{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,2,5]],"date-time":"2024-02-05T01:59:11Z","timestamp":1707098351216},"reference-count":27,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2014,9,1]],"date-time":"2014-09-01T00:00:00Z","timestamp":1409529600000},"content-version":"vor","delay-in-days":31,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Orthopaedic Surgery"],"published-print":{"date-parts":[[2014,8]]},"abstract":"Objective<\/jats:title>To evaluate the effect of surgical treatment on health related quality of life (HRQOL<\/jats:styled-content>) and radiographic variables in patients with adult scoliosis.<\/jats:p><\/jats:sec>Methods<\/jats:title>Sixty\u2010eight patients with adult spinal deformities underwent radiographic analysis. The enrollment criteria were as follows: age older than 18 years, adult degenerative or progressive idiopathic scoliosis (Cobb angle >10\u00b0), and surgical treatment within one year before this study was undertaken. The following variables were measured: curve type, apical level, curve magnitude, coronal and sagittal balance using a C7<\/jats:sub><\/jats:styled-content> plumb line (C7<\/jats:sub>PL<\/jats:styled-content>) and gravity line, lateral intervertebral olisthesis, lumbar lordosis, sacral slope and pelvic tilt. HRQOL<\/jats:styled-content> was assessed by the Oswestry Disability Index (ODI<\/jats:styled-content>). Both preoperative and postoperative data were collected and changes in radiographically assessed variables and ODI<\/jats:styled-content> scores attributable to surgery calculated; correlations between these changes were then assessed. The radiographically assessed variables and ODI scores were analyzed with SigmaStat (SPSS, Chicago, IL, USA). The level of statistical significance was set at P<\/jats:italic> < 0.05.<\/jats:p><\/jats:sec>Results<\/jats:title>Surgical treatment resulted in improvements in ODI<\/jats:styled-content> scores and several radiographically assessed variables, including sagittal balance, lumbar lordosis, lateral olisthesis and coronal Cobb angle. Only sagittal balance expressed as C7<\/jats:sub>PL<\/jats:styled-content> was correlated to both preoperative and postoperative ODI<\/jats:styled-content>. Gravity line, an alternative measurement of spinal balance, did not provide better correlations with HRQOL<\/jats:styled-content> than C7<\/jats:sub>PL<\/jats:styled-content>.<\/jats:p><\/jats:sec>Conclusions<\/jats:title>Spinal balance assessed by gravity line did not provide a better correlation with HRQOL<\/jats:styled-content> than C7<\/jats:sub>PL<\/jats:styled-content>. Loss of sacral slope and retroverted pelvis are commonly seen in adult scoliosis and are not significantly changed by surgical treatment, including restoration of lumbar lordosis and sagittal balance.<\/jats:p><\/jats:sec>","DOI":"10.1111\/os.12116","type":"journal-article","created":{"date-parts":[[2014,9,1]],"date-time":"2014-09-01T12:26:12Z","timestamp":1409574372000},"page":"196-202","source":"Crossref","is-referenced-by-count":3,"title":["Prediction of Health Status Based on Postoperative Radiographic Variables in Adult Scoliosis"],"prefix":"10.1111","volume":"6","author":[{"given":"Hai\u2010bo","family":"Zou","sequence":"first","affiliation":[{"name":"Spine Division of Orthopaedic Department China\u2010Japan Friendship Hospital Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chun\u2010hui","family":"Wu","sequence":"additional","affiliation":[{"name":"Twin Cities Spine Center Minneapolis Minnesota 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