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Is There a Patient Profile That Characterizes a Patient With Adult Spinal Deformity as a Candidate for Minimally Invasive Surgery? Eastlack, Robert K Mundis, Gregory M Wang, Michael Mummaneni, Praveen V Uribe, Juan Okonkwo, David Akbarnia, Behrooz A Anand, Neel Kanter, Adam Park, Paul Lafage, Virginie Shaffrey, Christopher Fessler, Richard Deviren, Vedat International Spine Study Group 2019-12-15T17:06:43Z 2019-12-15T17:06:43Z 2017-10
dc.identifier 10.1177_2192568217716151
dc.identifier.issn 2192-5682
dc.identifier.issn 2192-5690
dc.description.abstract Retrospective review.The goal of this study was to evaluate the baseline characteristics of patients chosen to undergo traditional open versus minimally invasive surgery (MIS) for adult spinal deformity (ASD).A multicenter review of 2 databases including ASD patients treated with surgery. Inclusion criteria were age >45 years, Cobb angle minimum of 20°, and minimum 2-year follow-up. Preoperative radiographic parameters and disability outcome measures were reviewed.A total of 350 patients were identified: 173 OPEN patients and 177 MIS. OPEN patients were significantly younger than MIS patients (61.5 years vs 63.74 years, P = .013). The OPEN group had significantly more females (87% vs 76%, P = .006), but both groups had similar body mass index. Preoperative lumbar Cobb was significantly higher for the OPEN group (34.2°) than for the MIS group (26.0°, P < .001). The mean preoperative Oswestry Disability Index was significantly higher in the MIS group (44.8 in OPEN patients and 49.8 in MIS patients, P < .011). The preoperative Numerical Rating Scale value for back pain was 7.2 in the OPEN group and 6.8 in the MIS group preoperatively, P = .100.Patients chosen for MIS for ASD are slightly older and have smaller coronal deformities than those chosen for open techniques, but they did not have a substantially lesser degree of sagittal malalignment. MIS surgery was most frequently utilized for patients with an sagittal vertical axis under 6 cm and a baseline pelvic incidence and lumbar lordosis mismatch under 30°.
dc.language eng
dc.publisher SAGE Publications
dc.relation.ispartof Global spine journal
dc.relation.isversionof 10.1177/2192568217716151
dc.subject International Spine Study Group
dc.title Is There a Patient Profile That Characterizes a Patient With Adult Spinal Deformity as a Candidate for Minimally Invasive Surgery?
dc.type Journal article Shaffrey, Christopher|0911491 2019-12-15T17:06:41Z
pubs.begin-page 703
pubs.end-page 708
pubs.issue 7
pubs.organisational-group School of Medicine
pubs.organisational-group Duke
pubs.organisational-group Orthopaedics
pubs.organisational-group Clinical Science Departments
pubs.organisational-group Neurosurgery
pubs.publication-status Published
pubs.volume 7
duke.contributor.orcid Shaffrey, Christopher|0000-0001-9760-8386

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