TY - JOUR
T1 - Return to work after adult spinal deformity surgery
AU - The International Spine Study Group
AU - Neuman, Brian J.
AU - Wang, Kevin Y.
AU - Harris, Andrew B.
AU - Raad, Micheal
AU - Hostin, Richard A.
AU - Protopsaltis, Themisctocles S.
AU - Ames, Christopher P.
AU - Passias, Peter G.
AU - Gupta, Munish C.
AU - Klineberg, Eric O.
AU - Hart, Robert
AU - Bess, Shay
AU - Kebaish, Khaled M.
AU - Akbarnia, Behrooz
AU - Ames, Christopher
AU - Anand, Neel
AU - Boachie-Adjei, Oheneba
AU - Bridwell, Keith
AU - Burton, Douglas
AU - Chou, Dean
AU - Cunningham,
AU - Daniels, Alan
AU - Deviren, Vedat
AU - Eastlack, Robert
AU - Fessler, Richard
AU - Glassman, Steven
AU - Gum, Jeffrey
AU - Gupta, Munish
AU - Hamilton, D. Kojo
AU - Hosogane, Naobumi
AU - Hostin, Richard
AU - Javidan, Yashar
AU - Fu, Kai Ming
AU - Kanter, Adam
AU - Kebaish, Khaled
AU - Kelly, Michael
AU - Kim, Han Jo
AU - Lafage, Renaud
AU - Lafage, Virginie
AU - Lenke, Lawrence
AU - Line, Breton
AU - Mummaneni, Praveen
AU - Mundis, Gregory
AU - Neuman, Brian
AU - Nunley, Pierce
AU - Okonkwo, David
AU - Park, Paul
AU - Passias, Peter
AU - Protopsaltis, Themistocles
AU - Scheer, Justin
AU - Schwab, Frank
AU - Sciubba, Daniel
AU - Shaffrey, Christopher
AU - Smith, Justin S.
AU - Soroceanu, Alexandra
AU - Ailon, Tamir
AU - Than, Khoi
AU - Uribe, Juan
AU - Wang, Michael
AU - Yagi, Mitsuru
AU - Yeramaneni, Samrat
N1 - Publisher Copyright:
© 2022, The Author(s), under exclusive licence to Scoliosis Research Society.
PY - 2023/1
Y1 - 2023/1
N2 - Purpose: To determine the proportions of patients returning to work at various points after adult spinal deformity (ASD) surgery and the associations between surgical invasiveness and time to return to work. Methods: Using a multicenter database of patients treated surgically for ASD from 2008 to 2015, we identified 188 patients (mean age 51 ± 15 years) who self-reported as employed preoperatively and had 2-year follow-up. Per the ASD–Surgical and Radiographical Invasiveness Index (ASD–SR), 118 patients (63%) underwent high-invasiveness (HI) surgery (ASD–SR ≥ 100) and 70 (37%) had low-invasiveness (LI) surgery (ASD–SR < 100). Patients who self-reported ≥ 75% normal level of work/school activity were considered to be working full time. Chi-squared and Fisher exact tests were used to compare categorical variables (α =.05). Results: Preoperatively, 69% of employed patients worked full time. Postoperatively, 15% of employed patients were full time at 6 weeks, 70% at 6 months, 83% at 1 year, and 84% at 2 years. Percentage of employed patients working full time at 2 years was greater than preoperatively (p <.001); percentage of patients returning to full time at 6 weeks was lower in the HI (5%) than in the LI group (19%) (p =.03), a difference not significant at later points. Conclusions: Most adults returned to full-time work after ASD surgery. A smaller percentage of patients in the HI group than in the LI group returned to full-time work at 6 weeks. Patients employed full time preoperatively will likely return to full-time employment after ASD surgery. Level of evidence: III.
AB - Purpose: To determine the proportions of patients returning to work at various points after adult spinal deformity (ASD) surgery and the associations between surgical invasiveness and time to return to work. Methods: Using a multicenter database of patients treated surgically for ASD from 2008 to 2015, we identified 188 patients (mean age 51 ± 15 years) who self-reported as employed preoperatively and had 2-year follow-up. Per the ASD–Surgical and Radiographical Invasiveness Index (ASD–SR), 118 patients (63%) underwent high-invasiveness (HI) surgery (ASD–SR ≥ 100) and 70 (37%) had low-invasiveness (LI) surgery (ASD–SR < 100). Patients who self-reported ≥ 75% normal level of work/school activity were considered to be working full time. Chi-squared and Fisher exact tests were used to compare categorical variables (α =.05). Results: Preoperatively, 69% of employed patients worked full time. Postoperatively, 15% of employed patients were full time at 6 weeks, 70% at 6 months, 83% at 1 year, and 84% at 2 years. Percentage of employed patients working full time at 2 years was greater than preoperatively (p <.001); percentage of patients returning to full time at 6 weeks was lower in the HI (5%) than in the LI group (19%) (p =.03), a difference not significant at later points. Conclusions: Most adults returned to full-time work after ASD surgery. A smaller percentage of patients in the HI group than in the LI group returned to full-time work at 6 weeks. Patients employed full time preoperatively will likely return to full-time employment after ASD surgery. Level of evidence: III.
KW - Adult Spinal Deformity Surgical and Radiographical Invasiveness Index
KW - Adult spinal deformity
KW - Employment
KW - Return to work
KW - Surgical invasiveness
UR - http://www.scopus.com/inward/record.url?scp=85139652934&partnerID=8YFLogxK
U2 - 10.1007/s43390-022-00552-2
DO - 10.1007/s43390-022-00552-2
M3 - Article
C2 - 36219391
AN - SCOPUS:85139652934
SN - 2212-134X
VL - 11
SP - 197
EP - 204
JO - Spine deformity
JF - Spine deformity
IS - 1
ER -