Highest Achievable Outcomes for Patients Undergoing Cervical Deformity Corrective Surgery by Frailty.
Peter G PassiasNicholas KummerTyler K WilliamsonKevin MoattariVirginie LafageRenaud LafageHan Jo KimAlan H DanielsJeffrey L GumBassel G DieboThemistocles S ProtopsaltisGregory M MundisRobert K EastlackAlexandra SoroceanuJustin K ScheerD Kojo HamiltonEric O KlinebergBreton LineRobert A HartDouglas C BurtonPraveen MummaneniDean ChouPaul ParkFrank J SchwabChristopher I ShaffreyShay BessChristopher P AmesJustin S Smithnull nullPublished in: Neurosurgery (2022)
Although frail patients improved more often by 1Y, SF patients achieve most of their clinical improvement between 1 and 2Y. Frailty is associated with factors such as osteoporosis, poor alignment, neurological status, sarcopenia, and other medical comorbidities. Similarly, clinical outcomes can be affected by many factors (fusion status, number of pain generators within treated levels, integrity of soft tissues and bone, and deformity correction). Although accounting for such factors will ultimately determine whether frailty alone is an independent risk factor, these preliminary findings may suggest that frailty status affects the clinical outcomes and improvement after CD surgery.
Keyphrases
- end stage renal disease
- newly diagnosed
- patients undergoing
- ejection fraction
- chronic kidney disease
- prognostic factors
- healthcare
- risk factors
- gene expression
- chronic pain
- bone mineral density
- type diabetes
- spinal cord injury
- metabolic syndrome
- adipose tissue
- neuropathic pain
- body composition
- acute coronary syndrome
- brain injury
- patient reported
- postoperative pain