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 40years with adult spinal deformity
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 40years with adult spinal deformity
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DOI：
10.1007/s00586-019-05932-3
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发表时间：
2019-07-01
影响因子：
2.8
通讯作者：
Obeid, Ibrahim
中科院分区：
文献类型：
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作者：
Fujishiro, Takashi;Boissiere, Louis;Obeid, Ibrahim
目的我们旨在开发并内部验证一个简单的评分系统：成人脊柱畸形（ASD）手术决策（ASD-SDM）评分，该评分专门针对40岁以下ASD患者的决策过程。方法对多中心前瞻性ASD数据库进行回顾性分析。该评分系统是使用衍生队列的数据开发的，并在验证队列中进行了内部验证。使用受试者工作特征曲线下面积 (AUC) 评估 ASD-SDM 评分的准确性。 结果 总共 316 名患者被随机分为衍生组（253 名患者，80%）和验证组（63 名患者，20%）。根据脊柱侧凸研究协会自我形象评分-22评分、冠状Cobb角、骨盆倾斜角减去腰椎前凸不匹配和相对脊柱骨盆对齐四个变量创建10分评分系统，并将手术指征分为低（0-4分）、中（5-7分）和高（8-10分）手术指征组。在验证队列中，根据 ASD-SDM 评分选择手术治疗的 AUC 为 0.789（SE 0.057，P
PurposeWe aimed to develop and internally validate a simple scoring system: the adult spinal deformity (ASD) surgical decision-making (ASD-SDM) score, which is specific to the decision-making process for ASD patients aged below 40years.MethodsA multicentre prospective ASD database was retrospectively reviewed. The scoring system was developed using data from a derivation cohort and was internally validated in a validation cohort. The accuracy of the ASD-SDM score was assessed using the area under the receiver operating characteristic curve (AUC).ResultsA total of 316 patients were randomly divided into derivation (253 patients, 80%) and validation (63 patients, 20%) cohorts. A 10-point scoring system was created from four variables: self-image score in the Scoliosis Research Society-22 score, coronal Cobb angle, pelvic incidence minus lumbar lordosis mismatch, and relative spinopelvic alignment, and the surgical indication was graded into low (score 0-4), moderate (score 5-7), and high (score 8-10) surgical indication groups. In the validation cohort, the AUC for selecting surgical management according to the ASD-SDM score was 0.789 (SE 0.057, P