{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T17:31:26Z","timestamp":1780594286014,"version":"3.54.1"},"reference-count":26,"publisher":"Springer Science and Business Media LLC","issue":"10","license":[{"start":{"date-parts":[[2022,7,28]],"date-time":"2022-07-28T00:00:00Z","timestamp":1658966400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,7,28]],"date-time":"2022-07-28T00:00:00Z","timestamp":1658966400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Eur Spine J"],"published-print":{"date-parts":[[2022,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Purpose<\/jats:title>\n                <jats:p>To explore risk profiles of patients scheduled for lumbar spinal fusion (LSF) and their association with short-term recovery of patient after surgery.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>Forty-nine patients scheduled for elective 1\u20133 level LSF between March 2019 and June 2020 were included. Patients underwent a preoperative risk screening, consisting of an anamnesis, questionnaires and physical performance tests. A latent profile analysis (LPA) was used to identify possible risk profiles within this population.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Two risk profiles could be established: a fit and deconditioned risk profile. A significant between-profile difference was found in smoking status (<jats:italic>p<\/jats:italic>\u2009=\u20090.007), RAND36-PCS (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001), Timed Up and Go (TUG) (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001), de\u00a0Morton Morbidity Index (DEMMI) (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001), finger floor distance (<jats:italic>p<\/jats:italic>\u2009=\u20090.050), motor control (<jats:italic>p<\/jats:italic>\u2009=\u20090.020) and steep ramp test (<jats:italic>p<\/jats:italic>\u2009=\u20090.005). Moreover, the fit risk profile had a significant shorter time to functional recovery (3.65\u00a0days versus 4.89\u00a0days, <jats:italic>p<\/jats:italic>\u2009=\u20090.013) and length of hospital stay (5.06\u00a0days versus 6.00\u00a0days, <jats:italic>p<\/jats:italic>\u2009=\u20090.008) compared to the deconditioned risk profile. No differences in complication rates between both risk profiles could be established. Allocation to a risk profile was associated with the functional recovery rate (<jats:italic>p<\/jats:italic>\u2009=\u20090.042), but not with LOS or complications.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>This study found a fit and deconditioned risk profile. The patients with a fit risk profile perceived a better quality of life, performed better in mobility, motor control, cardiopulmonary tests and showed also a significant shorter stay in the hospital and a shorter time to\u00a0functional recovery. Preoperatively establishing a patient\u2019s risk profile could aid in perioperative care planning and preoperative decision-making.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00586-022-07325-5","type":"journal-article","created":{"date-parts":[[2022,7,28]],"date-time":"2022-07-28T18:15:47Z","timestamp":1659032147000},"page":"2473-2480","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Exploring clinically relevant risk profiles in patients undergoing lumbar spinal fusion: a cohort study"],"prefix":"10.1007","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4631-696X","authenticated-orcid":false,"given":"Esther R. 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