Matches in SemOpenAlex for { <https://semopenalex.org/work/W2902434117> ?p ?o ?g. }
Showing items 1 to 80 of
80
with 100 items per page.
- W2902434117 abstract "BACKGROUND CONTEXT Osteoporosis is a significant comorbidity that can increase the risk, technical difficulty, and outcomes following spine surgery. Surgical treatment for adult spinal deformity may reliably lead to improvement in radiographical and clinical outcomes. However, proximal junctional kyphosis (PJK) remains a common complication after long instrumented spinal fusion surgery and may occur more often in osteoporotic patients. PURPOSE The goal of this study was to compare patients diagnosed with osteoporosis to nonosteoporotic patients and evaluate the occurrence of PJK following deformity correction spine fusion surgery for adult spinal deformity. STUDY DESIGN/SETTING Retrospective cohort study. PATIENT SAMPLE Consecutive patients who underwent elective posterior spinal fusion for adult deformity at a single academic institution from 2008 to 2014 with a minimum of 2 years of follow-up were identified. Patients were considered osteoporotic if their bone mineral density (BMD) score revealed T OUTCOME MEASURES Radiographic assessments included: sagittal vertical axis (SVA), pelvic incidence (PI), lumbar lordosis (LL), thoracic kyphosis (TK), T1 pelvic angle (TPA), and kyphosis at one- and two-levels above the upper instrumented vertebra (UIV+1, UIV+2). At two levels above the upper instrumented vertebra (UIV+2), kyphosis greater than 10° and more than a 10° increase from the preoperative film was defined as PJK. At UIV+1, PJK was defined as a greater than 15° increase from the preoperative film Multivariate logistic regression was used to test the association between osteoporosis and development of PJK while controlling for differences in patient and operative characteristics. METHODS Multivariate logistic regression was used to test the association between osteoporosis and development of PJK while controlling for differences in patient and operative characteristics. RESULTS A total of 214 patients fulfilled inclusion criteria. Average follow up was (52.8±29.1 months). Patients with osteoporosis were older (64.7+/−12.6 years vs. 56.7 +/−8.6 years; p CONCLUSIONS Patients diagnosed with osteoporosis may be at risk for developing PJK following deformity-correction spine fusion for adult spinal deformity compared to those with more robust bone mineral density. These concerns and the effect on sagittal alignment, and ultimate health-related quality of life, provide additional support towards the importance of preoperative bone mineral density optimization and expectations prior to surgery." @default.
- W2902434117 created "2018-12-11" @default.
- W2902434117 creator A5019972150 @default.
- W2902434117 creator A5027811354 @default.
- W2902434117 creator A5043789665 @default.
- W2902434117 creator A5056292613 @default.
- W2902434117 creator A5060793733 @default.
- W2902434117 creator A5069437689 @default.
- W2902434117 creator A5071057298 @default.
- W2902434117 creator A5071293903 @default.
- W2902434117 creator A5072756866 @default.
- W2902434117 date "2018-08-01" @default.
- W2902434117 modified "2023-09-25" @default.
- W2902434117 title "Friday, September 28, 2018 3:00 PM–4:00 PM abstracts: spinal deformity analysis" @default.
- W2902434117 doi "https://doi.org/10.1016/j.spinee.2018.06.489" @default.
- W2902434117 hasPublicationYear "2018" @default.
- W2902434117 type Work @default.
- W2902434117 sameAs 2902434117 @default.
- W2902434117 citedByCount "0" @default.
- W2902434117 crossrefType "journal-article" @default.
- W2902434117 hasAuthorship W2902434117A5019972150 @default.
- W2902434117 hasAuthorship W2902434117A5027811354 @default.
- W2902434117 hasAuthorship W2902434117A5043789665 @default.
- W2902434117 hasAuthorship W2902434117A5056292613 @default.
- W2902434117 hasAuthorship W2902434117A5060793733 @default.
- W2902434117 hasAuthorship W2902434117A5069437689 @default.
- W2902434117 hasAuthorship W2902434117A5071057298 @default.
- W2902434117 hasAuthorship W2902434117A5071293903 @default.
- W2902434117 hasAuthorship W2902434117A5072756866 @default.
- W2902434117 hasConcept C126322002 @default.
- W2902434117 hasConcept C126838900 @default.
- W2902434117 hasConcept C141071460 @default.
- W2902434117 hasConcept C151730666 @default.
- W2902434117 hasConcept C167135981 @default.
- W2902434117 hasConcept C178910020 @default.
- W2902434117 hasConcept C2776412215 @default.
- W2902434117 hasConcept C2776541429 @default.
- W2902434117 hasConcept C2779343474 @default.
- W2902434117 hasConcept C2779418094 @default.
- W2902434117 hasConcept C2779982284 @default.
- W2902434117 hasConcept C2780329765 @default.
- W2902434117 hasConcept C2780375110 @default.
- W2902434117 hasConcept C2780955175 @default.
- W2902434117 hasConcept C36454342 @default.
- W2902434117 hasConcept C71924100 @default.
- W2902434117 hasConcept C86803240 @default.
- W2902434117 hasConceptScore W2902434117C126322002 @default.
- W2902434117 hasConceptScore W2902434117C126838900 @default.
- W2902434117 hasConceptScore W2902434117C141071460 @default.
- W2902434117 hasConceptScore W2902434117C151730666 @default.
- W2902434117 hasConceptScore W2902434117C167135981 @default.
- W2902434117 hasConceptScore W2902434117C178910020 @default.
- W2902434117 hasConceptScore W2902434117C2776412215 @default.
- W2902434117 hasConceptScore W2902434117C2776541429 @default.
- W2902434117 hasConceptScore W2902434117C2779343474 @default.
- W2902434117 hasConceptScore W2902434117C2779418094 @default.
- W2902434117 hasConceptScore W2902434117C2779982284 @default.
- W2902434117 hasConceptScore W2902434117C2780329765 @default.
- W2902434117 hasConceptScore W2902434117C2780375110 @default.
- W2902434117 hasConceptScore W2902434117C2780955175 @default.
- W2902434117 hasConceptScore W2902434117C36454342 @default.
- W2902434117 hasConceptScore W2902434117C71924100 @default.
- W2902434117 hasConceptScore W2902434117C86803240 @default.
- W2902434117 hasLocation W29024341171 @default.
- W2902434117 hasOpenAccess W2902434117 @default.
- W2902434117 hasPrimaryLocation W29024341171 @default.
- W2902434117 hasRelatedWork W1991986207 @default.
- W2902434117 hasRelatedWork W1996465823 @default.
- W2902434117 hasRelatedWork W2029245885 @default.
- W2902434117 hasRelatedWork W2068578738 @default.
- W2902434117 hasRelatedWork W2342187042 @default.
- W2902434117 hasRelatedWork W2528458837 @default.
- W2902434117 hasRelatedWork W2535840597 @default.
- W2902434117 hasRelatedWork W2800964194 @default.
- W2902434117 hasRelatedWork W2808760879 @default.
- W2902434117 hasRelatedWork W4225630213 @default.
- W2902434117 isParatext "false" @default.
- W2902434117 isRetracted "false" @default.
- W2902434117 magId "2902434117" @default.
- W2902434117 workType "article" @default.