The SRS-Schwab Adult Spinal Deformity Classification

This study demonstrates that the SRS-Schwab classification reflects severity of disease state based on multiple measures of health-related quality of life and significantly correlates with the important decision of whether to pursue operative or nonoperative treatment

Jamie Terran

2013

Scholarcy highlights

  • The SRS-Schwab classification of adult spinal deformity is a validated system that provides a common language for the complex pathology of ASD
  • To assess the clinical relevance of the SRS-Schwab classification based on correlations with health-related quality of life measures and the decision to pursue operative vs nonoperative treatment
  • This study demonstrates that the SRS-Schwab classification reflects severity of disease state based on multiple measures of HRQOL and significantly correlates with the important decision of whether to pursue operative or nonoperative treatment
  • After classifying patients based on the SRS-Schwab system, patients who underwent operative treatment were compared with patients who received nonoperative care to assess for potential differences in baseline demographics, clinical and radiographic measures, as well as HRQOL scores
  • Between October 2008 and December 2011, 757 consecutive ASD patients were enrolled across participating sites
  • Consistent with our initial hypotheses, the curve type descriptor was not significantly associated with treatment approach
  • This study provides the basis for this clinical relevance by demonstrating that the parameters of the SRS-Schwab classification significantly correlate with standardized measures of HRQOL and with treatment approach in a prospectively collected, multicenter ASD population
  • These findings support the clinical relevance and validity of the SRS-Schwab classification

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