Impact of COVID-19 on the pain and disability of patients with adult spinal deformity

D C Kieser, A Bourghli, D Larrieu, D T Cawley, K Hayashi, S Jakinapally, J Pizones, L Boissiere, I Obeid, D C Kieser, A Bourghli, D Larrieu, D T Cawley, K Hayashi, S Jakinapally, J Pizones, L Boissiere, I Obeid

Abstract

Purpose: To evaluate the pain and functional effect of the COVID-19 pandemic on patients with ASD reflected by their response to SRS-22, ODI, and SF-36 questionnaires.

Methods: Patients who had stable pain and functional outcome scores over the preceding 2 years were enrolled in a local prospectively collected adult spinal deformity (ASD) database. A reanalysis of their SRS22, ODI and SF-36 data 14 days into confinement were compared to their last pre-confinement scores.

Results: 89 patients were included in this study (average age 60.7 years, 91% female) with an average time from last FU until confinement of 9.6 months. The ODI total score worsened by 5 points post-confinement with no difference seen in personal care, walking and social life. In contrast, the SRS-22 score showed small improvements in function/activity and satisfaction, but no significant differences for the other domains. Similarly, the SF-36 showed small improvements in physical function, physical and emotional role, vitality and PCS.

Conclusion: The global COVID-19 pandemic and ensuing confinement had variable overall effects on ASD patients, without the expected marked worsening. In addition, this study illustrates that the SRS-22 questionnaire is less influenced by environmental and psychological factors than the ODI supporting its objectivity and accuracy in the evaluation of the QoL of ASD patients.

Keywords: COVID-19; Coronavirus; Scoliosis; Spine; Surgery.

© 2021. Scoliosis Research Society.

References

    1. Schwab F, Dubey A, Gamez L, El Fegoun AB, Hwang K, Pagala M, et al. Adult scoliosis: prevalence, SF-36, and nutritional parameters in an elderly volunteer population. Spine. 2005;30(9):1082–1085. doi: 10.1097/.
    1. Schwab F, Dubey A, Pagala M, Gamez L, Farcy JP. Adult scoliosis: a health assessment analysis by SF-36. Spine. 2003;28(6):602–606.
    1. Schwab FJ, Blondel B, Bess S, Hostin R, Shaffrey CI, Smith JS, et al. Radiographical spinopelvic parameters and disability in the setting of adult spinal deformity: a prospective multicenter analysis. Spine. 2013;38(13):E803–E812. doi: 10.1097/BRS.0b013e318292b7b9.
    1. Pellise F, Vila-Casademunt A, Ferrer M, Domingo-Sabat M, Bago J, Perez-Grueso FJ, et al. Impact on health related quality of life of adult spinal deformity (ASD) compared with other chronic conditions. Eur Spine J. 2015;24(1):3–11. doi: 10.1007/s00586-014-3542-1.
    1. Hurwitz EL, Morgenstern H, Yu F. Cross-sectional and longitudinal associations of low-back pain and related disability with psychological distress among patients enrolled in the UCLA low back pain study. J Clin Epidemiol. 2003;56(5):463–471. doi: 10.1016/S0895-4356(03)00010-6.
    1. Theologis AA, Ailon T, Scheer JK, Smith JS, Shaffrey CI, Bess S, et al. Impact of preoperative depression on 2-year clinical outcomes following adult spinal deformity surgery: the importance of risk stratification based on type of psychological distress. J Neurosurg Spine. 2016;25(4):477–485. doi: 10.3171/2016.2.SPINE15980.
    1. Bakhsheshian J, Scheer JK, Gum JL, Hostin R, Lafage V, Bess S, et al. Impact of poor mental health in adult spinal deformity patients with poor physical function: a retrospective analysis with a 2-year follow-up. J Neurosurg Spine. 2017;26(1):116–124. doi: 10.3171/2016.5.SPINE151428.
    1. Cao W, Fang Z, Hou G, Han M, Xu X, Dong J, Zheng J. The psychological impact of the COVID-19 epidemic on college students in China. Psych Res. 2020;287:112934. doi: 10.1016/j.psychres.2020.112934.
    1. Wang C, Pan R, Wan X, Tan Y, Xu L, Ho CS, Ho RC. Immediate psychological responses and associated factors during the initial stage of the 2019 Coronavirus Disease (COVID-19) epidemic among the general population in China. Int J Environ Res. 2020;17:1729.
    1. Cullen W, Gulati G, Kelly BD. Mental health in the COVID-19 pandemic. Int J Med. 2020;113(5):311–312.
    1. Ahorsu DK, Lin CY, Imani V, Saffari M, Griffiths MD, Pakpour AH. The fear of COVID-19 scale: development and initial validation. Int J Mental Health Addict. 2020 doi: 10.1007/s11469-020-00270-8.
    1. Fujishiro T, Boissière L, Cawley DT, Larrieu D, Gille O, Vital JM. Adult spinal deformity surgical decision-making score: Part 1: development and validation of a scoring system to guide the selection of treatment modalities for patients below 40 years with adult spinal deformity. Eur Spine J. 2019;28(7):1652–1660. doi: 10.1007/s00586-019-05932-3.
    1. Fujishiro T, Boissière L, Cawley DT, Larrieu D, Gille O, Vital JM. Adult spinal deformity surgical decision-making score. Part 2: development and validation of a scoring system to guide the selection of treatment modalities for patients above 40 years with adult spinal deformity. Eur Spine J. 2020;29(1):45–53. doi: 10.1007/s00586-019-06068-0.
    1. Boissière L, Takemoto M, Bourghli A, Vital JM, Pellisé F, Alanay A. Global tilt and lumbar lordosis index: two parameters correlating with health-related quality of life scores-but how do they truly impact disability? Spine J. 2017;17(4):480–488. doi: 10.1016/j.spinee.2016.10.013.

Source: PubMed

スポンサーと協力者

医学的状態

薬物療法

3
購読する