Global Spine J
Study Design: Retrospective cohort study.
Objective: Factors that predict outcomes for adult cervical spine deformity (ACSD) have not been well defined. To compare ACSD patients with best versus worst outcomes.
Methods: This study was based on a prospective, multicenter observational ACSD cohort. Best versus worst outcomes were compared based on Neck Disability Index (NDI), Neck Pain Numeric Rating Scale (NP-NRS), and modified Japanese Orthopaedic Association (mJOA) scores.
Results: Of 111 patients, 80 (72%) had minimum 1-year follow-up. For NDI, compared with best outcome patients (n = 28), worst outcome patients (n = 32) were more likely to have had a major complication (
Conclusions: Factors distinguishing best and worst ACSD surgery outcomes included patient, surgical, and radiographic factors. These findings suggest areas that may warrant greater awareness to optimize patient counseling and outcomes.
Neurosciences (Brain & Spine)
Smith, Justin S; Shaffrey, Christopher I; Kim, Han Jo; Passias, Peter; Protopsaltis, Themistocles; Lafage, Renaud; Mundis, Gregory M; Klineberg, Eric; Lafage, Virginie; Schwab, Frank J; Scheer, Justin K; Kelly, Michael; Hamilton, D Kojo; Gupta, Munish; Deviren, Vedat; Hostin, Richard; Albert, Todd; Riew, K Daniel; Hart, Robert A; Burton, Doug; Bess, Shay; and Ames, Christopher P, "Comparison of Best Versus Worst Clinical Outcomes for Adult Cervical Deformity Surgery." (2019). Articles, Abstracts, and Reports. 1818.