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Is There a Patient Profile That Characterizes a Patient With Adult Spinal Deformity as a Candidate for Minimally Invasive Surgery?

Publication ,  Journal Article
Eastlack, RK; Mundis, GM; Wang, M; Mummaneni, PV; Uribe, J; Okonkwo, D; Akbarnia, BA; Anand, N; Kanter, A; Park, P; Lafage, V; Shaffrey, C ...
Published in: Global Spine J
October 2017

STUDY DESIGN: Retrospective review. OBJECTIVES: 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). METHODS: 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. RESULTS: 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. CONCLUSIONS: 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°.

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Published In

Global Spine J

DOI

ISSN

2192-5682

Publication Date

October 2017

Volume

7

Issue

7

Start / End Page

703 / 708

Location

England

Related Subject Headings

  • 3202 Clinical sciences
 

Citation

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Chicago
ICMJE
MLA
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Eastlack, R. K., Mundis, G. M., Wang, M., Mummaneni, P. V., Uribe, J., Okonkwo, D., … International Spine Study Group, . (2017). Is There a Patient Profile That Characterizes a Patient With Adult Spinal Deformity as a Candidate for Minimally Invasive Surgery? Global Spine J, 7(7), 703–708. https://doi.org/10.1177/2192568217716151
Eastlack, Robert K., Gregory M. Mundis, Michael Wang, Praveen V. Mummaneni, Juan Uribe, David Okonkwo, Behrooz A. Akbarnia, et al. “Is There a Patient Profile That Characterizes a Patient With Adult Spinal Deformity as a Candidate for Minimally Invasive Surgery?Global Spine J 7, no. 7 (October 2017): 703–8. https://doi.org/10.1177/2192568217716151.
Eastlack RK, Mundis GM, Wang M, Mummaneni PV, Uribe J, Okonkwo D, et al. Is There a Patient Profile That Characterizes a Patient With Adult Spinal Deformity as a Candidate for Minimally Invasive Surgery? Global Spine J. 2017 Oct;7(7):703–8.
Eastlack, Robert K., et al. “Is There a Patient Profile That Characterizes a Patient With Adult Spinal Deformity as a Candidate for Minimally Invasive Surgery?Global Spine J, vol. 7, no. 7, Oct. 2017, pp. 703–08. Pubmed, doi:10.1177/2192568217716151.
Eastlack RK, Mundis GM, Wang M, Mummaneni PV, Uribe J, Okonkwo D, Akbarnia BA, Anand N, Kanter A, Park P, Lafage V, Shaffrey C, Fessler R, Deviren V, International Spine Study Group. Is There a Patient Profile That Characterizes a Patient With Adult Spinal Deformity as a Candidate for Minimally Invasive Surgery? Global Spine J. 2017 Oct;7(7):703–708.
Journal cover image

Published In

Global Spine J

DOI

ISSN

2192-5682

Publication Date

October 2017

Volume

7

Issue

7

Start / End Page

703 / 708

Location

England

Related Subject Headings

  • 3202 Clinical sciences