Factors Associated With Improved Quality of Life Outcomes in Patients Undergoing Surgery for Adult Spinal Deformity

Hideyuki Arima, MD, PhD; Tomohiko Hasegawa, MD, PhD; Yu Yamato, MD, PhD; Daisuke Togawa, MD, PhD; Go Yoshida, MD, PhD; Tatsuya Yasuda, MD, PhD; Tomohiro Banno, MD, PhD; Shin Oe, MD, PhD; Yuki Mihara, MD, PhD; Hiroki Ushirozako, MD, PhD; Tomohiro Yamada, MD; Yuh Watanabe, MD; Koichiro Ide, MD; Keiichi Nakai, MD; Yukihiro Matsuyama, MD, PhD


Spine. 2021;46(6):E384-E391. 

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Achieving MCID for SRS-22r domains 2 years after extensive fusion surgery for ASD was significantly associated with poor preoperative HRQOL scores in the present study. Achieving postoperative global sagittal alignment increased the likelihood of achieving MCID for the SRS-22r Subtotal domain. Revision surgery negatively affected the likelihood of achieving MCID for SRS-22r domains and therefore risks associated with need of revision surgery should be minimized.