• KolcunJohn Paul GJPG0000-0002-4690-094Department of Neurological Surgery, Rush University Medical Center, Chicago, Illinois, USA., Richard G Fessler, Pierce D Nunley, Robert K Eastlack, Praveen V Mummaneni, David O Okonkwo, Juan S Uribe, Kai-Ming Fu, Michael Y Wang, Adam S Kanter, Neel Anand, Gregory M Mundis, Peter G Passias, Dean Chou, and International Spine Study Group.
• Department of Neurological Surgery, Rush University Medical Center, Chicago, Illinois, USA.
• Neurosurgery. 2024 May 24.

Background And ObjectivesWe sought to compare long-term clinical and radiographic outcomes in patients who underwent staged vs same-day circumferential minimally invasive surgery (cMIS) for adult spinal deformity (ASD).MethodsWe reviewed staged and same-day cMIS ASD cases in a prospective multi-institution database to compare preoperative and 2-year clinical and radiographic parameters between cohorts.ResultsA total of 85 patients with a 2-year follow-up were identified (27 staged, 58 same-day). Staged patients had more extensive surgeries and greater hospital length of stay (all P < .001). There were no significant differences in preoperative or 2-year postoperative clinical metrics between cohorts. Patients in the staged cohort also had greater preoperative coronal deformity and thus experienced greater reduction in coronal deformity at 2 years (all P < .01).ConclusionPatients undergoing staged or same-day cMIS correction had similar outcomes at 2 years postoperatively. Staged cMIS ASD correction may be more appropriate in patients with greater deformity, higher frailty, and who require longer, more extensive surgeries.Copyright © Congress of Neurological Surgeons 2024. All rights reserved.

10 keywords...

hide…