Adult Spinal Deformity Research Articles

P175. Unintended readmissions and reoperations within 30- and 90 days following adult spinal deformity surgery

P175. Unintended readmissions and reoperations within 30- and 90 days following adult spinal deformity surgery

76. Clinical and Patient-Reported Outcomes of Adult Spinal Deformity Surgery with 10-Year Follow-Up

76. Clinical and Patient-Reported Outcomes of Adult Spinal Deformity Surgery with 10-Year Follow-Up

P283. Primary fragility fracture history predicts opioid dependence at 2-year follow-up in patients undergoing thoracolumbar fusion for adult spinal deformity

P283. Primary fragility fracture history predicts opioid dependence at 2-year follow-up in patients undergoing thoracolumbar fusion for adult spinal deformity

29. Increased cell saver to blood loss ratio is associated with a higher risk of pulmonary embolism after adult spinal deformity surgery

29. Increased cell saver to blood loss ratio is associated with a higher risk of pulmonary embolism after adult spinal deformity surgery

50. Disparities in presentation and outcomes of symptomatic proximal junctional kyphosis based on over- and under-correction in adult spinal deformity corrections

50. Disparities in presentation and outcomes of symptomatic proximal junctional kyphosis based on over- and under-correction in adult spinal deformity corrections

56. Defining a high-risk adult spinal deformity patient: utilizing predictive analytics to assess factors associated with increased risk of medical and surgical complications following thoracolumbar corrective surgery

56. Defining a high-risk adult spinal deformity patient: utilizing predictive analytics to assess factors associated with increased risk of medical and surgical complications following thoracolumbar corrective surgery

P132. Alignment schematic impact on complications and outcomes in adult spinal deformity corrective surgery

P132. Alignment schematic impact on complications and outcomes in adult spinal deformity corrective surgery

55. Sarcopenic obesity: an underrated phenomenon impacting adult spinal deformity intervention outcomes

55. Sarcopenic obesity: an underrated phenomenon impacting adult spinal deformity intervention outcomes

P168. Severe hip and knee osteoarthritis worsens patient-reported disability in adult spinal deformity patients

P168. Severe hip and knee osteoarthritis worsens patient-reported disability in adult spinal deformity patients

P176. Waiting on a response: a full-body analysis of patients maintaining pelvic compensation following adult spinal deformity corrective surgery

P176. Waiting on a response: a full-body analysis of patients maintaining pelvic compensation following adult spinal deformity corrective surgery

P122. Creating sustainability in centers performing high volume adult spinal deformity surgery: evaluation of the Maryland all-payer model

P122. Creating sustainability in centers performing high volume adult spinal deformity surgery: evaluation of the Maryland all-payer model

102. Baseline history of primary fragility fracture predicts medical complications and revision through 1-year in adult spinal deformity patients undergoing thoracolumbar fusion

102. Baseline history of primary fragility fracture predicts medical complications and revision through 1-year in adult spinal deformity patients undergoing thoracolumbar fusion

52. Limiting blood loss and estimating cell salvage volume for return in adult spinal deformity correction

52. Limiting blood loss and estimating cell salvage volume for return in adult spinal deformity correction

P16. Early reoperations do not adversely affect long term pain and activity scores in adult spinal deformity patients

P16. Early reoperations do not adversely affect long term pain and activity scores in adult spinal deformity patients

116. Machine learning clustering of preoperative fitness and its prognostic value following adult spinal deformity correction

116. Machine learning clustering of preoperative fitness and its prognostic value following adult spinal deformity correction

P156. Preoperative physical therapy decreased length of stay and improved early postoperative mobility in patients with sarcopenia undergoing adult spinal deformity surgery

P156. Preoperative physical therapy decreased length of stay and improved early postoperative mobility in patients with sarcopenia undergoing adult spinal deformity surgery

P149. Optimal octogenarians: which elderly patients best tolerate adult spinal deformity corrective surgery?

P149. Optimal octogenarians: which elderly patients best tolerate adult spinal deformity corrective surgery?

P154. Postoperative thoracic kyphosis morphology following adult spinal deformity surgery: an analysis of fused and unfused segments

P154. Postoperative thoracic kyphosis morphology following adult spinal deformity surgery: an analysis of fused and unfused segments

P123. Determinants of cost-effectiveness in minimally invasive surgery for adult spinal deformity correction

P123. Determinants of cost-effectiveness in minimally invasive surgery for adult spinal deformity correction

Spinal cord injury in high-risk complex adult spinal deformity surgery: review of incidence and outcomes from the Scoli-RISK-1 study

Study designClinical case series.ObjectiveTo describe the cause, treatment and outcome of 6 cases of perioperative spinal cord injury (SCI) in high-risk adult deformity surgery.SettingAdult spinal deformity patients were enrolled in the multi-center Scoli-RISK-1 cohort study.MethodsA total of 272 patients who underwent complex adult deformity surgery were enrolled in the prospective, multi-center Scoli-RISK-1 cohort study. Clinical follow up data were available up to a maximum of 2 years after index surgery. Cases of perioperative SCI were identified and an extensive case review was performed.ResultsSix individuals with SCI were identified from the Scoli-RISK-1 database (2.2%). Two cases occurred intraoperatively and four cases occurred postoperatively. The first case was an incomplete SCI due to a direct intraoperative insult and was treated postoperatively with Riluzole. The second SCI case was caused by a compression injury due to overcorrection of the deformity. Three cases of incomplete SCI occurred; one case of postoperative hematoma, one case of proximal junctional kyphosis (PJK) and one case of adjacent segment disc herniation. All cases of post-operative incomplete SCI were managed with revision decompression and resulted in excellent clinical recovery. One case of incomplete SCI resulted from infection and PJK. The patient’s treatment was complicated by a delay in revision and the patient suffered persistent neurological deficits up to six weeks following the onset of SCI.ConclusionDespite the low incidence in high-risk adult deformity surgeries, perioperative SCI can result in devastating consequences. Thus, appropriate postoperative care, follow up and timely management of SCI are essential.