TY - JOUR
T1 - Association of Frailty and Self-Care Activity With Sagittal Spinopelvic Alignment in the Elderly
AU - Kim, Tae Woo
AU - Oh, Jae Keun
AU - Lee, Ji Yeon
AU - Cho, Samuel K.
AU - An, Seong Bae
AU - Jeon, Hyeong Seok
AU - Kim, Hyung Cheol
AU - Kim, Kwang Joon
AU - Shin, Dong Ah
AU - Yi, Seong
AU - Kim, Keung Nyun
AU - Yoon, Do Heum
AU - Kim, Chang Oh
AU - Ha, Yoon
N1 - Publisher Copyright:
© 2020 Elsevier Inc.
PY - 2020/6
Y1 - 2020/6
N2 - Objective: To assess the relationship between frailty, activities of daily living (ADL), instrumental ADL (IADL), and sagittal spinopelvic parameters in the elderly. Methods: To compare the characteristics based on the FRAIL scale status (robust, prefrail, frail), continuous variables were analyzed using ANOVA with Tukey post hoc tests, and categorical variables were analyzed using χ2 and Fisher's exact test. Multivariate linear regression was used to investigate cross-sectional association between sagittal alignment and FRAIL status. Results: Comparison analysis of the 3 groups (robust, prefrail, frail) demonstrated that frailty scale had significant correlations with T1 pelvic angle (T1PA, P = 0.019), pelvic tilt (PT, P = 0.004), pelvic incidence minus lumbar lordosis (PI-LL, P = 0.004) and ADL (P = 0.017). Multiple regression analysis that controlled for confounding factors confirmed the correlations between frailty scale and spinopelvic parameters (C7 sagittal vertical axis [SVA], B = 17.49, P = 0.028; T1PA, B = 4.83, P = 0.029; PT, B = 4.62, P = 0.003; PI-LL value, B = 7.11, P = 0.005). In addition, the ADL was associated with T1PA (B = 4.06, P = 0.006); whereas the IADL was correlated with C7 SVA (B = 11.38, P = 0.005), T1PA (B = 3.36, P = 0.003), and PI-LL (B = 3.13, P = 0.018). Conclusions: Higher frailty score was associated with higher grades of sagittal spinopelvic malalignment and ADL in the elderly. Furthermore, higher ADL and IADL scores were associated with higher grades of sagittal spinopelvic malalignment. Frailty, ADL, IADL, and sagittal spinopelvic parameters were closely related to each other in the elderly.
AB - Objective: To assess the relationship between frailty, activities of daily living (ADL), instrumental ADL (IADL), and sagittal spinopelvic parameters in the elderly. Methods: To compare the characteristics based on the FRAIL scale status (robust, prefrail, frail), continuous variables were analyzed using ANOVA with Tukey post hoc tests, and categorical variables were analyzed using χ2 and Fisher's exact test. Multivariate linear regression was used to investigate cross-sectional association between sagittal alignment and FRAIL status. Results: Comparison analysis of the 3 groups (robust, prefrail, frail) demonstrated that frailty scale had significant correlations with T1 pelvic angle (T1PA, P = 0.019), pelvic tilt (PT, P = 0.004), pelvic incidence minus lumbar lordosis (PI-LL, P = 0.004) and ADL (P = 0.017). Multiple regression analysis that controlled for confounding factors confirmed the correlations between frailty scale and spinopelvic parameters (C7 sagittal vertical axis [SVA], B = 17.49, P = 0.028; T1PA, B = 4.83, P = 0.029; PT, B = 4.62, P = 0.003; PI-LL value, B = 7.11, P = 0.005). In addition, the ADL was associated with T1PA (B = 4.06, P = 0.006); whereas the IADL was correlated with C7 SVA (B = 11.38, P = 0.005), T1PA (B = 3.36, P = 0.003), and PI-LL (B = 3.13, P = 0.018). Conclusions: Higher frailty score was associated with higher grades of sagittal spinopelvic malalignment and ADL in the elderly. Furthermore, higher ADL and IADL scores were associated with higher grades of sagittal spinopelvic malalignment. Frailty, ADL, IADL, and sagittal spinopelvic parameters were closely related to each other in the elderly.
KW - Activities of daily living
KW - Elderly
KW - Frailty
KW - Instrumental activities of daily living
KW - Sagittal spinopelvic parameters
UR - http://www.scopus.com/inward/record.url?scp=85083636717&partnerID=8YFLogxK
U2 - 10.1016/j.wneu.2020.03.071
DO - 10.1016/j.wneu.2020.03.071
M3 - Article
C2 - 32201289
AN - SCOPUS:85083636717
SN - 1878-8750
VL - 138
SP - e759-e766
JO - World Neurosurgery
JF - World Neurosurgery
ER -