Spine
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Retrospective single-center, consecutively enrolled database of adult spinal deformity (ASD) patients. ⋯ Higher preoperative mASD-FI score was associated with significantly greater complications, higher rate of unplanned reoperations and lower postoperative HRQL in this investigation. The mASD-FI provides similar prognostic utility while reducing burden for surgeons and patients.
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The influence of frailty on economic burden following corrective surgery for the adult cervical deformity (CD) is understudied and may provide valuable insights for preoperative planning. ⋯ III.
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Multicenter Study
Outcomes Following Direct versus Indirect Decompression Techniques for Lumbar Spondylolisthesis: A Propensity-Matched Analysis.
Retrospective review. ⋯ Our study suggests that both DD and ID for the treatment of lumbar spondylolisthesis result in similar clinical outcomes, with the exception that those treated with ID experienced a lower reduction in back and leg pain at 3 months and a higher 3-month reoperation rate. This data can provide surgeons with additional information when counseling patients on the pros and cons of ID versus DD surgery.
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Retrospective analysis on prospectively collected data. ⋯ For the matched analysis, in general, patients with and without PD had similar patient-reported outcomes and complication, readmission, and reoperation rates. These results demonstrate that a diagnosis of PD alone should not represent a major contraindication to elective spine surgery.