{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T13:15:27Z","timestamp":1780492527261,"version":"3.54.1"},"reference-count":29,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2021,4,16]],"date-time":"2021-04-16T00:00:00Z","timestamp":1618531200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Global Spine Journal"],"published-print":{"date-parts":[[2023,4]]},"abstract":"<jats:sec>\n                    <jats:title>Study Design:<\/jats:title>\n                    <jats:p>Retrospective study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>Our goal was to evaluate the rate of rod fracture and persistent pseudarthrosis in cohorts of patients treated with a dual rod or multiple-rod construct in revision surgery for pseudarthrosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A dual rod construct was used in 23 patients, and a multiple rod construct in 24 patients, spanning the pseudarthrosis level. Two-year fusion grading, and rates of pseudarthrosis and implant failure, were assessed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>There were no differences in patient or surgical characteristics between the groups: (2- rod construct: Age 60 \u00b1 14, Levels 10 \u00b1 5, 3-column osteotomy:17%; multiple-rod construct: Age: 62 \u00b1 11, Levels 9 \u00b1 4, 3-column osteotomy:30%). Patients in the multiple rod construct were transfused a greater volume of packed red blood cells (pRBCs) intraoperatively (2.6 \u00b1 2.9 vs. 1.1 \u00b1 1.5 U, p &lt; 0.0001). At 2 year follow up there was no difference in fusion grades at the previous level of pseudarthrosis, the rate of rod fracture or pseudarthrosis between the 2 groups, or rate of reoperation for pseudarthrosis, rod fracture, wound infection, hardware prominence, or PJK\/PJF.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Our data demonstrate no difference in fusion grade, or rates of rod fracture and revision at 2 years, after utilizing a dual rod versus multiple rod construct in revision surgery for pseudarthrosis. The low complication rates seen with either configuration warrant further investigation of the optimal instrumentation configuration.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/21925682211001880","type":"journal-article","created":{"date-parts":[[2021,4,16]],"date-time":"2021-04-16T03:48:56Z","timestamp":1618544936000},"page":"636-642","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":13,"title":["The Approach to Pseudarthrosis After Adult Spinal Deformity Surgery: Is a Multiple-Rod Construct Necessary?"],"prefix":"10.1177","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3929-6043","authenticated-orcid":false,"given":"Michael","family":"Dinizo","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, NYU Langone Orthopedic Hospital, New York, NY, USA"},{"name":"Department of Anesthesiology, NYU Langone Medical Center, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Passias","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, NYU Langone Orthopedic Hospital, New York, NY, USA"},{"name":"Department of Anesthesiology, NYU Langone Medical Center, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Khaled","family":"Kebaish","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, NYU Langone Orthopedic Hospital, New York, NY, USA"},{"name":"Department of Anesthesiology, NYU Langone Medical Center, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas J.","family":"Errico","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, NYU Langone Orthopedic Hospital, New York, NY, USA"},{"name":"Department of Anesthesiology, NYU Langone Medical Center, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tina","family":"Raman","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, NYU Langone Orthopedic Hospital, New York, NY, USA"},{"name":"Department of Anesthesiology, NYU Langone Medical Center, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2021,4,16]]},"reference":[{"key":"bibr1-21925682211001880","doi-asserted-by":"publisher","DOI":"10.3171\/2015.7.FOCUS15292"},{"key":"bibr2-21925682211001880","doi-asserted-by":"publisher","DOI":"10.1097\/01.brs.0000254104.55716.46"},{"key":"bibr3-21925682211001880","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0000000000000527"},{"key":"bibr4-21925682211001880","doi-asserted-by":"publisher","DOI":"10.1097\/01.brs.0000138272.54896.33"},{"key":"bibr5-21925682211001880","doi-asserted-by":"publisher","DOI":"10.1097\/BSD.0000000000000062"},{"key":"bibr6-21925682211001880","doi-asserted-by":"publisher","DOI":"10.1097\/01.BRS.0000119398.22620.92"},{"key":"bibr7-21925682211001880","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-199407001-00011"},{"key":"bibr8-21925682211001880","doi-asserted-by":"publisher","DOI":"10.1016\/B978-141603372-1.50023-8"},{"key":"bibr9-21925682211001880","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-199811010-00021"},{"key":"bibr10-21925682211001880","doi-asserted-by":"publisher","DOI":"10.1016\/j.spinee.2013.05.039"},{"key":"bibr11-21925682211001880","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0000000000001282"},{"key":"bibr12-21925682211001880","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0000000000000556"},{"key":"bibr13-21925682211001880","doi-asserted-by":"publisher","DOI":"10.1093\/ons\/opx151"},{"key":"bibr14-21925682211001880","doi-asserted-by":"publisher","DOI":"10.31616\/asj.2018.0209"},{"key":"bibr15-21925682211001880","doi-asserted-by":"publisher","DOI":"10.3171\/foc.2003.15.3.9"},{"key":"bibr16-21925682211001880","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2017.11.005"},{"key":"bibr17-21925682211001880","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2474-7-53"},{"key":"bibr18-21925682211001880","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-196807000-00007"},{"key":"bibr19-21925682211001880","doi-asserted-by":"publisher","DOI":"10.5435\/00124635-199705000-00004"},{"key":"bibr20-21925682211001880","doi-asserted-by":"publisher","DOI":"10.1097\/01.CSS.0000576664.27465.d4"},{"key":"bibr21-21925682211001880","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-016-4859-8"},{"key":"bibr22-21925682211001880","doi-asserted-by":"publisher","DOI":"10.1016\/j.spinee.2018.11.003"},{"key":"bibr23-21925682211001880","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-019-06012-2"},{"key":"bibr24-21925682211001880","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2017.04.031"},{"key":"bibr25-21925682211001880","doi-asserted-by":"publisher","DOI":"10.1016\/j.spinee.2017.02.005"},{"key":"bibr26-21925682211001880","doi-asserted-by":"publisher","DOI":"10.31616\/asj.2018.12.5.830"},{"issue":"3","key":"bibr27-21925682211001880","first-page":"338","volume":"31","author":"Jaeger 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