Perioperative Predictive Factors for Positive Outcomes in Spine Fusion for Adult Deformity Correction

Baroncini, Alice; Migliorini, Filippo; Langella, Francesco; Barletta, Paolo; Trobisch, Per; Cecchinato, Riccardo; Damilano, Marco; Quarto, Emanuele; Lamartina, Claudio; Berjano, Pedro

doi:10.3390/jcm11010144

Cited by 3 publications

(2 citation statements)

References 35 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…First, the younger age of the undercorrection group might offset the potential negative impact of undercorrection because younger age is usually associated with good clinical outcomes after ASD surgery. 30,31 Second, although the PI−LL mismatch was significantly high in group U (28.4°), the postoperative SVA remained within an optimal range (39.0 mm). Among the sagittal parameters, correction of SVA within an optimal range is closely associated with good clinical outcomes.…”

Section: Discussionmentioning

confidence: 87%

“…This finding can be explained by several points. First, the younger age of the undercorrection group might offset the potential negative impact of undercorrection because younger age is usually associated with good clinical outcomes after ASD surgery 30,31. Second, although the PI−LL mismatch was significantly high in group U (28.4°), the postoperative SVA remained within an optimal range (39.0 mm).…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Validation of Age-adjusted Ideal Sagittal Alignment in Terms of Proximal Junctional Failure and Clinical Outcomes in Adult Spinal Deformity

Park

Lee

Kang

et al. 2022

Spine

View full text Add to dashboard Cite

Study Design. Retrospective study. Objective. To validate the age-adjusted ideal sagittal alignment in terms of proximal junctional failure (PJF) and clinical outcomes. Summary of Background. It is reported that optimal sagittal correction with regard to the age-adjusted ideal sagittal alignment reduces the risk of PJF development. However, few studies have validated this concept. The age-considered optimal correction is likely to be undercorrection in terms of conventional surgical target, such as pelvic incidence (PI)−lumbar lordosis (LL) within ± 9°. Therefore, the clinical impact of age-adjusted sagittal alignment should be evaluated along with radiographic effect. Materials and Methods. Adult spinal deformity patients, aged 50 years and above, who underwent greater than or equal to fourlevel fusion to sacrum with a minimum of four years of follow-up data were included in this study. Radiographic risk factors for PJF (including age-adjusted ideal PI−LL) were evaluated with multivariate analyses. Three groups were created based on PI−LL offset between age-adjusted ideal PI−LL and actual actual PI−LL. . undercorrection, ideal correction, and overcorrection. Clinical outcomes were compared among the three groups.Results. This study included 194 adult spinal deformity patients. The mean age was 68.5 years and there were 172 females (88.7%). PJF developed in 99 patients (51.0%) at a mean postoperative period of 14.9 months. Multivariate analysis for PJF revealed that only PI−LL offset group had statistical significance. The proportion of patients with PJF was greatest in the overcorrection group followed by the ideal correction and undercorrection groups.Overcorrected patients regard to the age-adjusted ideal alignment showed poorer clinical outcomes than the other patient groups. Conclusions. Overcorrection relative to age-adjusted sagittal alignment increases the risk of PJF development and is associated with poor clinical outcomes. Older patients and those with small PI are likely to be overcorrected in terms of the age-adjusted PI−LL target. Therefore, the age-adjusted alignment should be considered more strictly in these patients.

show abstract

Section: Discussionmentioning

confidence: 87%

Section: Discussionmentioning

confidence: 99%

Validation of Age-adjusted Ideal Sagittal Alignment in Terms of Proximal Junctional Failure and Clinical Outcomes in Adult Spinal Deformity

Park

Lee

Kang

et al. 2022

Spine

View full text Add to dashboard Cite

show abstract

Augmented and virtual reality in spine surgery

Luca

Giorgino

2023

Journal of Orthopaedics

View full text Add to dashboard Cite

Quality Control for Spine Registries: Development and Application of a New Protocol

Baroncini

Langella

Barletta

et al. 2023

American Journal of Medical Quality

View full text Add to dashboard Cite

Registries are gaining importance both in clinical practice and for research purposes. However, quality control is paramount to ensure that data are consistent and reliable. Quality control protocols have been proposed for arthroplasty registries, but these are not directly applicable to the spine setting. This study aims to develop a new quality control protocol for spine registries. Based on the available protocols for arthroplasty registries, a new protocol for spine registries was developed. The items included in the protocol were completeness (yearly enrollment rate and rate of assessment completion), consistency, and internal validity (coherence between registry data and medical records for blood loss, body mass index, and treated levels). All aspects were then applied to the spine registry of the Institution to verify its quality for each of the 5 years in which the registry has been used (2016–2020). Regarding completeness, the yearly enrollment rate ranged from 78 to 86%; the completion of preoperative assessment from 79% to 100%. The yearly consistency rate varied from 83% to 86%. Considering internal validity, the interclass correlation coefficient ranged from 0.1 to 0.8 for blood loss and from 0.3 to 0.9 for body mass index. The coherency for treated levels ranged from 25% to 82%. Overall, all 3 items showed an improvement over time. All 3 analyzed domains showed good to excellent results. The overall quality of the registered data improved over time.

show abstract

Perioperative Predictive Factors for Positive Outcomes in Spine Fusion for Adult Deformity Correction

Cited by 3 publications

References 35 publications

Validation of Age-adjusted Ideal Sagittal Alignment in Terms of Proximal Junctional Failure and Clinical Outcomes in Adult Spinal Deformity

Validation of Age-adjusted Ideal Sagittal Alignment in Terms of Proximal Junctional Failure and Clinical Outcomes in Adult Spinal Deformity

Augmented and virtual reality in spine surgery

Quality Control for Spine Registries: Development and Application of a New Protocol

Contact Info

Product

Resources

About