BACKGROUND: High-quality studies that compare operative and nonoperative treatment for @entity85 ( @entity85 ) are needed. OBJECTIVE: To compare outcomes of operative and nonoperative treatment for @entity85 . METHODS: This is a multicenter, prospective analysis of consecutive @entity85 @entity1 opting for operative or nonoperative care. Inclusion criteria were age >18 years and @entity85 . Operative and nonoperative @entity1 were propensity matched with the baseline @entity717 Index, Scoliosis Research Society-22r, thoracolumbar/lumbar Cobb angle, pelvic incidence-to-lumbar @entity1515 mismatch (PI-LL), and leg @entity158 score. Analyses were confined to @entity1 with a minimum of 2 years of follow-up. RESULTS: Two hundred eighty-six operative and 403 nonoperative @entity1 met the criteria, with mean ages of 53 and 55 years, 2-year follow-up rates of 86% and 55%, and mean follow-up of 24.7 and 24.8 months, respectively. At baseline, operative @entity1 had significantly worse health-related quality of life (HRQOL) based on all measures assessed (P < .001) and had @entity85 based on pelvic tilt, pelvic incidence-to-lumbar @entity1515 mismatch, and sagittal vertical axis (P  <= .002). At the minimum 2-year follow-up, all HRQOL measures assessed significantly improved for operative @entity1 (P < .001), but none improved significantly for nonoperative @entity1 except for modest improvements in the Scoliosis Research Society-22r @entity158 (P = .04) and satisfaction (P < .001) domains. On the basis of matched operative-nonoperative cohorts (97 in each group), operative @entity1 had significantly better HRQOL at follow-up for all measures assessed (P < .001), except Short Form-36 mental component score (P = .06). At the minimum 2-year follow-up, 71.5% of operative @entity1 had >= 1 complications. CONCLUSION: Operative treatment for @entity85 can provide significant improvement of HRQOL at a minimum 2-year follow-up. In contrast, nonoperative treatment on average maintains presenting levels of @entity158 and disability. ABBREVIATIONS: @entity85 , adult spinal deformityHRQOL, health-related quality of lifeLL, lumbar lordosisMCID, minimal clinically important differenceNRS, numeric rating scaleODI, @entity717 IndexPI, pelvic incidenceSF-36, Short Form-36SRS-22r, Scoliosis Research Society-22rSVA, sagittal vertical axis.

Outcomes of Operative and Nonoperative Treatment for Adult XXXX : A Prospective, Multicenter, Propensity-Matched Cohort Assessment With Minimum 2-Year Follow-up.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity1515 :: ('MESH:D008141', 'Disease') :: ['lordosis'] @entity158 :: ('MESH:D010146', 'Disease') :: ['pain'] @entity717 :: ('MESH:D009069', 'Disease') :: ['Oswestry Disability'] @entity85 :: ('MESH:D009140', 'Disease') :: ['adult spinal deformity', 'ASD', 'worse deformity']
@entity85 :: (MESH:D009140,Disease) :: ['Spinal Deformity']
