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Juan S. Uribe, Armen R. Deukmedjian, Praveen V. Mummaneni, Kai-Ming G. Fu, Gregory M. Mundis Jr., David O. Okonkwo, Adam S. Kanter, Robert Eastlack, Michael Y. Wang, Neel Anand, Richard G. Fessler, Frank La Marca, Paul Park, Virginie Lafage, Vedat Deviren, Shay Bess, and Christopher I. Shaffrey

O ver the past several decades, surgical treatment options for adult spinal deformity (ASD) have expanded, including both minimally invasive and open techniques. 3 , 12 , 14 , 18 , 27 Determining the most suitable approach in patients should take into account the risks and benefits of each surgical technique. Unfortunately, studies comparing the different operative techniques are lacking. Moreover, outcomes and complications of ASD are largely reported in terms of patient characteristics following traditional open techniques with little published data

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Justin K. Scheer, Justin S. Smith, Aaron J. Clark, Virginie Lafage, Han Jo Kim, John D. Rolston, Robert Eastlack, Robert A. Hart, Themistocles S. Protopsaltis, Michael P. Kelly, Khaled Kebaish, Munish Gupta, Eric Klineberg, Richard Hostin, Christopher I. Shaffrey, Frank Schwab, Christopher P. Ames, and the International Spine Study Group

I ndividuals who have adult spinal deformity (ASD) typically experience pain and disability. 2 , 14 , 26 , 28 , 29 The pain typically affects the back, legs, or both, and its etiology is multifactorial. 26 , 28 , 29 Over the last decade, most research into ASD has focused on patient-reported outcomes and on general measures of health status and function, such as the Oswestry Disability Index (ODI), the 36-Item Short Form Health Survey (SF-36), and the Scoliosis Research Society 22-question Questionnaire (SRS-22). However, pain is the primary concern for

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Taemin Oh, Justin K. Scheer, Robert Eastlack, Justin S. Smith, Virginie Lafage, Themistocles S. Protopsaltis, Eric Klineberg, Peter G. Passias, Vedat Deviren, Richard Hostin, Munish Gupta, Shay Bess, Frank Schwab, Christopher I. Shaffrey, and Christopher P. Ames

A dult spinal deformity (ASD) is a pathological condition defined as spinal malalignment in the axial, coronal, or sagittal plane and is derivative of congenital, iatrogenic, degenerative, or idiopathic etiology. 30 The restoration of sagittal alignment, as established by the sagittal vertical axis (SVA; target < 5 cm) and pelvic tilt (PT; target < 20°) on sagittal radiography, is important in surgical deformity correction. 6 , 21 , 22 Although coronal plane correction also has clinical relevance, sagittal corrections appear to have greater importance, 5

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Background/Introduction: Pseudarthrosis after adult spinal deformity (ASD) surgery may result in instrumentation failure and need for revision. However, the correlation between fusion grade with or without rod fractures and HRQoL is not known. We assessed the association between HRQoL, fusion grade, and rod fracture with and without revision surgery. Materials/Methods: A prospective, multi-center ASD database with 2 year followup data was reviewed. Fusion grade was determined on plain films using published criteria; Grade III or IV at one or more segments was

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, MD, PhD 3 2017 42 3 Peripheral Nerve A10 A11 Copyright held by the American Association of Neurological Surgeons. You may not sell, republish, or systematically distribute any published materials without written permission from JNSPG. 2017 Introduction: The purpose of this study is to evaluate the efficacy and safety of cervical total disc replacement (TDR) for symptomatic adjacent segment degeneration (ASD) with previous anterior cervical discectomy and fusion (ACDF) was done, compared to ACDF in the treatment of cervical ASD

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systematically distribute any published materials without written permission from JNSPG. 2017 Background/Introduction: Adult spinal deformity (ASD) surgery is a massive undertaking that may involve a significant amount of blood loss, especially when various osteotomy techniques are utilized. Antifibrinolytic agents such as tranexamic acid (TXA) have been used in an attempt to reduce intraoperative blood loss. However, there is no universally accepted dosing protocol for TXA in spine surgery. Moreover, there are very few reports in the literature regarding high

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The comprehensive anatomical spinal osteotomy and anterior column realignment classification

Presented at the 2018 AANS/CNS Joint Section on Disorders of the Spine and Peripheral Nerves

Juan S. Uribe, Frank Schwab, Gregory M. Mundis Jr., David S. Xu, Jacob Januszewski, Adam S. Kanter, David O. Okonkwo, Serena S. Hu, Deviren Vedat, Robert Eastlack, Pedro Berjano, and Praveen V. Mummaneni

deformity using a lateral transpsoas approach and ALL release . J Spinal Disord Tech 27 : 29 – 39 , 2014 23429305 10.1097/BSD.0b013e318287bdc1 2 Anand N , Cohen JE , Cohen RB , Khandehroo B , Kahwaty S , Baron E : Comparison of a newer versus older protocol for circumferential minimally invasive surgical (CMIS) correction of adult spinal deformity (ASD)—evolution over a 10-year experience . Spine Deform 5 : 213 – 223 , 2017 10.1016/j.jspd.2016.12.005 3 Anand N , Sardar ZM , Simmonds A , Khandehroo B , Kahwaty S , Baron EM

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Paul Park, Kai-Ming Fu, Praveen V. Mummaneni, Juan S. Uribe, Michael Y. Wang, Stacie Tran, Adam S. Kanter, Pierce D. Nunley, David O. Okonkwo, Christopher I. Shaffrey, Gregory M. Mundis Jr., Dean Chou, Robert Eastlack, Neel Anand, Khoi D. Than, Joseph M. Zavatsky, Richard G. Fessler, and the International Spine Study Group

A dult spinal deformity (ASD) can cause significant pain and disability. When the deformity is refractory to medical management, spinal deformity surgery can effectively improve pain and function. 14 Presently, there are many options for the surgical treatment of ASD, including minimally invasive surgery (MIS). 2 , 4 , 9 , 10 , 16 , 17 The potential advantages of MIS primarily reflect a significantly diminished exposure-related morbidity resulting in decreased bleeding, length of stay, and pain, and possibly faster recovery. Initial applications of MIS for ASD

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Michael Y. Wang, Stacie Tran, G. Damian Brusko, Robert Eastlack, Paul Park, Pierce D. Nunley, Adam S. Kanter, Juan S. Uribe, Neel Anand, David O. Okonkwo, Khoi D. Than, Christopher I. Shaffrey, Virginie Lafage, Gregory M. Mundis Jr., Praveen V. Mummaneni, and the MIS-ISSG Group

T he morbidity of adult spinal deformity (ASD) surgery has been well proven through several large multiinstitutional studies. 6 , 9 , 14 Although these operations carry inherent risk, the benefits of such interventions have been shown as well, provided that the tenets of the surgical goals have been met. 2 , 10 , 11 Given these conditions, substantial enthusiasm has been demonstrated for minimally invasive surgery (MIS) options. 5 , 7 , 18 , 22 Various technical methods have been developed to achieve these ends, including 1) leveraging alternate access routes