Return to work after adult spinal deformity surgery

The International Spine Study Group

doi:10.1007/s43390-022-00552-2

Return to work after adult spinal deformity surgery

The International Spine Study Group

Research output: Contribution to journal › Article › peer-review

1 Scopus citations

Abstract

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.

Original language	English
Pages (from-to)	197-204
Number of pages	8
Journal	Spine deformity
Volume	11
Issue number	1
DOIs	https://doi.org/10.1007/s43390-022-00552-2
State	Published - Jan 2023

Keywords

Adult Spinal Deformity Surgical and Radiographical Invasiveness Index
Adult spinal deformity
Employment
Return to work
Surgical invasiveness

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10.1007/s43390-022-00552-2

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@article{84a11d02ec7f4761ba8f42c919f3efa0,

title = "Return to work after adult spinal deformity surgery",

abstract = "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.",

keywords = "Adult Spinal Deformity Surgical and Radiographical Invasiveness Index, Adult spinal deformity, Employment, Return to work, Surgical invasiveness",

author = "{The International Spine Study Group} and Neuman, {Brian J.} and Wang, {Kevin Y.} and Harris, {Andrew B.} and Micheal Raad and Hostin, {Richard A.} and Protopsaltis, {Themisctocles S.} and Ames, {Christopher P.} and Passias, {Peter G.} and Gupta, {Munish C.} and Klineberg, {Eric O.} and Robert Hart and Shay Bess and Kebaish, {Khaled M.} and Behrooz Akbarnia and Christopher Ames and Neel Anand and Oheneba Boachie-Adjei and Keith Bridwell and Douglas Burton and Dean Chou and Cunningham and Alan Daniels and Vedat Deviren and Robert Eastlack and Richard Fessler and Steven Glassman and Jeffrey Gum and Munish Gupta and Hamilton, {D. Kojo} and Naobumi Hosogane and Richard Hostin and Yashar Javidan and Fu, {Kai Ming} and Adam Kanter and Khaled Kebaish and Michael Kelly and Kim, {Han Jo} and Renaud Lafage and Virginie Lafage and Lawrence Lenke and Breton Line and Praveen Mummaneni and Gregory Mundis and Brian Neuman and Pierce Nunley and David Okonkwo and Paul Park and Peter Passias and Themistocles Protopsaltis and Justin Scheer and Frank Schwab and Daniel Sciubba and Christopher Shaffrey and Smith, {Justin S.} and Alexandra Soroceanu and Tamir Ailon and Khoi Than and Juan Uribe and Michael Wang and Mitsuru Yagi and Samrat Yeramaneni",

note = "Funding Information: For editorial assistance, we thank Denise Di Salvo, MS, Sandra Crump, MPH, and Rachel Box, MS, in the Editorial Services group of The Johns Hopkins Department of Orthopaedic Surgery. The International Spine Study Group: Behrooz Akbarnia, MD, SDS, emeritus; Christopher Ames, MD, UCSF, core member; Neel Anand, MD, CED, participant; Shay Bess, MD, COL, core member; Oheneba Boachie-Adjei, MD, HSS, emeritus; Keith Bridwell, MD, WUN, collaborator; Douglas Burton, MD, KS, core member; Dean Chou, MD, USF, participant; Cunningham, HSS, corresponding associate; Alan Daniels, MD, BU, collaborator; Vedat Deviren, MD, USF, participant; Robert Eastlack, MD, SDS, participant; Richard Fessler, MD, RUM, participant; Steven Glassman, MD, NLS, collaborator; Jeffrey Gum, MD, NLS, participant; Munish Gupta, MD, WUN, core member; D. Kojo Hamilton, MD, UPM, participant; Robert Hart, MD, OHS, core member; Naobumi Hosogane, MD, PHD, JPN, collaborator; Richard Hostin, MD, BSC, core member; Yashar Javidan, MD, UCD, corresponding associate; Kai Ming Fu, MD, NYC, corresponding associate; Adam Kanter, MD, FAANS, UPM, participant; Khaled Kebaish, MD, JHU, core member; Michael Kelly, MD, WUN, participant; Han Jo Kim, MD, HSS, core member; Eric Klineberg, MD, UCD, core member; Renaud Lafage, MSc, HSS, collaborator; Virginie Lafage, PhD, HSS, core member; Lawrence Lenke, MD, CU, participant; Breton Line, BS, COL, collaborator; Praveen Mummaneni, MD, UCSF, participant; Gregory Mundis, MD, SDS, core member; Brian Neuman, MD , JHU, corresponding associate; Pierce Nunley, MD, LOU, participant; David Okonkwo, MD, UPM, participant; Paul Park, MD, UMI, participant; Peter Passias, MD, NYU, participant; Themistocles Protopsaltis, MD, NYU, participant; Justin Scheer, MD, UCI, collaborator; Frank Schwab, MD, HSS, core member; Daniel Sciubba, MD, JHU, corresponding associate; Christopher Shaffrey, MD, UVA, core member; Justin S. Smith, MD, PhD, UVA, core member; Alexandra Soroceanu, MD, MPH, UCA, participant; Tamir Ailon, MD, VANC, corresponding associate; Khoi Than, MD, OHS, participant; Juan Uribe, MD, BNI, participant; Michael Wang, MD, UMF, participant; Mitsuru Yagi, MD, PhD, JPN, collaborator; Samrat Yeramaneni, MBBS, MS, PhD, BSC, collaborator. Publisher Copyright: {\textcopyright} 2022, The Author(s), under exclusive licence to Scoliosis Research Society.",

year = "2023",

month = jan,

doi = "10.1007/s43390-022-00552-2",

language = "English",

volume = "11",

pages = "197--204",

journal = "Spine deformity",

issn = "2212-134X",

number = "1",

}

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 - Funding Information: For editorial assistance, we thank Denise Di Salvo, MS, Sandra Crump, MPH, and Rachel Box, MS, in the Editorial Services group of The Johns Hopkins Department of Orthopaedic Surgery. The International Spine Study Group: Behrooz Akbarnia, MD, SDS, emeritus; Christopher Ames, MD, UCSF, core member; Neel Anand, MD, CED, participant; Shay Bess, MD, COL, core member; Oheneba Boachie-Adjei, MD, HSS, emeritus; Keith Bridwell, MD, WUN, collaborator; Douglas Burton, MD, KS, core member; Dean Chou, MD, USF, participant; Cunningham, HSS, corresponding associate; Alan Daniels, MD, BU, collaborator; Vedat Deviren, MD, USF, participant; Robert Eastlack, MD, SDS, participant; Richard Fessler, MD, RUM, participant; Steven Glassman, MD, NLS, collaborator; Jeffrey Gum, MD, NLS, participant; Munish Gupta, MD, WUN, core member; D. Kojo Hamilton, MD, UPM, participant; Robert Hart, MD, OHS, core member; Naobumi Hosogane, MD, PHD, JPN, collaborator; Richard Hostin, MD, BSC, core member; Yashar Javidan, MD, UCD, corresponding associate; Kai Ming Fu, MD, NYC, corresponding associate; Adam Kanter, MD, FAANS, UPM, participant; Khaled Kebaish, MD, JHU, core member; Michael Kelly, MD, WUN, participant; Han Jo Kim, MD, HSS, core member; Eric Klineberg, MD, UCD, core member; Renaud Lafage, MSc, HSS, collaborator; Virginie Lafage, PhD, HSS, core member; Lawrence Lenke, MD, CU, participant; Breton Line, BS, COL, collaborator; Praveen Mummaneni, MD, UCSF, participant; Gregory Mundis, MD, SDS, core member; Brian Neuman, MD , JHU, corresponding associate; Pierce Nunley, MD, LOU, participant; David Okonkwo, MD, UPM, participant; Paul Park, MD, UMI, participant; Peter Passias, MD, NYU, participant; Themistocles Protopsaltis, MD, NYU, participant; Justin Scheer, MD, UCI, collaborator; Frank Schwab, MD, HSS, core member; Daniel Sciubba, MD, JHU, corresponding associate; Christopher Shaffrey, MD, UVA, core member; Justin S. Smith, MD, PhD, UVA, core member; Alexandra Soroceanu, MD, MPH, UCA, participant; Tamir Ailon, MD, VANC, corresponding associate; Khoi Than, MD, OHS, participant; Juan Uribe, MD, BNI, participant; Michael Wang, MD, UMF, participant; Mitsuru Yagi, MD, PhD, JPN, collaborator; Samrat Yeramaneni, MBBS, MS, PhD, BSC, collaborator. 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 -

Return to work after adult spinal deformity surgery

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