강직성 척추염에서 교정 절골술이 삶의 질에 미치는 영향 = Effect of the Corrective Osteotomy in Ankylosing Spondylitis to Quality of Life(QOL)

다국어 초록 (Multilingual Abstract)

Study Design: This is retrospective study.
Objective: We evaluated the radiologic changes and quality of life after corrective osteotomy in kyphotic deformity of ankylosing spondylitis.
Summary of Literature Review: There is few study about that relationship between corrective osteotomy and quality of life.
Materials and Methods: Retrospective study about 16 patients who underwent corrective osteotomy from 2005 September to 2007 December was done. Radiologic assessments of sagittal balance were performed on the criteria of thoracic kyphosis, lumbar lordosis, distance between the vertical line on midpoint of C7 and posterosuperior point of S1 pre and postoperatively. Disease specific instruments: the Bath ankylosing spondylitis disease activity index (BASDAI) and the Bath ankylosing spondylitis functional index (BASFI)were applied. Clinical assessments were performed with short form-36 through interview and telephone.
Results: The mean thoracic kyphosis was changed from 46.1 degrees to 39.3 degrees. The mean lumbar lordosis was corrected from - 7.4degrees to - 38.4 degrees, and the mean distance between vertical lines of C7 and S1 was improved from 127.1mm to 30mm. There were significant changes in the subgroup of Physical function, Role physical, Vitality, Social function, Role emotional, Mental health. (p<0.05)The changes of BASDAI, BASFI, Bodily pain and General health were not significant. And similar improvements in the radiological results and SF-36 scores were in the 6 patients with Andersson lesion.
Conclusion: The parameters of radiographic assessment were improved after corrective osteotomy in the fixed kyphotic deformity of ankylosing spondylitis. General function, social function and mental health were also improved.
Key Words: Ankylosing spondylitis, Corrective osteotomy, Quality of life

참고문헌 (Reference)

1 김기택, "강직성 척추염 환자에서 척추 가관절증의 치료" 대한정형외과학회 40 (40): 312-320, 2005

2 Hays RD, "The RAND 36-Item Health Survey 1.0" 2 : 217-227, 1993

3 Niemeyer T, "Technique and results of monosegmental transpedicular subtraction osteotomy in patients with ankylosing spondylitis and fixed kyphotic deformity of the spine" 140 : 176-181, 2002

4 Fang D, "Spinal pseudarthrosis in ankylosing spondylitis" 70 : 443-447, 1988

5 Ware JE Jr, "SF-36 health survey update" 25 : 3130-3139, 2000

6 Halm H, "Results of surgical correction of kyphotic deformities of the spine in ankylosing spondylitis on the basis of the modified arthritis impact measurement scales" 20 : 1612-1619, 1995

7 Ozdemir O, "Quality of life in patients with ankylosing spondylitis: relationships with spinal mobility, disease activity and functional status" Rheumatol Int 2010

8 Turan Y, "Quality of life in patients with ankylosing spondylitis: a pilot study" 27 : 895-899, 2007

9 Haywood KL, "Patient-assessed health in ankylosing spondylitis: a structured review" 44 : 577-586, 2005

10 Smith-Petersen MN, "Osteotomy of the spine for correction of flexion deformity in rheumatoid arthritis" 66 : 6-9, 1969

11 Meenan RF, "Measuring health status in arthritis. The arthritis impact measurement scales" 23 : 146-152, 1980

12 Lillegraven S, "Measuring disability and quality of life in established rheumatoid arthritis" 21 : 827-840, 2007

13 Van Royen BJ, "Lumbar osteotomy for correction of thoracolumbar kyphotic deformity in ankylosing spondylitis. A structured review of three methods of treatment" 58 : 399-406, 1999

14 Yoo MC, "Clinical and Radiological Features of Ankylosing Spondylitis" 2 : 72-80, 1995

15 Kim KT, "Clinical Results after Corrective Osteotomy of the Kyphotic Deformity in Ankylosing Spondylitis" 7 : 61-69, 2007

16 Bradford DS, "Ankylosing spondylitis: experience in surgical management of 21 patients" 12 : 238-243, 1987

17 Essink-Bot ML, "An empirical comparison of four generic health status measures. The Nottingham Health Profile, the Medical Outcomes Study 36-item Short-Form Health Survey, the COOP/WONCA charts, and the EuroQol instrument" 35 : 522-537, 1997

18 Calin A, "A new approach to defining functional ability in ankylosing spondylitis: the development of the Bath Ankylosing Spondylitis Functional Index" 21 : 2281-2285, 1994

19 Garrett S, "A new approach to defining disease status in ankylosing spondylitis: the Bath Ankylosing Spondylitis Disease Activity Index" 21 : 2286-2291, 1994