Nonsurgical resource utilization in adult spinal deformity

Spine
Steven GlassmanKeith H Bridwell

Abstract

The enrollment data were retrospectively reviewed for 1,061 patients entered into a prospective multicenter study of adult spinal deformity between January 2002 and June 2004. The purpose of this study is to quantify and analyze the use of nonsurgical resources in patients with adult spinal deformity. Limited data exist regarding the utilization of nonsurgical treatment methods for adult spinal deformity. Demographic data, surgical history, symptom assessment, and nonsurgical treatment regimen were reviewed. Health status measures were the SF-12, SRS-29, and ODI. Nonsurgical patients were divided into low- and high-symptom subgroups based on age adjusted ODI score. Resource utilization was analyzed based on both patient and physician questionnaire responses. High- and low-symptom nonsurgical subgroups differed significantly on all reported health status measures (P < 0.0001). High-symptom patients used greater resources in terms of narcotics, epidural blocks, and physical agent methods (P < 0.001), analgesics (P < 0.01), pain management referral and bed rest (P < 0.02), strength training, nerve root blocks, and stabilization exercises (P < 0.05). The results of this study demonstrate that, within the population of adult deformi...Continue Reading

Associated Clinical Trials

References

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Citations

Oct 25, 2011·Current Reviews in Musculoskeletal Medicine·Christopher R GoodThomas C Schuler
Feb 2, 2010·Spine·Steven D GlassmanKeith H Bridwell
Aug 5, 2010·Spine·Justin S SmithUNKNOWN Spinal Deformity Study Group
Jul 4, 2009·Neurosurgery·Justin S SmithUNKNOWN Spinal Deformity Study Group
Aug 5, 2008·Neurosurgical Focus·Justin S SmithRichard G Fessler
Feb 28, 2014·Spine·Megan Carroll PaulusKris Radcliff
May 3, 2014·Neurosurgical Focus·Kseniya SlobodyanyukUNKNOWN International Spine Study Group
Apr 8, 2014·The Spine Journal : Official Journal of the North American Spine Society·Addisu MesfinLinda A Koester
Dec 10, 2013·The Spine Journal : Official Journal of the North American Spine Society·Ian M McCarthyUNKNOWN International Spine Study Group
May 16, 2017·World Neurosurgery·Rabia QureshiHamid Hassanzadeh
Feb 16, 2018·Prosthetics and Orthotics International·Fabio ZainaStefano Negrini
Nov 17, 2017·European Journal of Physical and Rehabilitation Medicine·Malik H AlanaziElizabeth Dennett
Feb 26, 2019·The Journal of Bone and Joint Surgery. American Volume·Michael P KellyKeith H Bridwell
Feb 6, 2018·The Open Orthopaedics Journal·Josette Bettany-SaltikovRichard Webb
May 11, 2019·Journal of Neurosurgery. Spine·Kazunori HayashiIbrahim Obeid
Sep 8, 2019·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Anouar BourghliUNKNOWN European Spine Study Group
Dec 14, 2018·Neurosurgical Focus·Chris J NealMichael K Rosner
Dec 19, 2018·Global Spine Journal·Selim AyhanUNKNOWN European Spine Study Group
Jul 19, 2019·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Takashi FujishiroUNKNOWN European Spine Study Group, ESSG
Mar 13, 2019·Journal of Physical Therapy Science·Christopher M GubbelsBenjamin T Brown
Dec 9, 2016·Spine Deformity·Christopher P AmesMichael D Daubs
Mar 9, 2019·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Takashi FujishiroUNKNOWN European Spine Study Group, ESSG
Jun 3, 2018·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·Kasra AmirdelfanJeyakumar Subbaroyan
Apr 24, 2021·Global Spine Journal·Anthony M AlvaradoPaul M Arnold

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