{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T06:58:20Z","timestamp":1787986700510,"version":"build-2784847793"},"reference-count":36,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2025,12,27]],"date-time":"2025-12-27T00:00:00Z","timestamp":1766793600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2025,12,27]],"date-time":"2025-12-27T00:00:00Z","timestamp":1766793600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Global Spine Journal"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Post-hoc analysis of data from prospective multicenter observational study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Adult spinal deformity (ASD) can have significant impact on various aspects of a patient\u2019s social life. This study aims to examine the impact of ASD surgery on the social functioning among elderly patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Patients \u226560 years undergoing \u22655 levels of spinal fusion from 12 international centers were enrolled and followed up 2 years post-operatively. The outcome measures of interest in the current report were questions 14 and 18 of the Scoliosis Research Society-22r questionnaire (SRS-22r), and question 9 from the Oswestry Disability Index (ODI).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>219 patients met the inclusion criteria, with a median age of 67.5 and 80.4% being female. More than a third were employed or homemakers, 60.3% were retired and 25.7% showed cognitive impairment. For the SRS-22r Q14, at baseline, 40.6% of patients felt their back condition moderately or severely affected their personal relationships compared to 14.7% at 2-years. For SRS-22r Q18, at baseline, 47.7% of patients felt their back often or very often limited them going out with friends\/family compared to 17.1% at 2-years. For the ODI, Q9, 8.7% of patients felt that their social was normal and does not cause them extra pain pre-op compared to 44.1% of patients at 2-years.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>While many factors can affect a patient\u2019s social function, in this cohort ASD surgery had a positive impact on social function.<\/jats:p>\n                    <jats:p>The ClinicalTrails.gov identifier: NCT02035280.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/21925682251411237","type":"journal-article","created":{"date-parts":[[2025,12,27]],"date-time":"2025-12-27T15:27:57Z","timestamp":1766849277000},"page":"2601-2610","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Can Social Function Improve in Older Patients Undergoing Multi-Level Spinal Deformity Surgery?"],"prefix":"10.1177","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7880-4303","authenticated-orcid":false,"given":"Mauricio","family":"Campos Daziano","sequence":"first","affiliation":[{"name":"Pontificia Universidad Cat\u00f3lica de Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lauren","family":"Daunt","sequence":"additional","affiliation":[{"name":"University of Toronto"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vanessa","family":"Vashishth","sequence":"additional","affiliation":[{"name":"University of Toronto"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eliana","family":"Seider","sequence":"additional","affiliation":[{"name":"University of Toronto"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aazad","family":"Abbas","sequence":"additional","affiliation":[{"name":"University of Toronto"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Rienmueller","sequence":"additional","affiliation":[{"name":"Medical University Vienna"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yukihiro","family":"Matsuyama","sequence":"additional","affiliation":[{"name":"Hamamatsu University School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4202-6092","authenticated-orcid":false,"given":"Yong","family":"Qiu","sequence":"additional","affiliation":[{"name":"Drum Tower Hospital of Nanjing University Medical School"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Kelly","sequence":"additional","affiliation":[{"name":"Washington University School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Justin S.","family":"Smith","sequence":"additional","affiliation":[{"name":"University of Virginia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benny T.","family":"Dahl","sequence":"additional","affiliation":[{"name":"Baylor College of Medicine"},{"name":"Houston & Rigshospitalet, National University of Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maarten","family":"Spruit","sequence":"additional","affiliation":[{"name":"Sint Maartenskliniek Nijmegen"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marinus","family":"de Kleuver","sequence":"additional","affiliation":[{"name":"Radboud University Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David W.","family":"Polly","sequence":"additional","affiliation":[{"name":"University of Minnesota"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan","family":"Sembrano","sequence":"additional","affiliation":[{"name":"University of Minnesota"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0644-7757","authenticated-orcid":false,"given":"Ferran","family":"Pellis\u00e9-Urquiza","sequence":"additional","affiliation":[{"name":"Hospital Universitari de la Vall d\u2019Hebron"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8304-0419","authenticated-orcid":false,"given":"Kenneth M. 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