Return to work after adult spinal deformity surgery

Collaborators, Affiliations

Collaborators

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

Affiliations

¹ Department of Orthopaedic Surgery, The Johns Hopkins University, 601 N. Caroline Street, JHOC 5223, Baltimore, MD, 21287, USA.
² Department of Orthopaedic Surgery, Baylor Scoliosis Center, Plano, TX, USA.
³ Department of Orthopaedic Surgery, NYU Hospital for Joint Diseases, New York, NY, USA.
⁴ Department of Neurologic Surgery, University of California San Francisco, San Francisco, CA, USA.
⁵ Department of Orthopaedic Surgery, Washington University, St. Louis, MO, USA.
⁶ Department of Orthopaedic Surgery, University of California Davis School of Medicine, Sacramento, CA, USA.
⁷ Department of Orthopaedic Surgery, Oregon Health & Science University, Portland, OR, USA.
⁸ Department of Orthopaedic Surgery, Denver International Spine Center, Denver, CO, USA.
⁹ Department of Orthopaedic Surgery, The Johns Hopkins University, 601 N. Caroline Street, JHOC 5223, Baltimore, MD, 21287, USA. kkebais@jhmi.edu.

PMID: 36219391
DOI: 10.1007/s43390-022-00552-2

Multicenter Study

Return to work after adult spinal deformity surgery

Brian J Neuman et al. Spine Deform. 2023 Jan.

. 2023 Jan;11(1):197-204.

doi: 10.1007/s43390-022-00552-2. Epub 2022 Oct 11.

Collaborators

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

Affiliations

¹ Department of Orthopaedic Surgery, The Johns Hopkins University, 601 N. Caroline Street, JHOC 5223, Baltimore, MD, 21287, USA.
² Department of Orthopaedic Surgery, Baylor Scoliosis Center, Plano, TX, USA.
³ Department of Orthopaedic Surgery, NYU Hospital for Joint Diseases, New York, NY, USA.
⁴ Department of Neurologic Surgery, University of California San Francisco, San Francisco, CA, USA.
⁵ Department of Orthopaedic Surgery, Washington University, St. Louis, MO, USA.
⁶ Department of Orthopaedic Surgery, University of California Davis School of Medicine, Sacramento, CA, USA.
⁷ Department of Orthopaedic Surgery, Oregon Health & Science University, Portland, OR, USA.
⁸ Department of Orthopaedic Surgery, Denver International Spine Center, Denver, CO, USA.
⁹ Department of Orthopaedic Surgery, The Johns Hopkins University, 601 N. Caroline Street, JHOC 5223, Baltimore, MD, 21287, USA. kkebais@jhmi.edu.

PMID: 36219391
DOI: 10.1007/s43390-022-00552-2

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.

PubMed Disclaimer

References

1. Zygourakis CC, Liu CY, Keefe M, Moriates C, Ratliff J, Dudley RA, Gonzales R, Mummaneni PV, Ames CP (2018) Analysis of national rates, cost, and sources of cost variation in adult spinal deformity. Neurosurgery 82:378–387. https://doi.org/10.1093/neuros/nyx218 - DOI
1. Diebo BG, Shah NV, Boachie-Adjei O, Zhu F, Rothenfluh DA, Paulino CB, Schwab FJ, Lafage V (2019) Adult spinal deformity. Lancet 394:160–172. https://doi.org/10.1016/S0140-6736(19)31125-0 - DOI
1. Soroceanu A, Burton DC, Oren JH, Smith JS, Hostin R, Shaffrey CI, Akbarnia BA, Ames CP, Errico TJ, Bess S, Gupta MC, Deviren V, Schwab FJ, Lafage V, International Spine Study Group (2016) Medical complications after adult spinal deformity surgery: incidence, risk factors, and clinical impact. Spine (Phila Pa 1976) 41:1718–1723. https://doi.org/10.1097/BRS.0000000000001636 - DOI
1. Puvanesarajah V, Rao SS, Hassanzadeh H, Kebaish KM (2018) Determinants of perioperative transfusion risk in patients with adult spinal deformity. J Neurosurg Spine 28:429–435 - DOI
1. Riley MS, Bridwell KH, Lenke LG, Dalton J, Kelly MP (2018) Health-related quality of life outcomes in complex adult spinal deformity surgery. J Neurosurg Spine 28:194–200. https://doi.org/10.3171/2017.6.SPINE17357 - DOI

Publication types

Actions
Actions

MeSH terms

Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions

LinkOut - more resources

Research Materials
- NCI CPTC Antibody Characterization Program

Save citation to file

Email citation

Add to Collections

Add to My Bibliography

Your saved search

Create a file for external citation management software

Your RSS Feed

Return to work after adult spinal deformity surgery

Collaborators

Affiliations

Return to work after adult spinal deformity surgery

Authors

Collaborators

Affiliations

Abstract

References

Publication types

MeSH terms

LinkOut - more resources

Research Materials