{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,22]],"date-time":"2025-12-22T08:14:18Z","timestamp":1766391258025},"reference-count":45,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,6]]},"abstract":"<jats:sec><jats:title>OBJECTIVE<\/jats:title><jats:p>Spinal deformity causing spinal imbalance is directly correlated to pain and disability. Prior studies suggest adult spinal deformity (ASD) patients with rheumatoid arthritis (RA) have more complex deformities and are at higher risk for complications. In this study the authors compared outcomes of ASD patients with RA following thoracolumbar 3-column osteotomies to outcomes of a matched control cohort.<\/jats:p><\/jats:sec><jats:sec><jats:title>METHODS<\/jats:title><jats:p>All patients with RA who underwent 3-column osteotomy for thoracolumbar deformity correction performed by the senior author from 2006 to 2016 were identified retrospectively. A cohort of patients without RA who underwent 3-column osteotomies for deformity correction was matched based on multiple clinical factors. Data regarding demographics and surgical approach, along with endpoints including perioperative outcomes, reoperations, and incidence of proximal junctional kyphosis (PJK) were reviewed. Univariate analyses were used to compare patients with RA to matched controls.<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p>Eighteen ASD patients with RA were identified, and a matched cohort of 217 patients was generated. With regard to patients with RA, 11.1% were male and the mean age was 68.1 years. Vertebral column resection (VCR) was performed in 22.2% and pedicle subtraction osteotomy (PSO) in 77.8% of patients. Mean case length was 324.4 minutes and estimated blood loss (EBL) was 2053.6 ml. Complications were observed in 38.9% of patients with RA and 29.0% of patients without RA (p = 0.380), with a trend toward increased medical complications (38.9% vs 21.2%, p = 0.084). Patients with RA had a significantly higher incidence of deep vein thrombosis (DVT)\/pulmonary embolism (PE) (11.1% vs 1.8%, p = 0.017) and wound infections (16.7% vs 5.1%, p = 0.046). PJK occurred in 16.7% of patients with RA, and 33.3% of RA patients underwent reoperation. Incidence rates of PJK and reoperation in matched controls were 12.9% and 25.3%, respectively (p = 0.373, p = 0.458). At follow-up, mean sagittal vertical axis (SVA) was 6.1 cm in patients with RA and 4.5 cm in matched controls (p = 0.206).<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSIONS<\/jats:title><jats:p>Findings from this study suggest that RA patients experience a higher incidence of medical complications, specifically DVT\/PE. Preoperative lower-extremity ultrasounds, inferior vena cava (IVC) filter placement, and\/or early initiation of DVT prophylaxis in RA patients may be indicated. Perioperative complications, morbidity, and long-term outcomes are otherwise similar to non-RA patients.<\/jats:p><\/jats:sec>","DOI":"10.3171\/2018.11.spine18927","type":"journal-article","created":{"date-parts":[[2019,4,9]],"date-time":"2019-04-09T20:03:12Z","timestamp":1554840192000},"page":"822-832","source":"Crossref","is-referenced-by-count":8,"title":["Perioperative outcomes associated with thoracolumbar 3-column osteotomies for adult spinal deformity patients with rheumatoid arthritis"],"prefix":"10.3171","volume":"30","author":[{"given":"Cecilia L.","family":"Dalle Ore","sequence":"first","affiliation":[{"name":"Departments of Neurological Surgery and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher P.","family":"Ames","sequence":"additional","affiliation":[{"name":"Departments of Neurological Surgery and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vedat","family":"Deviren","sequence":"additional","affiliation":[{"name":"Orthopedic Surgery, University of California, San Francisco, California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Darryl","family":"Lau","sequence":"additional","affiliation":[{"name":"Departments of Neurological Surgery and"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"key":"b1","series-title":"Rev Bras Reumatol","doi-asserted-by":"publisher","first-page":"213","DOI":"10.1016\/j.rbr.2013.08.002","article-title":"Pre-operative anesthetic assessment of patients with rheumatoid arthritis","volume":"54","author":"Aires RB","year":"2014","unstructured":"Aires RB, de Carvalho JF, da Mota LM: Pre-operative anesthetic assessment of patients with rheumatoid arthritis. Rev Bras Reumatol 54:213\u2013219, 201410.1016\/j.rbr.2013.08.00225054599"},{"key":"b2","series-title":"J Neurosurg Spine","doi-asserted-by":"publisher","first-page":"547","DOI":"10.3171\/2012.2.SPINE11320","article-title":"Impact of spinopelvic alignment on decision making in deformity surgery in adults: a review","volume":"16","author":"Ames CP","year":"2012","unstructured":"Ames CP, Smith JS, Scheer JK, Bess S, Bederman SS, Deviren V, : Impact of spinopelvic alignment on decision making in deformity surgery in adults: a review. J Neurosurg Spine 16:547\u2013564, 201210.3171\/2012.2.SPINE1132022443546"},{"key":"b3","series-title":"Presse Med","doi-asserted-by":"publisher","first-page":"e31","DOI":"10.1016\/j.lpm.2010.11.003","article-title":"The lung in rheumatoid arthritis","volume":"40","author":"Amital A","year":"2011","unstructured":"Amital A, Shitrit D, Adir Y: The lung in rheumatoid arthritis. Presse Med 40:e31\u2013e48, 201110.1016\/j.lpm.2010.11.003"},{"key":"b4","series-title":"Arthritis Rheum","doi-asserted-by":"publisher","first-page":"1690","DOI":"10.1002\/art.24092","article-title":"Risk of cardiovascular mortality in patients with rheumatoid arthritis: a meta-analysis of observational studies","volume":"59","author":"Avi\u00f1a-Zubieta JA","year":"2008","unstructured":"Avi\u00f1a-Zubieta JA, Choi HK, Sadatsafavi M, Etminan M, Esdaile JM, Lacaille D: Risk of cardiovascular mortality in patients with rheumatoid arthritis: a meta-analysis of observational studies. Arthritis Rheum 59:1690\u20131697, 20081903541910.1002\/art.24092"},{"key":"b5","series-title":"Eur Spine J","doi-asserted-by":"publisher","first-page":"822","DOI":"10.1007\/s00586-008-0610-4","article-title":"Lumbar fusion outcomes in patients with rheumatoid arthritis","volume":"17","author":"Crawford CH III","year":"2008","unstructured":"Crawford CH III, Carreon LY, Djurasovic M, Glassman SD: Lumbar fusion outcomes in patients with rheumatoid arthritis. Eur Spine J 17:822\u2013825, 200810.1007\/s00586-008-0610-418228051"},{"key":"b6","series-title":"Eur J Rheumatol","doi-asserted-by":"publisher","first-page":"56","DOI":"10.5152\/eurjrheum.2016.15070","article-title":"Surgery for lumbar spinal stenosis in patients with rheumatoid arthritis: a multicenter observational study","volume":"3","author":"Gulati A","year":"2016","unstructured":"Gulati A, Solberg T, Giannadakis C, Hoff M, Haugeberg G, Nygaard O, : Surgery for lumbar spinal stenosis in patients with rheumatoid arthritis: a multicenter observational study. Eur J Rheumatol 3:56\u201360, 20162770897210.5152\/eurjrheum.2016.15070"},{"key":"b7","series-title":"Rheumatol Int","doi-asserted-by":"publisher","first-page":"999","DOI":"10.1007\/s00296-009-1323-7","article-title":"Perioperative management of immunosuppression in rheumatic diseases\u2014what to do?","volume":"30","author":"H\u00e4rle P","year":"2010","unstructured":"H\u00e4rle P, Straub RH, Fleck M: Perioperative management of immunosuppression in rheumatic diseases\u2014what to do? Rheumatol Int 30:999\u20131004, 201010.1007\/s00296-009-1323-7"},{"key":"b8","series-title":"Arthritis Rheum","doi-asserted-by":"publisher","first-page":"522","DOI":"10.1002\/1529-0131(200003)43:3<522::AID-ANR7>3.0.CO;2-Y","article-title":"Bone mineral density and frequency of osteoporosis in female patients with rheumatoid arthritis: results from 394 patients in the Oslo County Rheumatoid Arthritis register","volume":"43","author":"Haugeberg G","year":"2000","unstructured":"Haugeberg G, Uhlig T, Falch JA, Halse JI, Kvien TK: Bone mineral density and frequency of osteoporosis in female patients with rheumatoid arthritis: results from 394 patients in the Oslo County Rheumatoid Arthritis register. Arthritis Rheum 43:522\u2013530, 200010.1002\/1529-0131(200003)43:3<522::AID-ANR7>3.0.CO;2-Y10728744"},{"key":"b9","series-title":"Br J Rheumatol","doi-asserted-by":"publisher","first-page":"216","DOI":"10.1093\/rheumatology\/32.3.216","article-title":"A clinical and radiological study of back pain in rheumatoid arthritis","volume":"32","author":"Helliwell PS","year":"1993","unstructured":"Helliwell PS, Zebouni LN, Porter G, Wright V: A clinical and radiological study of back pain in rheumatoid arthritis. Br J Rheumatol 32:216\u2013221, 1993844861210.1093\/rheumatology\/32.3.216"},{"key":"b10","series-title":"J Spinal Disord Tech","doi-asserted-by":"publisher","first-page":"E154","DOI":"10.1097\/BSD.0000000000000197","article-title":"The relationship between cervical and lumbar spine lesions in rheumatoid arthritis with a focus on endplate erosion","volume":"28","author":"Ibrahim M","year":"2015","unstructured":"Ibrahim M, Suzuki A, Yamada K, Takahashi S, Yasuda H, Dohzono S, : The relationship between cervical and lumbar spine lesions in rheumatoid arthritis with a focus on endplate erosion. J Spinal Disord Tech 28:E154\u2013E160, 201510.1097\/BSD.0000000000000197"},{"key":"b11","series-title":"Arch Orthop Trauma Surg","doi-asserted-by":"publisher","first-page":"73","DOI":"10.1007\/s004020100321","article-title":"Problems of posterior lumbar interbody fusion (PLIF) for the rheumatoid spondylitis of the lumbar spine","volume":"122","author":"Inaoka M","year":"2002","unstructured":"Inaoka M, Tada K, Yonenobu K: Problems of posterior lumbar interbody fusion (PLIF) for the rheumatoid spondylitis of the lumbar spine. Arch Orthop Trauma Surg 122:73\u201379, 200210.1007\/s00402010032111880906"},{"key":"b12","series-title":"Autoimmun Rev","doi-asserted-by":"publisher","first-page":"1195","DOI":"10.1016\/j.autrev.2014.08.014","article-title":"Cervical spine involvement in rheumatoid arthritis\u2014a systematic review","volume":"13","author":"Joaquim AF","year":"2014","unstructured":"Joaquim AF, Appenzeller S: Cervical spine involvement in rheumatoid arthritis\u2014a systematic review. Autoimmun Rev 13:1195\u20131202, 201410.1016\/j.autrev.2014.08.01425151973"},{"key":"b13","series-title":"Bone Joint J","doi-asserted-by":"publisher","first-page":"102","DOI":"10.1302\/0301-620X.98B1.36247","article-title":"The outcomes of instrumented posterolateral lumbar fusion in patients with rheumatoid arthritis","volume":"98-B","author":"Kang CN","year":"2016","unstructured":"Kang CN, Kim CW, Moon JK: The outcomes of instrumented posterolateral lumbar fusion in patients with rheumatoid arthritis. Bone Joint J 98-B:102\u2013108, 20162673352210.1302\/0301-620X.98B1.36247"},{"key":"b14","series-title":"J Spinal Disord Tech","doi-asserted-by":"publisher","first-page":"38","DOI":"10.1097\/00024720-200302000-00007","article-title":"Radiologic findings of the lumbar spine in patients with rheumatoid arthritis, and a review of pathologic mechanisms","volume":"16","author":"Kawaguchi Y","year":"2003","unstructured":"Kawaguchi Y, Matsuno H, Kanamori M, Ishihara H, Ohmori K, Kimura T: Radiologic findings of the lumbar spine in patients with rheumatoid arthritis, and a review of pathologic mechanisms. J Spinal Disord Tech 16:38\u201343, 200310.1097\/00024720-200302000-00007"},{"key":"b15","series-title":"Arthritis Care Res (Hoboken)","first-page":"1600","article-title":"Risk of venous thromboembolism in patients with rheumatoid arthritis","volume":"65","author":"Kim SC","year":"2013","unstructured":"Kim SC, Schneeweiss S, Liu J, Solomon DH: Risk of venous thromboembolism in patients with rheumatoid arthritis. Arthritis Care Res (Hoboken) 65:1600\u20131607, 201323666917"},{"key":"b16","series-title":"Spine J","doi-asserted-by":"publisher","first-page":"994","DOI":"10.1016\/j.spinee.2010.08.031","article-title":"The use of the T1 sagittal angle in predicting overall sagittal balance of the spine","volume":"10","author":"Knott PT","year":"2010","unstructured":"Knott PT, Mardjetko SM, Techy F: The use of the T1 sagittal angle in predicting overall sagittal balance of the spine. Spine J 10:994\u2013998, 20102097073910.1016\/j.spinee.2010.08.031"},{"issue":"41","key":"b17","series-title":"Spine (Phila Pa 1976)","doi-asserted-by":"publisher","first-page":"1133","DOI":"10.1097\/BRS.0000000000001499","article-title":"Impact of gender on 30-day complications after adult spinal deformity surgery","author":"Kothari P","year":"2016","unstructured":"Kothari P, Lee NJ, Leven DM, Lakomkin N, Shin JI, Skovrlj B, : Impact of gender on 30-day complications after adult spinal deformity surgery. Spine (Phila Pa 1976) 41:1133\u20131138, 201610.1097\/BRS.000000000000149926863258"},{"key":"b18","series-title":"Pain","doi-asserted-by":"publisher","first-page":"103","DOI":"10.1016\/j.pain.2006.08.011","article-title":"Impact of low back pain on functional limitations, depressed mood and quality of life in patients with rheumatoid arthritis","volume":"127","author":"Kothe R","year":"2007","unstructured":"Kothe R, Kohlmann T, Klink T, R\u00fcther W, Klinger R: Impact of low back pain on functional limitations, depressed mood and quality of life in patients with rheumatoid arthritis. Pain 127:103\u2013108, 20071698214810.1016\/j.pain.2006.08.011"},{"key":"b19","series-title":"World J Orthop","doi-asserted-by":"publisher","first-page":"283","DOI":"10.5312\/wjo.v5.i3.283","article-title":"Perioperative management of the patient with rheumatoid arthritis","volume":"5","author":"Krause ML","year":"2014","unstructured":"Krause ML, Matteson EL: Perioperative management of the patient with rheumatoid arthritis. World J Orthop 5:283\u2013291, 201410.5312\/wjo.v5.i3.28325035831"},{"issue":"6","key":"b20","series-title":"Neurosurg Focus","doi-asserted-by":"publisher","first-page":"E8","DOI":"10.3171\/2017.8.FOCUS17460","article-title":"Does prior spine surgery or instrumentation affect surgical outcomes following 3-column osteotomy for correction of thoracolumbar deformities?","volume":"43","author":"Lau D","year":"2017","unstructured":"Lau D, Chan AK, Deverin V, Ames CP: Does prior spine surgery or instrumentation affect surgical outcomes following 3-column osteotomy for correction of thoracolumbar deformities? Neurosurg Focus 43(6):E8, 20172919110410.3171\/2017.8.FOCUS17460"},{"key":"b21","series-title":"Spine (Phila Pa 1976)","doi-asserted-by":"publisher","first-page":"2093","DOI":"10.1097\/BRS.0000000000000627","article-title":"Proximal junctional kyphosis and failure after spinal deformity surgery: a systematic review of the literature as a background to classification development","volume":"39","author":"Lau D","year":"2014","unstructured":"Lau D, Clark AJ, Scheer JK, Daubs MD, Coe JD, Paonessa KJ, : Proximal junctional kyphosis and failure after spinal deformity surgery: a systematic review of the literature as a background to classification development. Spine (Phila Pa 1976) 39:2093\u20132102, 201410.1097\/BRS.000000000000062725271516"},{"key":"b22","series-title":"Ann Rheum Dis","doi-asserted-by":"publisher","first-page":"205","DOI":"10.1136\/ard.23.3.205","article-title":"Rheumatoid arthritis of the lumbar spine","volume":"23","author":"Lawrence JS","year":"1964","unstructured":"Lawrence JS, Sharp J, Ball J, Bier F: Rheumatoid arthritis of the lumbar spine. Ann Rheum Dis 23:205\u2013217, 196410.1136\/ard.23.3.20514156623"},{"key":"b23","series-title":"Clin Spine Surg","doi-asserted-by":"publisher","first-page":"E412","DOI":"10.1097\/BSD.0000000000000246","article-title":"Correlations between sagittal spinal balance and quality of life in rheumatoid arthritis","volume":"30","author":"Lee HS","year":"2017","unstructured":"Lee HS, Lee JS, Shin JK, Goh TS: Correlations between sagittal spinal balance and quality of life in rheumatoid arthritis. Clin Spine Surg 30:E412\u2013E417, 20172843734610.1097\/BSD.0000000000000246"},{"key":"b24","series-title":"J Spinal Disord Tech","doi-asserted-by":"publisher","first-page":"E41","DOI":"10.1097\/BSD.0b013e3182396301","article-title":"The influence of thoracic inlet alignment on the craniocervical sagittal balance in asymptomatic adults","volume":"25","author":"Lee SH","year":"2012","unstructured":"Lee SH, Kim KT, Seo EM, Suk KS, Kwack YH, Son ES: The influence of thoracic inlet alignment on the craniocervical sagittal balance in asymptomatic adults. J Spinal Disord Tech 25:E41\u2013E47, 201210.1097\/BSD.0b013e3182396301"},{"key":"b25","series-title":"Ann Vasc Surg","doi-asserted-by":"publisher","first-page":"442","DOI":"10.1007\/s10016-005-0025-1","article-title":"The prophylactic use of inferior vena cava filters in patients undergoing high-risk spinal surgery","volume":"19","author":"Leon L","year":"2005","unstructured":"Leon L, Rodriguez H, Tawk RG, Ondra SL, Labropoulos N, Morasch MD: The prophylactic use of inferior vena cava filters in patients undergoing high-risk spinal surgery. Ann Vasc Surg 19:442\u2013447, 200510.1007\/s10016-005-0025-115864473"},{"key":"b26","series-title":"Ann Rheum Dis","doi-asserted-by":"publisher","first-page":"929","DOI":"10.1136\/ard.2010.143396","article-title":"The risk of myocardial infarction in rheumatoid arthritis and diabetes mellitus: a Danish nationwide cohort study","volume":"70","author":"Lindhardsen J","year":"2011","unstructured":"Lindhardsen J, Ahlehoff O, Gislason GH, Madsen OR, Olesen JB, Torp-Pedersen C, : The risk of myocardial infarction in rheumatoid arthritis and diabetes mellitus: a Danish nationwide cohort study. Ann Rheum Dis 70:929\u2013934, 20112138904310.1136\/ard.2010.143396"},{"key":"b27","series-title":"Spine (Phila Pa 1976)","doi-asserted-by":"publisher","first-page":"E339","DOI":"10.1097\/BRS.0b013e3182843397","article-title":"Lumbar scoliosis in rheumatoid arthritis: epidemiological research with a DXA cohort","volume":"38","author":"Makino T","year":"2013","unstructured":"Makino T, Kaito T, Fujiwara H, Yonenobu K: Lumbar scoliosis in rheumatoid arthritis: epidemiological research with a DXA cohort. Spine (Phila Pa 1976) 38:E339\u2013E343, 201310.1097\/BRS.0b013e3182843397"},{"key":"b28","series-title":"Spine (Phila Pa 1976)","doi-asserted-by":"publisher","first-page":"1122","DOI":"10.1097\/BRS.0b013e31824abde2","article-title":"Comprehensive assessment of prophylactic preoperative inferior vena cava filters for major spinal reconstruction in adults","volume":"37","author":"McClendon J Jr","year":"2012","unstructured":"McClendon J Jr, O\u02bcShaughnessy BA, Smith TR, Sugrue PA, Halpin RJ, Morasch M, : Comprehensive assessment of prophylactic preoperative inferior vena cava filters for major spinal reconstruction in adults. Spine (Phila Pa 1976) 37:1122\u20131129, 201210.1097\/BRS.0b013e31824abde222281478"},{"key":"b29","series-title":"J Neurosurg Spine","doi-asserted-by":"publisher","first-page":"367","DOI":"10.3171\/2014.10.SPINE14365","article-title":"Surgical outcomes of long spinal fusions for scoliosis in adult patients with rheumatoid arthritis","volume":"22","author":"Mesfin A","year":"2015","unstructured":"Mesfin A, El Dafrawy MH, Jain A, Hassanzadeh H, Kostuik JP, Lemma MA, : Surgical outcomes of long spinal fusions for scoliosis in adult patients with rheumatoid arthritis. J Neurosurg Spine 22:367\u2013373, 201510.3171\/2014.10.SPINE1436525658465"},{"key":"b30","series-title":"J Rheumatol Suppl","first-page":"3","article-title":"Outcome after 40 years with rheumatoid arthritis: a prospective study of function, disease activity, and mortality","volume":"69","author":"Minaur NJ","year":"2004","unstructured":"Minaur NJ, Jacoby RK, Cosh JA, Taylor G, Rasker JJ: Outcome after 40 years with rheumatoid arthritis: a prospective study of function, disease activity, and mortality. J Rheumatol Suppl 69:3\u20138, 200415053445"},{"key":"b31","series-title":"Neurol Med Chir (Tokyo)","doi-asserted-by":"publisher","first-page":"853","DOI":"10.2176\/nmc.oa2012-0299","article-title":"The pitfalls in surgical management of lumbar canal stenosis associated with rheumatoid arthritis","volume":"53","author":"Mitsuyama T","year":"2013","unstructured":"Mitsuyama T, Kubota M, Yuzurihara M, Mizuno M, Hashimoto R, Ando R, : The pitfalls in surgical management of lumbar canal stenosis associated with rheumatoid arthritis. Neurol Med Chir (Tokyo) 53:853\u2013860, 201310.2176\/nmc.oa2012-029924140780"},{"key":"b32","series-title":"Caspian J Intern Med","first-page":"447","article-title":"Prevalence and associated factors of osteoporosis in female patients with rheumatoid arthritis","volume":"3","author":"Mobini M","year":"2012","unstructured":"Mobini M, Kashi Z, Ghobadifar A: Prevalence and associated factors of osteoporosis in female patients with rheumatoid arthritis. Caspian J Intern Med 3:447\u2013450, 201224009912"},{"key":"b33","series-title":"Clin Rheumatol","doi-asserted-by":"publisher","first-page":"937","DOI":"10.1007\/s10067-008-0869-1","article-title":"Delayed spinal infection after laminectomy in a patient with rheumatoid arthritis interruptedly exposed to anti-tumor necrosis factor alpha agents","volume":"27","author":"Mori S","year":"2008","unstructured":"Mori S, Tomita Y, Horikawa T, Cho I, Sugimoto M: Delayed spinal infection after laminectomy in a patient with rheumatoid arthritis interruptedly exposed to anti-tumor necrosis factor alpha agents. Clin Rheumatol 27:937\u2013939, 200810.1007\/s10067-008-0869-1"},{"key":"b34","series-title":"J Orthop Surg Res","doi-asserted-by":"publisher","DOI":"10.1186\/1749-799X-9-30","article-title":"Characteristics of lumbar scoliosis in patients with rheumatoid arthritis","volume":"9","author":"Ohishi M","year":"2014","unstructured":"Ohishi M, Miyahara H, Kondo M, Nakashima Y, Terada K, Esaki Y, : Characteristics of lumbar scoliosis in patients with rheumatoid arthritis. J Orthop Surg Res 9:30, 201410.1186\/1749-799X-9-3024767138"},{"key":"b35","series-title":"Arthritis Rheum","doi-asserted-by":"publisher","first-page":"17","DOI":"10.1002\/art1.10243","article-title":"Experience with etanercept in an academic medical center: are infection rates increased?","volume":"47","author":"Phillips K","year":"2002","unstructured":"Phillips K, Husni ME, Karlson EW, Coblyn JS: Experience with etanercept in an academic medical center: are infection rates increased? Arthritis Rheum 47:17\u201321, 200210.1002\/art1.10243"},{"key":"b36","series-title":"J Bone Joint Surg Am","doi-asserted-by":"publisher","first-page":"1631","DOI":"10.2106\/JBJS.M.01459","article-title":"The T1 pelvic angle, a novel radiographic measure of global sagittal deformity, accounts for both spinal inclination and pelvic tilt and correlates with health-related quality of life","volume":"96","author":"Protopsaltis T","year":"2014","unstructured":"Protopsaltis T, Schwab F, Bronsard N, Smith JS, Klineberg E, Mundis G, : The T1 pelvic angle, a novel radiographic measure of global sagittal deformity, accounts for both spinal inclination and pelvic tilt and correlates with health-related quality of life. J Bone Joint Surg Am 96:1631\u20131640, 201410.2106\/JBJS.M.0145925274788"},{"key":"b37","series-title":"Clin Exp Rheumatol","first-page":"430","article-title":"Complication rates of 127 surgical procedures performed in rheumatic patients receiving tumor necrosis factor alpha blockers","volume":"25","author":"Ruyssen-Witrand A","year":"2007","unstructured":"Ruyssen-Witrand A, Gossec L, Salliot C, Luc M, Duclos M, Guignard S, : Complication rates of 127 surgical procedures performed in rheumatic patients receiving tumor necrosis factor alpha blockers. Clin Exp Rheumatol 25:430\u2013436, 200717631740"},{"key":"b38","series-title":"Pharmacotherapy","doi-asserted-by":"publisher","first-page":"1181","DOI":"10.1592\/phco.2005.25.9.1181","article-title":"Infections associated with tumor necrosis factor-alpha antagonists","volume":"25","author":"Rychly DJ","year":"2005","unstructured":"Rychly DJ, DiPiro JT: Infections associated with tumor necrosis factor-alpha antagonists. Pharmacotherapy 25:1181\u20131192, 200510.1592\/phco.2005.25.9.118116164393"},{"key":"b39","series-title":"Arthritis Rheum","doi-asserted-by":"publisher","first-page":"762","DOI":"10.1002\/art.23721","article-title":"American College of Rheumatology 2008 recommendations for the use of nonbiologic and biologic disease-modifying antirheumatic drugs in rheumatoid arthritis","volume":"59","author":"Saag KG","year":"2008","unstructured":"Saag KG, Teng GG, Patkar NM, Anuntiyo J, Finney C, Curtis JR, : American College of Rheumatology 2008 recommendations for the use of nonbiologic and biologic disease-modifying antirheumatic drugs in rheumatoid arthritis. Arthritis Rheum 59:762\u2013784, 20081851270810.1002\/art.23721"},{"key":"b40","series-title":"J Am Acad Orthop Surg","doi-asserted-by":"publisher","first-page":"e38","DOI":"10.5435\/JAAOS-D-15-00014","article-title":"Perioperative Treatment of Patients with Rheumatoid Arthritis","volume":"23","author":"Saleh KJ","year":"2015","unstructured":"Saleh KJ, Kurdi AJ, El-Othmani MM, Voss BA, Tzeng TH, Saleh J, : Perioperative Treatment of Patients with Rheumatoid Arthritis. J Am Acad Orthop Surg 23:e38\u2013e48, 201510.5435\/JAAOS-D-15-00014"},{"key":"b41","series-title":"Neurosurgery","doi-asserted-by":"publisher","first-page":"112","DOI":"10.1227\/NEU.0000000000000182o","article-title":"The comprehensive anatomical spinal osteotomy classification","volume":"74","author":"Schwab F","year":"2014","unstructured":"Schwab F, Blondel B, Chay E, Demakakos J, Lenke L, Tropiano P, : The comprehensive anatomical spinal osteotomy classification. Neurosurgery 74:112\u2013120, 201410.1227\/NEU.0000000000000182o24356197"},{"key":"b42","series-title":"Lancet","doi-asserted-by":"publisher","first-page":"1094","DOI":"10.1016\/S0140-6736(10)60826-4","article-title":"Rheumatoid arthritis","volume":"376","author":"Scott DL","year":"2010","unstructured":"Scott DL, Wolfe F, Huizinga TW: Rheumatoid arthritis. Lancet 376:1094\u20131108, 201010.1016\/S0140-6736(10)60826-420870100"},{"issue":"3 Suppl","key":"b43","series-title":"Neurosurgery","doi-asserted-by":"publisher","first-page":"177","DOI":"10.1227\/01.NEU.0000320429.32113.85","article-title":"Vertebral column resection for rigid spinal deformity","volume":"63","author":"Smith JS","year":"2008","unstructured":"Smith JS, Wang VY, Ames CP: Vertebral column resection for rigid spinal deformity. Neurosurgery 63 (3 Suppl):177\u2013182, 200810.1227\/01.NEU.0000320429.32113.8518812922"},{"key":"b44","series-title":"J Orthop Surg Res","doi-asserted-by":"publisher","first-page":"68","DOI":"10.1186\/s13018-016-0403-0","article-title":"Clinical analysis of preoperative risk factors for the incidence of deep venous thromboembolism in patients undergoing posterior lumbar interbody fusion","volume":"11","author":"Wei J","year":"2016","unstructured":"Wei J, Li W, Pei Y, Shen Y, Li J: Clinical analysis of preoperative risk factors for the incidence of deep venous thromboembolism in patients undergoing posterior lumbar interbody fusion. J Orthop Surg Res 11:68, 201610.1186\/s13018-016-0403-027297081"},{"key":"b45","series-title":"J Spinal Disord Tech","doi-asserted-by":"publisher","first-page":"E128","DOI":"10.1097\/BSD.0b013e3182a22a34","article-title":"MRI evaluation of lumbar endplate and facet erosion in rheumatoid arthritis","volume":"27","author":"Yamada K","year":"2014","unstructured":"Yamada K, Suzuki A, Takahashi S, Yasuda H, Tada M, Sugioka Y, : MRI evaluation of lumbar endplate and facet erosion in rheumatoid arthritis. J Spinal Disord Tech 27:E128\u2013E135, 201410.1097\/BSD.0b013e3182a22a34"}],"container-title":["Journal of Neurosurgery: Spine"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-spine\/30\/6\/article-p822.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-spine\/30\/6\/article-p822.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-spine\/30\/6\/article-p822.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,4,15]],"date-time":"2023-04-15T22:33:46Z","timestamp":1681598026000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-spine\/30\/6\/article-p822.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,6]]},"references-count":45,"journal-issue":{"issue":"6"},"URL":"https:\/\/doi.org\/10.3171\/2018.11.spine18927","relation":{},"ISSN":["1547-5654"],"issn-type":[{"value":"1547-5654","type":"print"}],"subject":[],"published":{"date-parts":[[2019,6]]}}}