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Munish C Gupta - One of the best experts on this subject based on the ideXlab platform.

  • 216 contrary to popular belief self image in adult spinal deformity asd is most correlated with physical and Social Function and mental health and minimally correlated with magnitude of spine deformity
    The Spine Journal, 2020
    Co-Authors: Raymarla Pinteric, Shay Bess, Breton Line, Michael P Kelly, Christopher P Ames, Gregory M Mundis, Robert K Eastlack, Richard A Hostin, Eric O Klineberg, Munish C Gupta
    Abstract:

    BACKGROUND CONTEXT Self-image (SI) is the most negatively impacted health domain for ASD. SI also strongly correlates with ASD postoperative satisfaction. Surgeons often assume that negative SI is due to scoliosis and/or sagittal malalignment, however data from cancer patients indicates physical and Social Function is strongly associated with of self-image. Little data exists investigating SI in ASD. PURPOSE Evaluate the radiographic, demographic, and health related quality of life (HRQOL) variables most correlated with SI in operatively treated ASD patients. STUDY DESIGN/SETTING Regression analysis of radiographic, demographic and HRQOL domains most associated with baseline and postoperative improvements in SI for operatively treated ASD patients from a prospective multicenter database. PATIENT SAMPLE Surgically treated ASD patients enrolled into a prospective multicenter study of operative vs nonoperative treatment for ASD, minimum 2-year postoperative follow-up. OUTCOME MEASURES Numeric rating scale (NRS) for back and leg pain, Scoliosis Research Society-22r questionnaire (SRS-22r), Short Form-36v2 questionnaire (SF-36), Oswestry Disability Index (ODI), self-image domain of SRS-22r. METHODS Baseline SI was assessed for operatively treated patients enrolled into a prospective multicenter study of operative vs nonoperative treatment for ASD (inclusion criteria age >18 years, scoliosis > 20°, thoracic kyphosis >60°, and/or SVA>5cm). Patients were organized according to SRS-Schwab ASD deformity types, and SI was reevaluated at minimum 2-year follow up. Regression analysis was performed on patient demographic, radiographic, and HRQOL domains and correlated with SI and treatment satisfaction. RESULTS A total of 591 of 789 patients eligible for study were evaluated (mean follow-up 3.2 years). Regression analysis demonstrated baseline SI (mean=2.4, range 1-4.6) correlated significantly (p 0.05). SI correlated most with SRS-22r activity (R=0.57), SF-36 Social Function (R=0.56), ODI (R=-0.52), SRS-22r mental health (R=0.51), and SF-36 vitality (R=0.50) but weakly with back (R=-0.265) and leg pain (R=-0.170; p 0.05). At last follow up SI improved from preop (3.6, range 1.6-5), and correlated most with improvements in SRS-22r activity (R=0.53), ODI (R=-0.45), and SRS-22r mental health (R=0.45; p CONCLUSIONS Baseline SI and postoperative SI improvement for ASD correlated most with physical and Social Function and mental health. ASD treatment satisfaction at 2 years postoperative strongly correlated with SI. The correlations between SI and physical and Social Function were independent of pain and spine deformity magnitude as correlations between SI, pain scales, scoliosis and sagittal malalignment ranged from weak to nonsignificant. These findings are consistent with research surrounding SI and cancer patients. More research is needed regarding the psychology and physiology of SI for ASD to improve patient outcomes and treatment satisfaction. FDA DEVICE/DRUG STATUS This abstract does not discuss or include any applicable devices or drugs.

  • counseling guidelines for anticipated postsurgical improvements in pain Function mental health and self image for different types of adult spinal deformity
    Spine, 2020
    Co-Authors: Breton Line, Shay Bess, Christopher P Ames, Eric O Klineberg, Munish C Gupta, Virginie Lafage, Douglas Burton, Han Jo Kim, Robert Hart, Michael J Kelly
    Abstract:

    STUDY DESIGN Retrospective analysis of a multicenter prospective adult spinal deformity (ASD) database. OBJECTIVE Quantify postoperative improvements in pain, Function, mental health, and self-image for different ASD types. SUMMARY OF BACKGROUND DATA Medical providers are commonly requested to counsel patients on anticipated improvements in specific health domains including pain, Function, and self-image following surgery. ASD is a heterogeneous condition; therefore, health domain improvements may vary according to deformity type. Few studies have quantified outcomes for specific ASD types. METHODS Surgically treated ASD patients (≥4 levels fused) prospectively enrolled into a multicenter database, minimum 2-year follow-up, were categorized into ASD types according to Scoliosis Research Society-Schwab ASD classification (THORACIC, LUMBAR, DOUBLE, SAGITTAL, MIXED). Demographic, radiographic, operative, and patient reported outcome measures (NRS back and leg pain, SRS-22r, SF-36) data were evaluated. Preoperative and last postoperative values for pain, physical and Social Function, mental health, and self-image were evaluated, improvements in each domain were quantified, and domain scores compared to generational normative values. Postoperative improvements were also calculated for three age cohorts ( 65 yr) within each deformity type. RESULTS 359 of 564 patients eligible for study (mean age 57.9 yr, mean scoliosis 43.4°, mean SVA 63.3 mm, mean 11.7 levels fused) had ≥2 yr follow-up. Domain improvements for the entire ASD population were 45.1% for back pain, 41.3% for leg pain, 27.1% for physical Function, 35.9% for Social Function, 62.0% for self-image, and 22.6% for mental health (P < 0.05). LUMBAR, SAGITTAL, and MIXED had greatest improvements in pain and Function, while THORACIC and DOUBLE had greatest improvements in self-image. Self-image was the most impacted preoperative domain and demonstrated the greatest postoperative improvement for all ASD types. CONCLUSION ASD patients demonstrated quantifiable postoperative improvements in pain, self-image, physical and Social Function, and mental health; however, improvements differed between ASD types. Further research is needed to understand specific patient expectations for ASD treatment. LEVEL OF EVIDENCE 3.

Breton Line - One of the best experts on this subject based on the ideXlab platform.

  • 216 contrary to popular belief self image in adult spinal deformity asd is most correlated with physical and Social Function and mental health and minimally correlated with magnitude of spine deformity
    The Spine Journal, 2020
    Co-Authors: Raymarla Pinteric, Shay Bess, Breton Line, Michael P Kelly, Christopher P Ames, Gregory M Mundis, Robert K Eastlack, Richard A Hostin, Eric O Klineberg, Munish C Gupta
    Abstract:

    BACKGROUND CONTEXT Self-image (SI) is the most negatively impacted health domain for ASD. SI also strongly correlates with ASD postoperative satisfaction. Surgeons often assume that negative SI is due to scoliosis and/or sagittal malalignment, however data from cancer patients indicates physical and Social Function is strongly associated with of self-image. Little data exists investigating SI in ASD. PURPOSE Evaluate the radiographic, demographic, and health related quality of life (HRQOL) variables most correlated with SI in operatively treated ASD patients. STUDY DESIGN/SETTING Regression analysis of radiographic, demographic and HRQOL domains most associated with baseline and postoperative improvements in SI for operatively treated ASD patients from a prospective multicenter database. PATIENT SAMPLE Surgically treated ASD patients enrolled into a prospective multicenter study of operative vs nonoperative treatment for ASD, minimum 2-year postoperative follow-up. OUTCOME MEASURES Numeric rating scale (NRS) for back and leg pain, Scoliosis Research Society-22r questionnaire (SRS-22r), Short Form-36v2 questionnaire (SF-36), Oswestry Disability Index (ODI), self-image domain of SRS-22r. METHODS Baseline SI was assessed for operatively treated patients enrolled into a prospective multicenter study of operative vs nonoperative treatment for ASD (inclusion criteria age >18 years, scoliosis > 20°, thoracic kyphosis >60°, and/or SVA>5cm). Patients were organized according to SRS-Schwab ASD deformity types, and SI was reevaluated at minimum 2-year follow up. Regression analysis was performed on patient demographic, radiographic, and HRQOL domains and correlated with SI and treatment satisfaction. RESULTS A total of 591 of 789 patients eligible for study were evaluated (mean follow-up 3.2 years). Regression analysis demonstrated baseline SI (mean=2.4, range 1-4.6) correlated significantly (p 0.05). SI correlated most with SRS-22r activity (R=0.57), SF-36 Social Function (R=0.56), ODI (R=-0.52), SRS-22r mental health (R=0.51), and SF-36 vitality (R=0.50) but weakly with back (R=-0.265) and leg pain (R=-0.170; p 0.05). At last follow up SI improved from preop (3.6, range 1.6-5), and correlated most with improvements in SRS-22r activity (R=0.53), ODI (R=-0.45), and SRS-22r mental health (R=0.45; p CONCLUSIONS Baseline SI and postoperative SI improvement for ASD correlated most with physical and Social Function and mental health. ASD treatment satisfaction at 2 years postoperative strongly correlated with SI. The correlations between SI and physical and Social Function were independent of pain and spine deformity magnitude as correlations between SI, pain scales, scoliosis and sagittal malalignment ranged from weak to nonsignificant. These findings are consistent with research surrounding SI and cancer patients. More research is needed regarding the psychology and physiology of SI for ASD to improve patient outcomes and treatment satisfaction. FDA DEVICE/DRUG STATUS This abstract does not discuss or include any applicable devices or drugs.

  • counseling guidelines for anticipated postsurgical improvements in pain Function mental health and self image for different types of adult spinal deformity
    Spine, 2020
    Co-Authors: Breton Line, Shay Bess, Christopher P Ames, Eric O Klineberg, Munish C Gupta, Virginie Lafage, Douglas Burton, Han Jo Kim, Robert Hart, Michael J Kelly
    Abstract:

    STUDY DESIGN Retrospective analysis of a multicenter prospective adult spinal deformity (ASD) database. OBJECTIVE Quantify postoperative improvements in pain, Function, mental health, and self-image for different ASD types. SUMMARY OF BACKGROUND DATA Medical providers are commonly requested to counsel patients on anticipated improvements in specific health domains including pain, Function, and self-image following surgery. ASD is a heterogeneous condition; therefore, health domain improvements may vary according to deformity type. Few studies have quantified outcomes for specific ASD types. METHODS Surgically treated ASD patients (≥4 levels fused) prospectively enrolled into a multicenter database, minimum 2-year follow-up, were categorized into ASD types according to Scoliosis Research Society-Schwab ASD classification (THORACIC, LUMBAR, DOUBLE, SAGITTAL, MIXED). Demographic, radiographic, operative, and patient reported outcome measures (NRS back and leg pain, SRS-22r, SF-36) data were evaluated. Preoperative and last postoperative values for pain, physical and Social Function, mental health, and self-image were evaluated, improvements in each domain were quantified, and domain scores compared to generational normative values. Postoperative improvements were also calculated for three age cohorts ( 65 yr) within each deformity type. RESULTS 359 of 564 patients eligible for study (mean age 57.9 yr, mean scoliosis 43.4°, mean SVA 63.3 mm, mean 11.7 levels fused) had ≥2 yr follow-up. Domain improvements for the entire ASD population were 45.1% for back pain, 41.3% for leg pain, 27.1% for physical Function, 35.9% for Social Function, 62.0% for self-image, and 22.6% for mental health (P < 0.05). LUMBAR, SAGITTAL, and MIXED had greatest improvements in pain and Function, while THORACIC and DOUBLE had greatest improvements in self-image. Self-image was the most impacted preoperative domain and demonstrated the greatest postoperative improvement for all ASD types. CONCLUSION ASD patients demonstrated quantifiable postoperative improvements in pain, self-image, physical and Social Function, and mental health; however, improvements differed between ASD types. Further research is needed to understand specific patient expectations for ASD treatment. LEVEL OF EVIDENCE 3.

Michael J Kelly - One of the best experts on this subject based on the ideXlab platform.

  • counseling guidelines for anticipated postsurgical improvements in pain Function mental health and self image for different types of adult spinal deformity
    Spine, 2020
    Co-Authors: Breton Line, Shay Bess, Christopher P Ames, Eric O Klineberg, Munish C Gupta, Virginie Lafage, Douglas Burton, Han Jo Kim, Robert Hart, Michael J Kelly
    Abstract:

    STUDY DESIGN Retrospective analysis of a multicenter prospective adult spinal deformity (ASD) database. OBJECTIVE Quantify postoperative improvements in pain, Function, mental health, and self-image for different ASD types. SUMMARY OF BACKGROUND DATA Medical providers are commonly requested to counsel patients on anticipated improvements in specific health domains including pain, Function, and self-image following surgery. ASD is a heterogeneous condition; therefore, health domain improvements may vary according to deformity type. Few studies have quantified outcomes for specific ASD types. METHODS Surgically treated ASD patients (≥4 levels fused) prospectively enrolled into a multicenter database, minimum 2-year follow-up, were categorized into ASD types according to Scoliosis Research Society-Schwab ASD classification (THORACIC, LUMBAR, DOUBLE, SAGITTAL, MIXED). Demographic, radiographic, operative, and patient reported outcome measures (NRS back and leg pain, SRS-22r, SF-36) data were evaluated. Preoperative and last postoperative values for pain, physical and Social Function, mental health, and self-image were evaluated, improvements in each domain were quantified, and domain scores compared to generational normative values. Postoperative improvements were also calculated for three age cohorts ( 65 yr) within each deformity type. RESULTS 359 of 564 patients eligible for study (mean age 57.9 yr, mean scoliosis 43.4°, mean SVA 63.3 mm, mean 11.7 levels fused) had ≥2 yr follow-up. Domain improvements for the entire ASD population were 45.1% for back pain, 41.3% for leg pain, 27.1% for physical Function, 35.9% for Social Function, 62.0% for self-image, and 22.6% for mental health (P < 0.05). LUMBAR, SAGITTAL, and MIXED had greatest improvements in pain and Function, while THORACIC and DOUBLE had greatest improvements in self-image. Self-image was the most impacted preoperative domain and demonstrated the greatest postoperative improvement for all ASD types. CONCLUSION ASD patients demonstrated quantifiable postoperative improvements in pain, self-image, physical and Social Function, and mental health; however, improvements differed between ASD types. Further research is needed to understand specific patient expectations for ASD treatment. LEVEL OF EVIDENCE 3.

Shay Bess - One of the best experts on this subject based on the ideXlab platform.

  • 216 contrary to popular belief self image in adult spinal deformity asd is most correlated with physical and Social Function and mental health and minimally correlated with magnitude of spine deformity
    The Spine Journal, 2020
    Co-Authors: Raymarla Pinteric, Shay Bess, Breton Line, Michael P Kelly, Christopher P Ames, Gregory M Mundis, Robert K Eastlack, Richard A Hostin, Eric O Klineberg, Munish C Gupta
    Abstract:

    BACKGROUND CONTEXT Self-image (SI) is the most negatively impacted health domain for ASD. SI also strongly correlates with ASD postoperative satisfaction. Surgeons often assume that negative SI is due to scoliosis and/or sagittal malalignment, however data from cancer patients indicates physical and Social Function is strongly associated with of self-image. Little data exists investigating SI in ASD. PURPOSE Evaluate the radiographic, demographic, and health related quality of life (HRQOL) variables most correlated with SI in operatively treated ASD patients. STUDY DESIGN/SETTING Regression analysis of radiographic, demographic and HRQOL domains most associated with baseline and postoperative improvements in SI for operatively treated ASD patients from a prospective multicenter database. PATIENT SAMPLE Surgically treated ASD patients enrolled into a prospective multicenter study of operative vs nonoperative treatment for ASD, minimum 2-year postoperative follow-up. OUTCOME MEASURES Numeric rating scale (NRS) for back and leg pain, Scoliosis Research Society-22r questionnaire (SRS-22r), Short Form-36v2 questionnaire (SF-36), Oswestry Disability Index (ODI), self-image domain of SRS-22r. METHODS Baseline SI was assessed for operatively treated patients enrolled into a prospective multicenter study of operative vs nonoperative treatment for ASD (inclusion criteria age >18 years, scoliosis > 20°, thoracic kyphosis >60°, and/or SVA>5cm). Patients were organized according to SRS-Schwab ASD deformity types, and SI was reevaluated at minimum 2-year follow up. Regression analysis was performed on patient demographic, radiographic, and HRQOL domains and correlated with SI and treatment satisfaction. RESULTS A total of 591 of 789 patients eligible for study were evaluated (mean follow-up 3.2 years). Regression analysis demonstrated baseline SI (mean=2.4, range 1-4.6) correlated significantly (p 0.05). SI correlated most with SRS-22r activity (R=0.57), SF-36 Social Function (R=0.56), ODI (R=-0.52), SRS-22r mental health (R=0.51), and SF-36 vitality (R=0.50) but weakly with back (R=-0.265) and leg pain (R=-0.170; p 0.05). At last follow up SI improved from preop (3.6, range 1.6-5), and correlated most with improvements in SRS-22r activity (R=0.53), ODI (R=-0.45), and SRS-22r mental health (R=0.45; p CONCLUSIONS Baseline SI and postoperative SI improvement for ASD correlated most with physical and Social Function and mental health. ASD treatment satisfaction at 2 years postoperative strongly correlated with SI. The correlations between SI and physical and Social Function were independent of pain and spine deformity magnitude as correlations between SI, pain scales, scoliosis and sagittal malalignment ranged from weak to nonsignificant. These findings are consistent with research surrounding SI and cancer patients. More research is needed regarding the psychology and physiology of SI for ASD to improve patient outcomes and treatment satisfaction. FDA DEVICE/DRUG STATUS This abstract does not discuss or include any applicable devices or drugs.

  • counseling guidelines for anticipated postsurgical improvements in pain Function mental health and self image for different types of adult spinal deformity
    Spine, 2020
    Co-Authors: Breton Line, Shay Bess, Christopher P Ames, Eric O Klineberg, Munish C Gupta, Virginie Lafage, Douglas Burton, Han Jo Kim, Robert Hart, Michael J Kelly
    Abstract:

    STUDY DESIGN Retrospective analysis of a multicenter prospective adult spinal deformity (ASD) database. OBJECTIVE Quantify postoperative improvements in pain, Function, mental health, and self-image for different ASD types. SUMMARY OF BACKGROUND DATA Medical providers are commonly requested to counsel patients on anticipated improvements in specific health domains including pain, Function, and self-image following surgery. ASD is a heterogeneous condition; therefore, health domain improvements may vary according to deformity type. Few studies have quantified outcomes for specific ASD types. METHODS Surgically treated ASD patients (≥4 levels fused) prospectively enrolled into a multicenter database, minimum 2-year follow-up, were categorized into ASD types according to Scoliosis Research Society-Schwab ASD classification (THORACIC, LUMBAR, DOUBLE, SAGITTAL, MIXED). Demographic, radiographic, operative, and patient reported outcome measures (NRS back and leg pain, SRS-22r, SF-36) data were evaluated. Preoperative and last postoperative values for pain, physical and Social Function, mental health, and self-image were evaluated, improvements in each domain were quantified, and domain scores compared to generational normative values. Postoperative improvements were also calculated for three age cohorts ( 65 yr) within each deformity type. RESULTS 359 of 564 patients eligible for study (mean age 57.9 yr, mean scoliosis 43.4°, mean SVA 63.3 mm, mean 11.7 levels fused) had ≥2 yr follow-up. Domain improvements for the entire ASD population were 45.1% for back pain, 41.3% for leg pain, 27.1% for physical Function, 35.9% for Social Function, 62.0% for self-image, and 22.6% for mental health (P < 0.05). LUMBAR, SAGITTAL, and MIXED had greatest improvements in pain and Function, while THORACIC and DOUBLE had greatest improvements in self-image. Self-image was the most impacted preoperative domain and demonstrated the greatest postoperative improvement for all ASD types. CONCLUSION ASD patients demonstrated quantifiable postoperative improvements in pain, self-image, physical and Social Function, and mental health; however, improvements differed between ASD types. Further research is needed to understand specific patient expectations for ASD treatment. LEVEL OF EVIDENCE 3.

Eric O Klineberg - One of the best experts on this subject based on the ideXlab platform.

  • 216 contrary to popular belief self image in adult spinal deformity asd is most correlated with physical and Social Function and mental health and minimally correlated with magnitude of spine deformity
    The Spine Journal, 2020
    Co-Authors: Raymarla Pinteric, Shay Bess, Breton Line, Michael P Kelly, Christopher P Ames, Gregory M Mundis, Robert K Eastlack, Richard A Hostin, Eric O Klineberg, Munish C Gupta
    Abstract:

    BACKGROUND CONTEXT Self-image (SI) is the most negatively impacted health domain for ASD. SI also strongly correlates with ASD postoperative satisfaction. Surgeons often assume that negative SI is due to scoliosis and/or sagittal malalignment, however data from cancer patients indicates physical and Social Function is strongly associated with of self-image. Little data exists investigating SI in ASD. PURPOSE Evaluate the radiographic, demographic, and health related quality of life (HRQOL) variables most correlated with SI in operatively treated ASD patients. STUDY DESIGN/SETTING Regression analysis of radiographic, demographic and HRQOL domains most associated with baseline and postoperative improvements in SI for operatively treated ASD patients from a prospective multicenter database. PATIENT SAMPLE Surgically treated ASD patients enrolled into a prospective multicenter study of operative vs nonoperative treatment for ASD, minimum 2-year postoperative follow-up. OUTCOME MEASURES Numeric rating scale (NRS) for back and leg pain, Scoliosis Research Society-22r questionnaire (SRS-22r), Short Form-36v2 questionnaire (SF-36), Oswestry Disability Index (ODI), self-image domain of SRS-22r. METHODS Baseline SI was assessed for operatively treated patients enrolled into a prospective multicenter study of operative vs nonoperative treatment for ASD (inclusion criteria age >18 years, scoliosis > 20°, thoracic kyphosis >60°, and/or SVA>5cm). Patients were organized according to SRS-Schwab ASD deformity types, and SI was reevaluated at minimum 2-year follow up. Regression analysis was performed on patient demographic, radiographic, and HRQOL domains and correlated with SI and treatment satisfaction. RESULTS A total of 591 of 789 patients eligible for study were evaluated (mean follow-up 3.2 years). Regression analysis demonstrated baseline SI (mean=2.4, range 1-4.6) correlated significantly (p 0.05). SI correlated most with SRS-22r activity (R=0.57), SF-36 Social Function (R=0.56), ODI (R=-0.52), SRS-22r mental health (R=0.51), and SF-36 vitality (R=0.50) but weakly with back (R=-0.265) and leg pain (R=-0.170; p 0.05). At last follow up SI improved from preop (3.6, range 1.6-5), and correlated most with improvements in SRS-22r activity (R=0.53), ODI (R=-0.45), and SRS-22r mental health (R=0.45; p CONCLUSIONS Baseline SI and postoperative SI improvement for ASD correlated most with physical and Social Function and mental health. ASD treatment satisfaction at 2 years postoperative strongly correlated with SI. The correlations between SI and physical and Social Function were independent of pain and spine deformity magnitude as correlations between SI, pain scales, scoliosis and sagittal malalignment ranged from weak to nonsignificant. These findings are consistent with research surrounding SI and cancer patients. More research is needed regarding the psychology and physiology of SI for ASD to improve patient outcomes and treatment satisfaction. FDA DEVICE/DRUG STATUS This abstract does not discuss or include any applicable devices or drugs.

  • counseling guidelines for anticipated postsurgical improvements in pain Function mental health and self image for different types of adult spinal deformity
    Spine, 2020
    Co-Authors: Breton Line, Shay Bess, Christopher P Ames, Eric O Klineberg, Munish C Gupta, Virginie Lafage, Douglas Burton, Han Jo Kim, Robert Hart, Michael J Kelly
    Abstract:

    STUDY DESIGN Retrospective analysis of a multicenter prospective adult spinal deformity (ASD) database. OBJECTIVE Quantify postoperative improvements in pain, Function, mental health, and self-image for different ASD types. SUMMARY OF BACKGROUND DATA Medical providers are commonly requested to counsel patients on anticipated improvements in specific health domains including pain, Function, and self-image following surgery. ASD is a heterogeneous condition; therefore, health domain improvements may vary according to deformity type. Few studies have quantified outcomes for specific ASD types. METHODS Surgically treated ASD patients (≥4 levels fused) prospectively enrolled into a multicenter database, minimum 2-year follow-up, were categorized into ASD types according to Scoliosis Research Society-Schwab ASD classification (THORACIC, LUMBAR, DOUBLE, SAGITTAL, MIXED). Demographic, radiographic, operative, and patient reported outcome measures (NRS back and leg pain, SRS-22r, SF-36) data were evaluated. Preoperative and last postoperative values for pain, physical and Social Function, mental health, and self-image were evaluated, improvements in each domain were quantified, and domain scores compared to generational normative values. Postoperative improvements were also calculated for three age cohorts ( 65 yr) within each deformity type. RESULTS 359 of 564 patients eligible for study (mean age 57.9 yr, mean scoliosis 43.4°, mean SVA 63.3 mm, mean 11.7 levels fused) had ≥2 yr follow-up. Domain improvements for the entire ASD population were 45.1% for back pain, 41.3% for leg pain, 27.1% for physical Function, 35.9% for Social Function, 62.0% for self-image, and 22.6% for mental health (P < 0.05). LUMBAR, SAGITTAL, and MIXED had greatest improvements in pain and Function, while THORACIC and DOUBLE had greatest improvements in self-image. Self-image was the most impacted preoperative domain and demonstrated the greatest postoperative improvement for all ASD types. CONCLUSION ASD patients demonstrated quantifiable postoperative improvements in pain, self-image, physical and Social Function, and mental health; however, improvements differed between ASD types. Further research is needed to understand specific patient expectations for ASD treatment. LEVEL OF EVIDENCE 3.