{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T03:16:54Z","timestamp":1783480614232,"version":"3.55.0"},"reference-count":23,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"18","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,9,15]]},"abstract":"<jats:sec>\n            <jats:title>Study Design.<\/jats:title>\n            <jats:p>Prospective cohort study.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Objective.<\/jats:title>\n            <jats:p>This study aimed to investigate the durability of postural stability after ASD correction surgery and its association with clinical outcomes.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Summary of Background Data.<\/jats:title>\n            <jats:p>The prevalence of symptomatic adult spinal deformity (ASD) necessitates surgical intervention, aiming to correct global spinal balance and spinopelvic parameters. Short-term studies have shown improvements in postural control after surgery, but the long-term impact remains unclear.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods.<\/jats:title>\n            <jats:p>This single-center prospective cohort study included adult patients undergoing long-segment fusion surgery between November 2019 and July 2021. Preoperative and postoperative balance assessments, radiographic analyses, and patient-reported outcome measures (PROMs) were conducted. Statistical analyses evaluated changes in postural stability and clinical outcomes.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results.<\/jats:title>\n            <jats:p>Fifteen ASD patients were analyzed. Significant improvements were observed in the early postoperative period in coronal center of pressure (COP) sway (<jats:italic toggle=\"yes\">P<\/jats:italic>=0.048) and amplitude (<jats:italic toggle=\"yes\">P<\/jats:italic>=0.027), total COP sway (<jats:italic toggle=\"yes\">P<\/jats:italic>=0.042), coronal center of gravity (COG) amplitude (<jats:italic toggle=\"yes\">P<\/jats:italic>=0.013), total COG sway (<jats:italic toggle=\"yes\">P<\/jats:italic>=0.044), and head sway in the coronal plane (<jats:italic toggle=\"yes\">P<\/jats:italic>=0.025). These improvements were maintained at the final postoperative visit for all measurements except coronal COG amplitude (early <jats:italic toggle=\"yes\">vs<\/jats:italic>. last postoperative visit, <jats:italic toggle=\"yes\">P<\/jats:italic>=0.040). Radiographic parameters, including pelvic incidence\u2014lumbar lordosis mismatch (<jats:italic toggle=\"yes\">P<\/jats:italic>=0.041) and sagittal vertical axis (<jats:italic toggle=\"yes\">P<\/jats:italic>=0.032), also significantly improved postoperatively. PROMs revealed significant enhancements in VAS back pain (<jats:italic toggle=\"yes\">P<\/jats:italic>=0.045), RAND SF-36 pain (<jats:italic toggle=\"yes\">P<\/jats:italic>=0.016), RAND SF-36 physical functioning (<jats:italic toggle=\"yes\">P<\/jats:italic>=0.008), and PROMIS pain interference (<jats:italic toggle=\"yes\">P<\/jats:italic>=0.032) scores at the last follow-up.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusion.<\/jats:title>\n            <jats:p>These results demonstrate that the postural stability improvements seen after ASD correction are durable and correlate with enhanced clinical outcomes, such as reduced back pain and improved physical functioning. These findings underscore the clinical importance of achieving sagittal alignment in ASD patients. Further research with larger cohorts and extended follow-up periods is warranted to confirm these associations and establish postural stability assessment as a vital parameter in evaluating patients\u2019 quality of life postoperatively.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Level of Evidence.<\/jats:title>\n            <jats:p>Level III.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1097\/brs.0000000000005259","type":"journal-article","created":{"date-parts":[[2025,1,20]],"date-time":"2025-01-20T06:01:44Z","timestamp":1737352904000},"page":"1251-1258","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":4,"title":["Long-term Postural Stability Changes After Correction of Spinal Deformity"],"prefix":"10.1097","volume":"50","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8744-7846","authenticated-orcid":false,"given":"Ryan 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