Persistent Lower Extremity Compensation for Sagittal Imbalance After Surgical Correction of Complex Adult Spinal Deformity: A Radiographic Analysis of Early Impact.
Tyler K WilliamsonPooja DaveJamshaid M MirJustin S SmithRenaud LafageBreton LineBassel G DieboAlan H DanielsJeffrey L GumThemistocles S ProtopsaltisD Kojo HamiltonAlex SoroceanuJustin K ScheerRobert EastlackMichael P KellyPierce NunleyKhaled M KebaishStephen LewisLawrence G LenkeRichard A HostinMunish C GuptaHan Jo KimChristopher P AmesRobert A HartDouglas C BurtonChristopher I ShaffreyEric O KlinebergFrank J SchwabVirginie LafageDean ChouKai-Ming FuShay BessPeter G Passiasnull nullPublished in: Operative neurosurgery (Hagerstown, Md.) (2023)
Perioperative lower extremity compensation was a product of undercorrecting complex ASD. Even in age-adjusted realignment, compensation was associated with global undercorrection and junctional failure. Consideration of lower extremities during planning is vital to avoid adverse outcomes in perioperative course after complex ASD surgery.