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Are We Focused on the Wrong Early Postoperative Quality Metrics? Optimal Realignment Outweighs Perioperative Risk in Adult Spinal Deformity Surgery.

Peter G PassiasTyler K WilliamsonJamshaid M MirJustin S SmithVirginie LafageRenaud LafageBreton G LineAlan H DanielsJeffrey L GumAndrew J SchoenfeldDavid Kojo HamiltonAlex SoroceanuJustin K ScheerRobert EastlackGregory M MundisBassel DieboKhaled M KebaishRichard A HostinMunish C GuptaHan Jo KimEric O KlinebergChristopher P AmesRobert A HartDouglas C BurtonFrank J SchwabChristopher I ShaffreyShay Bessnull On Behalf Of The International Spine Study Group
Published in: Journal of clinical medicine (2023)
Fewer late complications (mechanical and reoperations) are seen in optimally aligned patients, leading to better long-term cost-utility overall. Therefore, the current focus on avoiding short-term complications may be counterproductive, as achieving optimal surgical correction is critical for long-term success.
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