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Cone of economy classification: evolution, concept of stability, severity level, and correlation to patient-reported outcome scores.

Ram HaddasVarun SambhariyaThomas KosztowskiAndrew BlockIsador Lieberman
Published 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)
By classifying CoE measurements by the cutoffs proposed, clinically significant alterations in balance can be quantified. Furthermore, this study demonstrates that across spinal pathology, higher magnitude CoE and range of sway measurements correlate with worsening PROMs. The Haddas' CoE classification system in this study helps to identify patients that may benefit from surgery and guide their postoperative prognosis.
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