Ryo Kondo, Yu Yamato, Tetsuyuki Nagafusa, Takashi Mizushima, Tomohiko Hasegawa, Sho Kobayashi, Daisuke Togawa, Shin Oe, Kenta Kurosu, Yukihiro Matsuyama


August 2017, Volume 26, Issue 8, pp 2138 - 2145 Original Article Read Full Article 10.1007/s00586-017-4987-9

First Online: 11 February 2017

Purpose

To identify the effects of corrective long spinal fusion to the ilium on physical function in patients with adult spinal deformity (ASD).

Methods

Thirty patients who underwent corrective long spinal fusion to the ilium were prospectively analysed. Patients were divided into the ++ group [sagittal vertical axis (SVA) ≥ 95 mm and pelvic tilt (PT) ≥ 30°, 14 patients] and 0+ group (SVA 

Results

All study patients had a significant improvement in the VAS score between baseline and at discharge, 6 months postoperatively, and 12 months postoperatively. The values of the TUG and 6MWT significantly improved 12 months postoperatively. The values of the TUG, 10MWT, and 6MWT improved significantly more in the ++ group than in the 0+ group at 12 months.

Conclusion

Corrective long spinal fusion contributed to improving back pain at discharge and gait ability at 12 months in patients with ASD.


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