology, Health Impact, Evaluation, and Management

Christopher P Ames; Justin K Scheer; Virginie Lafage; Justin S Smith; Shay Bess; Sigurd H Berven; Gregory M Mundis; Rajiv K Sethi; Donald A Deinlein; Jeffrey D Coe; Lloyd A Hey; Michael D Daubs

doi:10.1016/j.jspd.2015.12.009

Adult Spinal Deformity: Epidemiology, Health Impact, Evaluation, and Management

Spine Deform. 2016 Jul;4(4):310-322. doi: 10.1016/j.jspd.2015.12.009. Epub 2016 Jun 16.

Authors

Affiliations

¹ Department of Neurological Surgery, University of California, San Francisco, Medical Center, 400 Parnassus Avenue, A850, San Francisco, CA 94143, USA. Electronic address: christopher.ames@ucsf.edu.
² School of Medicine, University of California, San Diego, 9500 Gilman Dr. La Jolla, CA, 92093, USA.
³ Department of Orthopaedic Surgery, NYU Hospital for Joint Diseases, 333 E 38th St. New York, NY, 10016, USA.
⁴ Department of Neurosurgery, University of Virginia, 1215 Lee St, Charlottesville, VA, 22908 USA.
⁵ Rocky Mountain Hospital for Children, 2001 N. High Street Denver, CO, 80205, USA.
⁶ Department of Orthopaedic Surgery, University of California, San Francisco, 400 Parnassus Ave., Third Floor San Francisco, CA, 94143, USA.
⁷ San Diego Center for Spinal Disorders, 4130 La Jolla Village Dr # 300 La Jolla, CA, 92037, USA.
⁸ Virginia Mason Medical Center and University of Washington, 125 16th Avenue East, CSB-3 Neurosurgery Seattle, WA, 98112, USA.
⁹ Department of Orthopaedic Surgery, University of Alabama, Birmingham, 619 19th St S AL, 35233, USA.
¹⁰ Silicon Valley Spine Institute, 21 E Hacienda Ave Suite A Campbell, CA, 95008, USA.
¹¹ Hey Clinic, 3404 Wake Forest Rd #203 Raleigh, NC, 27609, USA.
¹² School of Medicine, University of Nevada, 1707 West Charleston Boulevard Las Vegas, NV, 89102 USA.

PMID: 27927522
DOI: 10.1016/j.jspd.2015.12.009

Abstract

Spinal deformity in the adult is a common medical disorder with a significant and measurable impact on health-related quality of life. The ability to measure and quantify patient self-reported health status with disease-specific and general health status measures, and to correlate health status with radiographic and clinical measures of spinal deformity, has enabled significant advances in the assessment of the impact of deformity on our population, and in the evaluation and management of spinal deformity using an evidence-based approach. There has been a significant paradigm shift in the evaluation and management of patients with adult deformity. The paradigm shift includes development of validated, disease-specific measures of health status, recognition of deformity in the sagittal plane as a primary determinant of health status, and information on results of operative and medical/interventional management strategies for adults with spinal deformity. Since its inception in 1966, the Scoliosis Research Society (SRS) has been an international catalyst for improving the research and care for patients of all ages with spinal deformity. The SRS Adult Spinal Deformity Committee serves the mission of developing and defining an evidence-based approach to the evaluation and management of adult spinal deformity. The purpose of this overview from the SRS Adult Deformity Committee is to provide current information on the epidemiology and impact of adult deformity, and to provide patients, physicians, and policy makers a guide to the evidence-based evaluation and management of patients with adult deformity.

Keywords: Adult spinal deformity; Epidemiology; Health-related quality of life; Medical/interventional; Outcomes.

MeSH terms

Adult
Health Status
Humans
Quality of Life*
Scoliosis / complications*
Self Report