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Jong-myung Jung, Seung-Jae Hyun, Ki-Jeong Kim, and Tae-Ahn Jahng

, : Major complications and comparison between 3-column osteotomy techniques in 105 consecutive spinal deformity procedures . Spine (Phila Pa 1976) 37 : 1198 – 1210 , 2012 2 Bae J , Lee SH : Minimally invasive spinal surgery for adult spinal deformity . Neurospine 15 : 18 – 24 , 2018 3 Barton C , Noshchenko A , Patel V , Cain C , Kleck C , Burger E : Risk factors for rod fracture after posterior correction of adult spinal deformity with osteotomy: a retrospective case-series . Scoliosis 10 : 30 , 2015 4 Bridwell KH : Decision making

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Tatsuya Yasuda, Tomohiko Hasegawa, Yu Yamato, Daisuke Togawa, Sho Kobayashi, Go Yoshida, Tomohiro Banno, Hideyuki Arima, Shin Oe, and Yukihiro Matsuyama

R ecent studies have shown that sagittal spinopelvic alignment, including pelvic position, plays a critical role in the health-related quality of life of patients with adult spinal deformity (ASD). 4 , 7 , 12 , 13 Therefore, the goal of corrective surgery for ASD is to achieve and maintain optimal spinopelvic alignment. Lumbar lordosis (LL) is one of the important parameters for optimal sagittal alignment. The achievement of adequate LL is necessary for good results in corrective surgeries in spinal fusion. Additionally, LL is one of the main parameters that

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Griffin R. Baum, Alex S. Ha, Meghan Cerpa, Scott L. Zuckerman, James D. Lin, Richard P. Menger, Joseph A. Osorio, Simon Morr, Eric Leung, Ronald A. Lehman Jr., Zeeshan Sardar, and Lawrence G. Lenke

Previous Presentations This abstract was presented at the Scoliosis Research Society 2019 Annual Meeting, Montreal, Quebec, Canada, September 18–21, 2019. References 1 Schwab F , Patel A , Ungar B , Adult spinal deformity-postoperative standing imbalance: how much can you tolerate? An overview of key parameters in assessing alignment and planning corrective surgery . Spine (Phila Pa 1976) . 2010 ; 35 ( 25 ): 2224 – 2231 . 2 Schwab FJ , Blondel B , Bess S , Radiographical spinopelvic parameters and disability in the setting of adult spinal

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Mark Ren, Barry R. Bryant, Andrew B. Harris, Khaled M. Kebaish, Lee H. Riley III, David B. Cohen, Richard L. Skolasky, and Brian J. Neuman

use has been suggested as a way to improve postoperative outcomes and to reduce costs. 14 , 15 Reported rates of opioid use before spine surgery range from 34% to 57%. 3 , 12 , 16–19 Adult spinal deformity (ASD), which comprises a group of diseases that have a reported prevalence of up to 68% in adults older than 65 years, 20–23 can impair function, decrease quality of life, and cause severe back and radicular pain. 24 , 25 Patients often seek opioid analgesics and spinal arthrodesis to treat these symptoms, 25 , 26 and the frequency of ASD surgery more than

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Yoji Ogura, Jeffrey L. Gum, Alex Soroceanu, Alan H. Daniels, Breton Line, Themistocles Protopsaltis, Richard A. Hostin, Peter G. Passias, Douglas C. Burton, Justin S. Smith, Christopher I. Shaffrey, Virginie Lafage, Renaud Lafage, Eric O. Klineberg, Han Jo Kim, Andrew Harris, Khaled Kebaish, Frank Schwab, Shay Bess, Christopher P. Ames, Leah Y. Carreon, and the International Spine Study Group (ISSG)

S hared decision-making (SDM) is gaining momentum in the current era of patient-centered care. SDM is defined as a process in which patients and physicians mutually engage to determine the best treatment. 1 SDM improves patient satisfaction and quality of life, and reduces decisional conflict and patients’ anxiety. 2 , 3 SDM is particularly important when there are no obvious “best” treatment options. This is typically the case for adult spinal deformity (ASD), because a gold standard has not been established in the management of this disease. Furthermore

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Emily K. Miller, Brian J. Neuman, Amit Jain, Alan H. Daniels, Tamir Ailon, Daniel M. Sciubba, Khaled M. Kebaish, Virginie Lafage, Justin K. Scheer, Justin S. Smith, Shay Bess, Christopher I. Shaffrey, Christopher P. Ames, and the International Spine Study Group

predict mortality and self-management ability in nonoperatively treated populations, these indices have recently been shown to be better predictors of perioperative adverse events than chronological age alone. 6 , 11 , 12 , 17 Numerous methods for frailty quantification have been developed and validated. 3 , 4 , 7 , 13 , 15–18 Searle et al. proposed and validated a method for creating frailty indices by using large, existing patient databases. This step-by-step method was used to create a frailty index (the adult spinal deformity frailty index [ASD-FI]) in this study

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Rafael De la Garza-Ramos, Amit Jain, Khaled M. Kebaish, Ali Bydon, Peter G. Passias, and Daniel M. Sciubba

1 Charosky S , Guigui P , Blamoutier A , Roussouly P , Chopin D : Complications and risk factors of primary adult scoliosis surgery: a multicenter study of 306 patients . Spine (Phila Pa 1976) 37 : 693 – 700 , 2012 2 Cram P : Assessing hospital productivity . Health Aff (Millwood) 34 : 1069 , 2015 3 Daubs MD , Lenke LG , Cheh G , Stobbs G , Bridwell KH : Adult spinal deformity surgery: complications and outcomes in patients over age 60 . Spine (Phila Pa 1976) 32 : 2238 – 2244 , 2007 4 Diebo BG , Passias PG

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Micheal Raad, Andrew B. Harris, Varun Puvanesarajah, Mostafa H. El Dafrawy, Floreana N. Kebaish, Brian J. Neuman, Richard L. Skolasky, David B. Cohen, and Khaled M. Kebaish

P ain is the most common symptom reported by patients who seek surgical treatment for adult spinal deformity (ASD). 1 , 2 Although surgery has the potential to relieve the pain these patients experience, 3 , 4 pain is a complex, multifactorial symptom that is influenced by modifiable intrinsic patient factors, such as fear, catastrophizing, self-efficacy, attitudes and beliefs, stress, and expectations for treatment. 5–9 As healthcare becomes increasingly patient-centered, there has been an effort to understand the psychosocial factors that influence back pain

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Alex Soroceanu, Douglas C. Burton, Bassel Georges Diebo, Justin S. Smith, Richard Hostin, Christopher I. Shaffrey, Oheneba Boachie-Adjei, Gregory M. Mundis Jr., Christopher Ames, Thomas J. Errico, Shay Bess, Munish C. Gupta, Robert A. Hart, Frank J. Schwab, Virginie Lafage, and International Spine Study Group

number is expected to increase. Adult spinal deformity (ASD) is common, and its incidence increases with age. The prevalence of ASD in the elderly population has been investigated, with Schwab et al. 56 reporting rates of ASD up to 68% in patients over the age of 65 years. Regarding ASD treatment, multiple reports have documented the superiority of surgical intervention and its potential ability to improve pain and disability, the 2 primary presenting complaints of patients with ASD. 5 , 23 , 61 , 62 However, several authors have identified high complication

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Junseok Bae, Alexander A. Theologis, Russell Strom, Bobby Tay, Shane Burch, Sigurd Berven, Praveen V. Mummaneni, Dean Chou, Christopher P. Ames, and Vedat Deviren

T reatment options for adult spinal deformity (ASD) are varied according to the patient’s baseline condition. Patients with minimal pain and mild thoracolumbar coronal deformity might benefit from conservative treatment. 18 The goal of surgical treatment for patients with ASD is to achieve sagittal and coronal balance, relieve axial and radiating pain, and achieve fusion. The surgical treatment of ASD is an effective endeavor that can be accomplished using a variety of surgical strategies. Interbody fusion has been advocated as an important surgical option in