Personalized Spine Surgery in Adult Deformity: Reoperation Rates and Mechanical Complications Following Customized Planning and Interbody Implant Use.

Justin S Smith¹, Chun-Po Yen¹, Roland Kent², Sigurd Berven³, Gregory M Mundis⁴, Robert Robinson⁵, Rodrigo J Nicolau⁶, Joseph A Osorio⁷, Jahangir Asghar⁸, J Rush Fisher⁹, Kelli M Howell¹⁰, Mark Tantorski¹¹, Donald Blaskiewicz¹², Jeffrey P Mullin¹³, Joseph Gjolaj¹⁴, John Small¹⁵, Christopher P Ames¹⁶

¹Department of Neurosurgery, University of Virginia, Charlottesville, VA, USA.

²Department of Spine Surgery, Axis Spine Center, Coeur d'Alene, ID, USA.

³Department of Orthopaedic Surgery, University of California, San Francisco, San Francisco, CA, USA.

⁴Department of Orthopedic Surgery, Scripps Clinic, San Diego, CA, USA.

⁵Alabama Neurological Surgery & Spine, Birmingham, AL, USA.

⁶Carlsmed, Carlsbad, CA, USA.

⁷Department of Neurological Surgery, University of California, San Diego, San Diego, CA, USA.

⁸Elite Spine Health and Wellness, Plantation, FL, USA.

⁹Department of Orthopaedic Surgery, Penn Medicine, Philadelphia, PA, USA.

¹⁰KH Consulting, San Diego, CA, USA.

¹¹Premier Orthopaedics, West Chester, PA, USA.

¹²St. Luke's Boise Medical Center, Boise, ID, USA.

¹³Department of Neurosurgery, University at Buffalo, Buffalo, NY, USA.

¹⁴Department of Orthopedic Surgery, University of Miami Hospital, Miami, FL, USA.

¹⁵Center for Spinal Disorders at Florida Orthopaedic Institute, Temple Terrace, FL, USA.

¹⁶Department of Neurological Surgery, University of California, San Francisco, San Francisco, CA, USA.

PubMed PMC DOI PDF

Abstract

Study DesignRetrospective cohort study.ObjectivesPrior studies have shown that adult spinal deformity (ASD) patients undergoing revision surgery due to mechanical complications had less radiographic improvement and worsening patient-reported outcomes scores. The combination of customized 3D planning and personalized implants has been shown to contribute to improved achievement of alignment goals.…

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