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

Kieser, David; Bourghli, Anouar; Larrieu, Daniel; Cawley, Derek; Hayashi, Kazunori; Jakinapally, Sreenath; Pizones, Javier; Boissière, Louis; Obeid, Ibrahim

doi:10.1007/s43390-021-00315-5

Cited by 6 publications

(4 citation statements)

References 14 publications

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“…In terms of functioning, our data are consistent with those of other studies, namely, lockdown did not negatively affect patients, as shown by the SRS-22 and SF-12. [ 29 ] However, we cannot say the same for psychological status, since, although statistically significant differences were not recorded in the psychological dimension of SRS-22 or the SF-12, the GDS revealed that more than half of the study population is at risk of depression (GDS > 5), which was more frequent in women and patients who underwent surgery. This finding is most likely due to the strict lockdown measures.…”

Section: Discussionmentioning

confidence: 88%

Effect of COVID-19 on quality of life of persons aged >70 years with adult spinal deformity: A cross-sectional case-control study

et al. 2022

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This observational, cross-sectional case-control study evaluates the impact of coronavirus disease 2019 (COVID-19) on health-related quality of life (HRQoL) in elderly persons who have undergone surgery for adult spinal deformity (ASD). On December 31, 2019, the Chinese authorities first reported severe acute respiratory syndrome coronavirus 2, and on March 11, 2020, it was declared a pandemic. The pandemic seems to have had a negative effect on elderly patients who underwent ASD, in terms of functional and psychological quality of life. We selected patients with ASD aged > 70 years who had undergone surgery between 2010 and 2015 and compared them with age- and sex-matched patients who did not have ASD. We recorded sociodemographic variables, type of surgery, levels of spinal fusion, HRQoL (Scoliosis Research Society-22, Short Form 12 Health Survey, EuroQol-5D [EQ-5], Geriatric Depression Scale [Yesavage] [GDS], Modified Frailty Index-11, and Barthel index), fear of visiting a health center, fear of leaving one’s house, and adherence to preventive measures. The study population comprised 174 patients (mean [standard deviation] age, 77.3 [5.9] years; 86% women), of whom 87 had undergone surgery for ASD. The incidence of COVID-19 was higher in patients aged > 85 years ( P = .041), urban areas ( P = .047), and in patients in long-term care ( P = .03). Similarly, no differences were observed for the ability to cope with the pandemic ( P > .05). Patients who underwent surgery also had a higher risk of depression (GDS, 6.7 [ P = .02]), a lower EQ-5 score ( P = .001), a higher body mass index ( P = .004), greater consumption of drugs ( P < .001), especially opiates ( P < .001). Patients who underwent surgery constitute a vulnerable population during the COVID-19 pandemic, with poorer quality of life and had a much higher risk of depression. They are also polymedicated and prefrail, adhere well to COVID-19 preventive measures, and do not seem to fear visiting health centers.

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Section: Discussionmentioning

confidence: 88%

Effect of COVID-19 on quality of life of persons aged >70 years with adult spinal deformity: A cross-sectional case-control study

et al. 2022

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“…In our study, 31.4% of the participants claimed the pandemic had affected them in some manner. A survey of postoperative patients with adult spinal deformity reported that confinement during the pandemic had no effect on SRS-22, although a negative effect in relation to ODI was detected [ 18 ]. Our study results indicated no correlation between the impact of the COVID-19 pandemic and ODI deterioration.…”

Section: Discussionmentioning

confidence: 99%

Impact of the COVID-19 Pandemic on Middle-Aged and Older Patients With Adolescent Idiopathic Scoliosis Who Underwent Spinal Fusion: A Questionnaire-Based Survey

Akazawa¹,

Kotani²,

Sakuma³

et al. 2023

Cureus

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To investigate the impact of the COVID-19 pandemic on middle-aged and older patients with adolescent idiopathic scoliosis (AIS) who underwent spinal fusion. MethodsThe subjects were 252 AIS patients who underwent spinal fusion between 1968 and 1988. The surveys were performed before the COVID-19 pandemic (a primary survey in 2014) and during the pandemic (a secondary survey in 2022). The self-administered questionnaires were mailed to the patients. We analyzed 35 patients (33 females and two males) who replied to both surveys. ResultsThe pandemic had low impacts on 11 patients (31.4%). Two patients reported refraining from seeing a doctor because they were concerned about going to the clinic or hospital, eight reported that the pandemic impacted their work, and five reported fewer opportunities to go out (based on multiple-choice answers). Twenty-four patients reported that their lives were unaffected by the pandemic. No significant differences were detected between both surveys for Scoliosis Research Society-22 (SRS-22) in any domains (function, pain, self-image, mental, or satisfaction). The Oswestry Disability Index (ODI) questionnaires revealed a significant worsening of the survey during the pandemic compared with the survey before the pandemic. There was no significant difference in the impact of the pandemic between the ODI deterioration group (27.8%) and the ODI stable group (35.3%). ConclusionThe COVID-19 pandemic had a low impact on 31.4% of middle-aged and older patients with AIS who underwent spinal fusion. The impact of the pandemic did not significantly differ between the groups with ODI deteriorations and the groups with stable ODI. The pandemic had a smaller impact on AIS patients at a minimum of 33 years after surgery.

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“…Unfortunately, it would be callous to discount the effect of chronic disability on mental health, and refusal to match patients may lead to our hypothesized findings but could also be a result of significant confounding. Of note, in a study of adult spinal deformity patients, Kieser et al (2021) 27 demonstrated the effects of a 14-day quarantine on baseline PROs to be variable but reported significantly worsened ODI scores. Cohen and colleagues (2021) conducted a study quite similar to ours, except studying the “Hand-Wrist Study Cohort” as opposed to spine patients.…”

Section: Discussionmentioning

confidence: 99%

Coronavirus Disease 2019 Shutdown Did Not Affect Mental Health Scores in Lumbar Decompression Patients in a Large Metropolitan Region

Hartman

Nie²,

MacGregor³

et al. 2023

Clinical Spine Surgery: A Spine Publication

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Study Design: Retrospective study. Objective: To evaluate the effect of the coronavirus disease 2019 (COVID-19) shutdown in a large metropolitan area on mental health scores of spine patients undergoing lumbar decompression in the preoperative and early postoperative phases. Summary of Background Data: Global mental health has been demonstrated to be negatively affected by COVID-19 shutdowns. Preoperative mental health affects outcomes in spine patients, and the effect of COVID-19 shutdowns on mental health in this population is unclear. Patients and Methods: Patients were retrospectively identified from a single orthopedic spine surgeon registry. Patients were divided into 2 cohorts, separated by the date of surgery on or after March 20, 2020, the date of local shutdown due to COVID-19. After division, patients were propensity score matched for age, sex, ethnicity, common comorbidities, body mass index, preoperative visual analog scale back and leg pain scores, and preoperative Oswestry Disability Index. Perioperative characteristics were observed and recorded. Mental health scores, 12-item Short Form Mental Component Score, and 9-item Patient Health Questionnaire 9 were collected preoperatively, at 6 weeks, and at 12 weeks and compared between cohorts through Student t tests. Results: Three hundred thirty-four patients were identified, with 184 patients remaining after propensity score matching. Of the remaining 184 patients, 119 patients were identified as having surgery within the 2 years before the shutdown (“Pre-Shutdown”), whereas 65 patients had surgery within the 2 years after shutdown (“Post-Shutdown”). There were no significant differences between Pre-Shutdown and Post-Shutdown cohorts with regard to either Short Form Mental Component Score or Patient Health Questionnaire-9 at any time period evaluated (P > 0.050, all). Conclusion: The COVID-19 shutdown in a large metropolitan area did not affect preoperative or early postoperative mental health in patients undergoing lumbar decompression. However, each cohort was matched for preoperative pain and disability scores, which may have adversely been affected by the shutdown.

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

Cited by 6 publications

References 14 publications

Effect of COVID-19 on quality of life of persons aged >70 years with adult spinal deformity: A cross-sectional case-control study

Effect of COVID-19 on quality of life of persons aged >70 years with adult spinal deformity: A cross-sectional case-control study

Impact of the COVID-19 Pandemic on Middle-Aged and Older Patients With Adolescent Idiopathic Scoliosis Who Underwent Spinal Fusion: A Questionnaire-Based Survey

Coronavirus Disease 2019 Shutdown Did Not Affect Mental Health Scores in Lumbar Decompression Patients in a Large Metropolitan Region

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