Staged Versus Same-Day Surgery in Circumferential Minimally Invasive Deformity Correction-Reference-Cited by-同舟云学术

Staged Versus Same-Day Surgery in Circumferential Minimally Invasive Deformity Correction

Published:2024-05-24 Issue: Volume: Page:
ISSN:0148-396X
Container-title:Neurosurgery
language:en
Short-container-title:

Author:

Kolcun John Paul G.¹^ORCID,Fessler Richard G.¹,Nunley Pierce D.²,Eastlack Robert K.³,Mummaneni Praveen V.⁴,Okonkwo David O.⁵,Uribe Juan S.⁶,Fu Kai-Ming⁷,Wang Michael Y.⁸,Kanter Adam S.⁹,Anand Neel¹⁰,Mundis Gregory M.³,Passias Peter G.¹¹,Chou Dean¹²

Affiliation:

1. Department of Neurological Surgery, Rush University Medical Center, Chicago, Illinois, USA;

2. Spine Institute of Louisiana, Shreveport, Louisiana, USA;

3. Department of Orthopedic Surgery, Scripps Health, La Jolla, California, USA;

4. Department of Neurosurgery, University of California, San Francisco, San Francisco, California, USA;

5. Department of Neurosurgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA;

6. Department of Neurosurgery, Barrow Neurological Institute, Phoenix, Arizona, USA;

7. Department of Neurological Surgery, Weill-Cornell Medical Center, New York, New York, USA;

8. Department of Neurological Surgery, University of Miami, Miami, Florida, USA;

9. Department of Neurosurgery, Hoag Specialty Clinic, Newport Beach, California, USA;

10. Department of Orthopaedics, Cedars-Sinai Medical Center, Los Angeles, California, USA;

11. Department of Neurosurgery, New York University, New York, New York, USA;

12. Department of Neurological Surgery, The Och Spine Hospital, Columbia University, New York, New York, USA

Abstract

BACKGROUND AND OBJECTIVES: We sought to compare long-term clinical and radiographic outcomes in patients who underwent staged vs same-day circumferential minimally invasive surgery (cMIS) for adult spinal deformity (ASD). METHODS: We reviewed staged and same-day cMIS ASD cases in a prospective multi-institution database to compare preoperative and 2-year clinical and radiographic parameters between cohorts. RESULTS: A total of 85 patients with a 2-year follow-up were identified (27 staged, 58 same-day). Staged patients had more extensive surgeries and greater hospital length of stay (all P < .001). There were no significant differences in preoperative or 2-year postoperative clinical metrics between cohorts. Patients in the staged cohort also had greater preoperative coronal deformity and thus experienced greater reduction in coronal deformity at 2 years (all P < .01). CONCLUSION: Patients undergoing staged or same-day cMIS correction had similar outcomes at 2 years postoperatively. Staged cMIS ASD correction may be more appropriate in patients with greater deformity, higher frailty, and who require longer, more extensive surgeries.

Publisher

Ovid Technologies (Wolters Kluwer Health)

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