Determining a Cutoff Value for Hand Grip Strength to Predict Favorable Outcomes of Adult Spinal Deformity Surgery

Abstract

Study Design: Retrospective review. Objectives: To establish a cutoff value for hand grip strength and predict the favorable outcomes of adult spinal deformity surgery. Summary of Background Data: Hand grip strength (HGS) has been suggested to predict surgical outcomes in various fields, including adult spinal deformity (ASD). However, to the best of our knowledge, no study has established a cutoff value for HGS in patients with ASD. Methods: This study included 115 female patients who underwent reconstructive spinal surgery for ASD between September 2016 and September 2020. HGS was measured preoperatively. The Oswestry Disability Index (ODI), EuroQOL-5-dimension (EQ-5D), and visual analog scale (VAS) scores for back pain were all recorded both before and after surgery. Patients were dichotomized either into favorable or unfavorable outcome groups using an ODI cutoff score of 22 at 1 year after surgery. Multivariate logistic regression analysis was done to identify significant factors leading to favorable outcomes. A receiver operating characteristic (ROC) curve was drawn to define the cutoff value of HGS for favorable outcomes. Results: Multivariate logistic regression analysis showed that HGS is significantly associated with favorable surgical outcomes in ASD (P =.031). The ROC curve suggested a cutoff value of 14.20 kg for HGS (area under the curve (AUC) =.678, P =.013) to predict favorable surgical outcomes in ASD. The surgical complications were not significantly affected by HGS. Conclusion: The HGS of patients with ASD can be interpreted with a cutoff value of 14.20 kg. Patients with HGS above this cutoff value showed superior surgical outcomes at 1 year after surgery compared to those below this cutoff value.