Academic Journal
Objective Outcomes in Lateral Osteotomy Through Anterior-to-Psoas for Severe Adult Degenerative Spine Deformity Correction
| العنوان: | Objective Outcomes in Lateral Osteotomy Through Anterior-to-Psoas for Severe Adult Degenerative Spine Deformity Correction |
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| المؤلفون: | Ahmad, Hasan S, Yang, Andrew I, Basil, Gregory W, Wang, Michael Y, Yoon, Jang W |
| المصدر: | Neurosurgery |
| بيانات النشر: | Barrow - St. Joseph's Scholarly Commons |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | adult spinal deformity, anterior-to-psoas, digital health, lateral lumbar fusion, lateral osteotomy, objective outcomes, smartphone, spine surgery |
| الوصف: | Multilevel lateral interbody fusion is an acceptable surgical technique in patients with severe degenerative adult spinal deformity (ASD). The current standard-of-care in spine surgery includes the use of patient reported outcome measures (PROMs) to assess post-operative improvement. Objective activity data during the peri-operative period may provide supplementary information for patients recovering from ASD surgery. In this report, we use smartphone-based activity data as an objective outcome measure for a patient who underwent a two-stage operation for ASD corrective surgery: lateral osteotomy and lumbar interbody fusion with posterior column release. An 82-year-old male presented with intractable back pain secondary to severe thoracolumbar scoliotic deformity (Lenke 5BN). Pre-operative images demonstrated the presence of bridging osteophytes over the left lateral aspect of L2-5 disc spaces and over the apex of the lumbar curvature, with significant neuroforaminal stenosis. Surgical correction was completed in two stages: (1) left-sided lateral osteotomy using anterior-to-psoas approach (ATP) in a right lateral decubitus position, and (2) multilevel Ponte osteotomies and instrumented fusion from T10-pelvis. Post-operative radiography showed correction to scoliotic deformity and sagittal misalignment. The patient had developed seroma and wound dehiscence, which was evacuated on post-operative day 11. At 14-month follow-up, the patient reported significant improvement in pain symptoms, corroborated by patient reported outcome measures. To further quantify and assess patient recovery, smartphone-based patient activity data was collected and analyzed to serve as a proxy for the patient's functional improvement. The patient's walking steps-per-day was compared pre- and post-operatively. The patient's pre-operative baseline was 223 steps/day; the patient's activity during immediate post-operative recovery dropped to 179 steps/day; the patient returned to baseline activity levels approximately 3 months after ... |
| نوع الوثيقة: | text |
| اللغة: | unknown |
| Relation: | https://scholar.barrowneuro.org/neurosurgery/1879; https://doi.org/10.7759/cureus.18277 |
| DOI: | 10.7759/cureus.18277 |
| الاتاحة: | https://scholar.barrowneuro.org/neurosurgery/1879 https://doi.org/10.7759/cureus.18277 |
| رقم الانضمام: | edsbas.5832F87F |
| قاعدة البيانات: | BASE |
| DOI: | 10.7759/cureus.18277 |
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