Vollständiger Abstract
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Study design Comparative Cohort Study. Objectives The aim of this study was to compare a biopsychosocial intervention for chronic low back pain to unimodal, biomedically focused care-as-usual in symptomatic, conservatively managed adult spinal deformity (ASD) patients. Methods A comparative cohort study of a biopsychosocial intervention cohort ( n =95) and a care-as-usual cohort ( n =95). Inclusion criteria of both cohorts: age ≥18, no surgical indication, Oswestry Disability Index (ODI)>20, coronal Cobb angle ≥20, idiopathic (AdIS) or degenerative (de novo) scoliosis (DN), baseline and one-year follow-up ODI data. Primary outcome: functional status (ODIv2.1a). Secondary outcomes: pain intensity (NPRS) and quality of life (SF36-PCS and SF36-MCS). Clinical relevance: minimal important clinical change (MCIC; improvement in ODI≥10 points), patient acceptable symptom state (PASS; ODI≤22). Results At one-year follow-up the patients in the biopsychosocial intervention cohort showed significantly greater improvement in functional status (ODI) compared to the care-as-usual cohort ( z =-3.97, p =
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Publikationsdaten
- Autor:innen
- Evelien H. W. Hoevenaars, Michiel Beekhuizen, Ahmet Alanay, Yann Philippe Charles, Frank Kleinstueck, Ibrahim Obeid, John O’Dowd, Ferran Pellisé, Javier Pizones, Maarten Spruit, Marinus de Kleuver, Miranda L. van Hooff
- Quelle
- Global Spine Journal
- Publikation
- 2026-01-01
- Band / Ausgabe
- Nicht angegeben
- Seiten
- Nicht angegeben
- ISSN / ISBN
- 2192-5682, 2192-5690
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Zitierfähiger Nachweis
Evelien H. W. Hoevenaars, Michiel Beekhuizen, Ahmet Alanay, Yann Philippe Charles, Frank Kleinstueck, Ibrahim Obeid, John O’Dowd, Ferran Pellisé, Javier Pizones, Maarten Spruit, Marinus de Kleuver, Miranda L. van Hooff (2026). Nonoperative Management of the Adult Spinal Deformity Patient: A Biopsychosocial Intervention Versus Care-as-usual - A Comparative Treatment-Based Cohort Study With One-Year Follow-Up. Global Spine Journal. https://doi.org/10.1177/21925682261481061
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