Clinical appearance and reliability in visual assessment after in situ fusion for high-grade isthmic spondylolisthesis.
Cosmesis
Digital photographs
High-grade spondylolisthesis
In situ fusion
Reliability
Standing lateral radiographs
Visual assessment
Journal
Spine deformity
ISSN: 2212-1358
Titre abrégé: Spine Deform
Pays: England
ID NLM: 101603979
Informations de publication
Date de publication:
01 2021
01 2021
Historique:
received:
06
06
2020
accepted:
08
09
2020
pubmed:
24
9
2020
medline:
19
11
2021
entrez:
23
9
2020
Statut:
ppublish
Résumé
The current literature on clinical appearance after surgery for high-grade spondylolisthesis is inconclusive. The few long-term comparative studies on surgical reduction versus in situ fusion report contradictory findings concerning appearance-related issues. The purpose of the current study was to evaluate and quantify clinical appearance three decades after in situ fusion for high-grade isthmic spondylolisthesis. The Scoliosis Research Society (SRS)-22r questionnaire, digital photographs and standing lateral radiographs were used to evaluate clinical appearance for 22 patients three decades after in situ fusion for high-grade spondylolisthesis. The appearance was assessed by two spine surgeons, by the patient themselves, and by quantification of cosmesis relevant radiographic variables including pelvic parameters and sagittal balance. The surgeon inter- and intraobserver reliability of the photographic evaluation of the trunk deformity was at most moderate (Cohen's kappa 0.5). Correlation analysis revealed at most medium correlation between radiographic outcome and self-rated (SRS-22r) self-image (Spearman's rank correlation coefficient 0.3). The agreement between patient and surgeon-rated trunk appearance was poor (Cohen's kappa 0.2). Photographic evaluation of the trunk deformity in high-grade spondylolisthesis is unreliable. There were only weak correlations between patient self-assessed trunk appearance and radiographic parameters. The results reflect the pronounced subjectivity of cosmesis, and that the trunk deformity in high-grade spondylolisthesis is not easily observed. IV.
Identifiants
pubmed: 32965628
doi: 10.1007/s43390-020-00208-z
pii: 10.1007/s43390-020-00208-z
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
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