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Article
A comparative cohort study of surgical approaches for adult spinal deformity at a minimum 2-year follow-up
This study was a retrospective multi-center comparative cohort study.
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Article
Compensation from mild and severe cases of early proximal junctional kyphosis may manifest as progressive cervical deformity at two year follow-up
Postoperative reciprocal changes (RC) in the cervical spine associated with varying factors of proximal junctional kyphosis (PJK) following fusions of the thoracopelvic spine are poorly understood.
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Article
Changes in health-related quality of life measures associated with degree of proximal junctional kyphosis
To explore the changes in health-related quality of life parameters observed in patients experiencing varying degrees of proximal junctional kyphosis following corrective adult spinal deformity fusions.
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Article
The impact of lumbar alignment targets on mechanical complications after adult lumbar scoliosis surgery
The purpose of this study was to determine the discriminatory ability of age-adjusted alignment offset and the global alignment and proportion (GAP) score parameters to predict postoperative mechanical complic...
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Article
The Scoli-RISK 1 results of lower extremity motor function 5 years after complex adult spinal deformity surgery
Neurologic complications after complex adult spinal deformity (ASD) surgery are important, yet outcomes are heterogeneously reported, and long-term follow-up of actual lower extremity motor function is unknown.
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Article
Development of predictive models for all individual questions of SRS-22R after adult spinal deformity surgery: a step toward individualized medicine
Health-related quality of life (HRQL) instruments are essential in value-driven health care, but patients often have more specific, personal priorities when seeking surgical care. The Scoliosis Research Societ...
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Article
Open AccessNon-neurologic adverse events after complex adult spinal deformity surgery: results from the prospective, multicenter Scoli-RISK-1 study
Accurate information regarding the expected complications of complex adult spinal deformity (ASD) is important for shared decision making and informed consent. The purpose of the present study was to investiga...
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Chapter
Concepts of Risk Stratification in Measurement and Delivery of Quality
The importance of quality is gaining increased attention from all stakeholders in healthcare due to high regional variability and association between poor quality care and increased healthcare costs. Quality o...
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Article
External validation of the adult spinal deformity (ASD) frailty index (ASD-FI)
To assess the ability of the recently developed adult spinal deformity frailty index (ASD-FI) to predict odds of perioperative complications, odds of reoperation, and length of hospital stay after adult spinal...
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Article
Self-learning computers for surgical planning and prediction of postoperative alignment
In past decades, the role of sagittal alignment has been widely demonstrated in the setting of spinal conditions. As several parameters can be affected, identifying the driver of the deformity is the cornersto...
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Chapter
Sagittal Plane Deformity Surgery: Pedicle Subtraction Osteotomy (PSO) Complication
Sagittal malalignment has been recognized as a significant driver of morbidity in adult spinal deformity (ASD). Our current understanding of optimal sagittal alignment is built around the concepts of the sagit...
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Article
Three-column osteotomy for correction of cervical and cervicothoracic deformities: alignment changes and early complications in a multicenter prospective series of 23 patients
Three-column osteotomy (3CO), including pedicle subtraction osteotomy (PSO) and vertebral column resection (VCR), can provide powerful alignment correction for adult cervical deformity (ACD). Our objective was...
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Article
Selecting caudal fusion levels: 2 year functional and stiffness outcomes with matched pairs analysis in multilevel fusion to L5 versus S1
Controversy persists as to whether to end multilevel thoracolumbar fusions caudally at L5 or S1. Some argue that stop** at L5 may preserve greater function, but there are few data comparing functional limita...
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Article
Analysis of an unexplored group of sagittal deformity patients: low pelvic tilt despite positive sagittal malalignment
In adult spinal deformity (ASD), patients increase pelvic tilt (PT) to maintain standing alignment. Previously, ASD patients with low PT and high disability were described. This study investigates this unusual...
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Article
Ratio of lumbar 3-column osteotomy closure: patient-specific deformity characteristics and level of resection impact correction of truncal versus pelvic compensation
The resection point of a lumbar three-column osteotomy (3CO) creates separation of the spino-pelvic complex. This study investigates the impact of patients’ baseline deformity and level of 3CO resection on the...
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Article
Clinical and radiographic parameters that distinguish between the best and worst outcomes of scoliosis surgery for adults
Predictors of marked improvement versus failure to improve following surgery for adult scoliosis have not been identified. Our objective was to identify factors that distinguish between patients with the best ...
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Article
Risk factors for major peri-operative complications in adult spinal deformity surgery: a multi-center review of 953 consecutive patients
Major peri-operative complications for adult spinal deformity (ASD) surgery remain common. However, risk factors have not been clearly defined. Our objective was to identify patient and surgical parameters tha...
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Article
Sagittal spino-pelvic alignment failures following three column thoracic osteotomy for adult spinal deformity
Three column thoracic osteotomy (TCTO) is effective to correct rigid thoracic deformities, however, reasons for residual postoperative spinal deformity are poorly defined. Our objective was to evaluate risk fa...
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Chapter
Photolithographic Plating of Platinum and Copper on Insulating Substrates
Several micrometer thick layers of platinum or copper can be photolithographically deposited on Mylar or silica substrates by taking advantage of the photochemistry of [PtCl6]2− in alcohols. This reaction gives r...