Spinal deformity Spinal deformity
Conditions
Interventions
Conventional treatment can be physiotherapy or bracing therapy.Surgical treatment is long fusion surgery, where at least 4 vertebrae are fixed.
Sponsors
Maastricht Universitair Medisch Centrum +
Eligibility
Age
12 Years to 99 Years
Inclusion criteria
Inclusion criteria: Patients diagnosed with spinal deformity who are conservatively treated (e.g. physical therapy) or treated with long fusion surgery. Spinal deformity is defined as a deformity of the spine in either the coronal (> 10° lateral deviation of the vertical axis) or sagittal plane (Sagittal vertical axis > 5 cm or T1-spino pelvic inclination angle > 0°)); Long fusion surgery is defined as the fusion of least four vertebrae. Adolescents (12-17years, adolescent idiopathic scoliosis (AIS)) and adults (>18years, adult spinal deformity (ASD)) will be included. For the retrospective component: Patients diagnosed with spinal deformity who are conservatively treated (e.g. physical therapy) or treated with long fusion surgery, who completed 3D gait analysis, radiographs and clinical outcomes preoperatively and 6 and 12 months postoperatively
Exclusion criteria
Exclusion criteria: Patients undergoing fusion surgery were less than four verbarae are fusedunable to walk independently for 15 minutes
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Outcomes from 3D gait analysis:Spatiotemporal parameters, including variabilility (Coefficient of Variation)3D joint angles of trunk, pelvis, hip, knee, ankle3D joint momentsGround reaction forcesSpinal alignment parameters: e.g. sagittal vertical axis, S1-T12 angleX-ray outcome measures: major coronal Cobb angle (°), pelvic tilt (°), pelvic incidence (°), sacral slope (°), L1-S1 lumbar lordosis (°), L4-S1 lumbar lordosis (°), pelvic incidence – lumbar lordosis mismatch (°), thoracic kyphosis (°), T1 Pelvic Angle (°) and sagittal vertical axis (mm).PROMS:VAS scale assessing pain at the back and legs during last week (3 questions)RAND 36 assessing quality of Life (8 questions)HADS assessing feelings and symptoms (14 questions)PCS to measure the thoughts and feelings patients experience when having pain (13 question)EQ-5D to assess the healt status (5 questions) | — |
Secondary
| Measure | Time frame |
|---|---|
| Age, sex, body height, weight, BMI, leg length | — |
Countries
Netherlands
Contacts
Public ContactRHJ Senden
Maastricht Universitair Medisch Centrum +
Outcome results
None listed