The Scoli-RISK 1 results of lower extremity motor function 5 years after complex adult spinal deformity surgery.
Lawrence G LenkeScott L ZuckermanMeghan CerpaChristopher I ShaffreyLeah Y CarreonKenneth M C CheungMichael P KellyMichael G FehlingsChristopher P AmesOheneba Boachie-AdjeiMark B DekutoskiKhaled M KebaishStephen J LewisYukihiro MatsuyamaFerran PelliséYong QiuFrank J SchwabJustin S Smithnull nullPublished in: European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society (2021)
In 77 patients undergoing complex ASD surgery with 5-year follow-up, while mean LEMS did not change from 2 to 5 years, subtle neurologic changes occurred in approximately 1 in 5 patients (11.1% deteriorated; 8.3% improved). Major surgery-related complication did not result in decreased LEMS; however, those with neurologic surgery-related complications continued to have decreased lower extremity motor function at 5 years postoperative. These results underscore the importance of long-term follow-up to 5 years, using individual motor scores rather than group averages, and comparing outcomes to both baseline and last follow-up.