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Failure in Adult Spinal Deformity Surgery: A Comprehensive Review of Current Rates, Mechanisms, and Prevention Strategies.
Burke, John F; Scheer, Justin K; Lau, Darryl; Safaee, Michael M; Lui, Austin; Jha, Sonya; Jedwood, Chloe; Thapar, Isabelle; Belfield, Bethany; Nobahar, Nami; Wang, Albert J; Wang, Elaina J; Catalan, Tony; Chang, Diana; Fury, Marissa; Maloney, Patrick; Aryan, Henry E; Smith, Justin S; Clark, Aaron J; Ames, Christopher P.
Afiliação
  • Burke JF; Department of Neurological Surgery, University of California, San Francisco, CA.
  • Scheer JK; Department of Neurological Surgery, University of California, San Francisco, CA.
  • Lau D; Department of Neurological Surgery, New York University, New York, NY.
  • Safaee MM; Department of Neurological Surgery, University of California, San Francisco, CA.
  • Lui A; Department of Osteopathic Medicine, Touro University, Vallejo, CA.
  • Jha S; College of Letters and Science, University of California, Berkeley, CA.
  • Jedwood C; College of Letters and Science, University of California, Berkeley, CA.
  • Thapar I; College of Letters and Science, University of California, Berkeley, CA.
  • Belfield B; College of Letters and Science, University of California, Berkeley, CA.
  • Nobahar N; College of Letters and Science, University of California, Berkeley, CA.
  • Wang AJ; Department of Neurological Surgery, University of California, San Francisco, CA.
  • Wang EJ; The Warren Alpert School of Medicine, Brown University, Providence, RI.
  • Catalan T; Department of Neurological Surgery, University of California, San Francisco, CA.
  • Chang D; School of Medicine, University of California, San Francisco, CA.
  • Fury M; Department of Neurological Surgery, University of California, San Francisco, CA.
  • Maloney P; Department of Neurological Surgery, University of California, San Francisco, CA.
  • Aryan HE; Sierra Pacific Orthopedics, Fresno, CA.
  • Smith JS; Department of Neurological Surgery, University of Virginia, Charlottesville, VA.
  • Clark AJ; Department of Neurological Surgery, University of California, San Francisco, CA.
  • Ames CP; Department of Neurological Surgery, University of California, San Francisco, CA.
Spine (Phila Pa 1976) ; 47(19): 1337-1350, 2022 Oct 01.
Article em En | MEDLINE | ID: mdl-36094109
ABSTRACT
STUDY

DESIGN:

Literature review.

OBJECTIVE:

The aim of this review is to summarize recent literature on adult spinal deformity (ASD) treatment failure as well as prevention strategies for these failure modes. SUMMARY OF BACKGROUND DATA There is substantial evidence that ASD surgery can provide significant clinical benefits to patients. The volume of ASD surgery is increasing, and significantly more complex procedures are being performed, especially in the aging population with multiple comorbidities. Although there is potential for significant improvements in pain and disability with ASD surgery, these procedures continue to be associated with major complications and even outright failure.

METHODS:

A systematic search of the PubMed database was performed for articles relevant to failure after ASD surgery. Institutional review board approval was not needed.

RESULTS:

Failure and the potential need for revision surgery generally fall into 1 of 4 well-defined phenotypes clinical failure, radiographic failure, the need for reoperation, and lack of cost-effectiveness. Revision surgery rates remain relatively high, challenging the overall cost-effectiveness of these procedures.

CONCLUSION:

By consolidating the key evidence regarding failure, further research and innovation may be stimulated with the goal of significantly improving the safety and cost-effectiveness of ASD surgery.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Procedimentos Neurocirúrgicos Idioma: En Revista: Spine (Phila Pa 1976) Ano de publicação: 2022 Tipo de documento: Article
Texto completo
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Procedimentos Neurocirúrgicos Idioma: En Revista: Spine (Phila Pa 1976) Ano de publicação: 2022 Tipo de documento: Article