{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T14:23:12Z","timestamp":1790950992249,"version":"4.1.0"},"reference-count":42,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:sec>\n<jats:title>OBJECTIVE <\/jats:title>\n<jats:p>Deterioration of global coronal alignment (GCA) may be associated with worse outcomes after adult spinal deformity (ASD) surgery. The impact of fusion length and upper instrumented vertebra (UIV) selection on patients with this complication is unclear. The authors\u2019 objective was to compare outcomes between long sacropelvic fusion with upper-thoracic (UT) UIV and those with lower-thoracic (LT) UIV in patients with worsening GCA \u2265 1 cm.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>METHODS<\/jats:title>\n<jats:p>This was a retrospective analysis of a prospective multicenter database of consecutive ASD patients. Index operations involved instrumented fusion from sacropelvis to thoracic spine. Global coronal deterioration was defined as worsening GCA \u2265 1 cm from preoperation to 2-year follow-up.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>RESULTS<\/jats:title>\n<jats:p>Of 875 potentially eligible patients, 560 (64%) had complete 2-year follow-up data, of which 144 (25.7%) demonstrated worse GCA at 2-year postoperative follow-up (35.4% of UT patients vs 64.6% of LT patients). At baseline, UT patients were younger (61.6 \u00b1 9.9 vs 64.5 \u00b1 8.6 years, p = 0.008), a greater percentage of UT patients had osteoporosis (35.3% vs 16.1%, p = 0.009), and UT patients had worse scoliosis (51.9\u00b0 \u00b1 22.5\u00b0 vs 32.5\u00b0 \u00b1 16.3\u00b0, p &lt; 0.001). Index operations were comparable, except UT patients had longer fusions (16.4 \u00b1 0.9 vs 9.7 \u00b1 1.2 levels, p &lt; 0.001) and operative duration (8.6 \u00b1 3.2 vs 7.6 \u00b1 3.0 hours, p = 0.023). At 2-year follow-up, global coronal deterioration averaged 2.7 \u00b1 1.4 cm (1.9 to 4.6 cm, p &lt; 0.001), scoliosis improved (39.3\u00b0 \u00b1 20.8\u00b0 to 18.0\u00b0 \u00b1 14.8\u00b0, p &lt; 0.001), and sagittal spinopelvic alignment improved significantly in all patients. UT patients maintained smaller positive C7 sagittal vertical axis (2.7 \u00b1 5.7 vs 4.7 \u00b1 5.7 cm, p = 0.014). Postoperative 2-year health-related quality of life (HRQL) significantly improved from baseline for all patients. HRQL comparisons demonstrated that UT patients had worse Scoliosis Research Society\u201322r (SRS-22r) Activity (3.2 \u00b1 1.0 vs 3.6 \u00b1 0.8, p = 0.040) and SRS-22r Satisfaction (3.9 \u00b1 1.1 vs 4.3 \u00b1 0.8, p = 0.021) scores. Also, fewer UT patients improved by \u2265 1 minimal clinically important difference in numerical rating scale scores for leg pain (41.3% vs 62.7%, p = 0.020). Comparable percentages of UT and LT patients had complications (208 total, including 53 reoperations, 77 major complications, and 78 minor complications), but the percentage of reoperated patients was higher among UT patients (35.3% vs 18.3%, p = 0.023). UT patients had higher reoperation rates of rod fracture (13.7% vs 2.2%, p = 0.006) and pseudarthrosis (7.8% vs 1.1%, p = 0.006) but not proximal junctional kyphosis (9.8% vs 8.6%, p = 0.810).<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>CONCLUSIONS<\/jats:title>\n<jats:p>In ASD patients with worse 2-year GCA after long sacropelvic fusion, UT UIV was associated with worse 2-year HRQL compared with LT UIV. This may suggest that residual global coronal malalignment is clinically less tolerated in ASD patients with longer fusion to the proximal thoracic spine. These results may inform operative planning and improve patient counseling.<\/jats:p>\n<\/jats:sec>","DOI":"10.3171\/2021.2.spine201938","type":"journal-article","created":{"date-parts":[[2021,9,25]],"date-time":"2021-09-25T00:57:56Z","timestamp":1632531476000},"page":"761-773","source":"Crossref","is-referenced-by-count":13,"title":["Global coronal decompensation and adult spinal deformity surgery: comparison of upper-thoracic versus lower-thoracic proximal fixation for long fusions"],"prefix":"10.3171","volume":"35","author":[{"given":"Thomas J.","family":"Buell","sequence":"first","affiliation":[{"name":"Department of Neurological Surgery, Duke University Medical Center, Durham, North Carolina;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher I.","family":"Shaffrey","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, Duke University Medical Center, Durham, North Carolina;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Han Jo","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, New York;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric O.","family":"Klineberg","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, University of California, Davis, California;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Virginie","family":"Lafage","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, New York;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Renaud","family":"Lafage","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, New York;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Themistocles S.","family":"Protopsaltis","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, NYU Hospital for Joint Diseases, New York, New York;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter G.","family":"Passias","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, NYU Hospital for Joint Diseases, New York, New York;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gregory M.","family":"Mundis","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Scripps Clinic and San Diego Spine Foundation, La Jolla, California;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert K.","family":"Eastlack","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Scripps Clinic and San Diego Spine Foundation, La Jolla, California;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vedat","family":"Deviren","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, University of California, San Francisco, California;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael P.","family":"Kelly","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Washington University, St. Louis, Missouri;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alan H.","family":"Daniels","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Brown University, Providence, Rhode Island;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey L.","family":"Gum","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Norton Leatherman Spine Center, Louisville, Kentucky;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alex","family":"Soroceanu","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, University of Calgary, Calgary, Alberta, Canada;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D. Kojo","family":"Hamilton","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Munish C.","family":"Gupta","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Washington University, St. Louis, Missouri;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Douglas C.","family":"Burton","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, University of Kansas Medical Center, Kansas City, Kansas;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard A.","family":"Hostin","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Southwest Scoliosis Institute, Baylor Scott and White Medical Center, Plano, Texas;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Khaled M.","family":"Kebaish","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Johns Hopkins University, Baltimore, Maryland;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert A.","family":"Hart","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Swedish Neuroscience Institute, Seattle, Washington;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frank J.","family":"Schwab","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, New York;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shay","family":"Bess","sequence":"additional","affiliation":[{"name":"Denver International Spine Center, Presbyterian\/St. Luke\u2019s Medical Center and Rocky Mountain Hospital for Children, Denver, Colorado;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher P.","family":"Ames","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, University of California, San Francisco, California;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Justin S.","family":"Smith","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, University of Virginia Health System, Charlottesville, Virginia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"_","family":"_","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"issue":"3","key":"b1","series-title":"Spine Deform","doi-asserted-by":"publisher","first-page":"219","DOI":"10.1016\/j.jspd.2014.01.003","article-title":"Radiograp Bibhic outcomes of adult spinal deformity correction: a critical analysis of variability and failures across deformity patterns","volume":"2","author":"Moal B","year":"2014","unstructured":"Moal B, Schwab F, Ames CP,  Radiograp Bibhic outcomes of adult spinal deformity correction: a critical analysis of variability and failures across deformity patterns. Spine Deform. 2014;2(3):219\u2013225.2792742210.1016\/j.jspd.2014.01.003"},{"issue":"7","key":"b2","series-title":"Global Spine J","doi-asserted-by":"publisher","first-page":"690","DOI":"10.1177\/2192568218764904","article-title":"Risk factors for postoperative coronal balance in adult spinal deformity surgery","volume":"8","author":"Lewis SJ","year":"2018","unstructured":"Lewis SJ, Keshen SG, Kato S,  Risk factors for postoperative coronal balance in adult spinal deformity surgery. Global Spine J. 2018;8(7):690\u2013697.10.1177\/219256821876490430443478"},{"issue":"9","key":"b3","series-title":"Bone Joint J","doi-asserted-by":"publisher","first-page":"1227","DOI":"10.1302\/0301-620X.98B9.37273","article-title":"Coronal imbalance in degenerative lumbar scoliosis: Prevalence and influence on surgical decision-making for spinal osteotomy","volume":"98-B","author":"Bao H","year":"2016","unstructured":"Bao H, Yan P, Qiu Y,  Coronal imbalance in degenerative lumbar scoliosis: Prevalence and influence on surgical decision-making for spinal osteotomy. Bone Joint J. 2016;98-B(9):1227\u20131233.10.1302\/0301-620X.98B9.3727327587525"},{"issue":"9","key":"b4","series-title":"J Spinal Disord Tech","doi-asserted-by":"publisher","first-page":"341","DOI":"10.1097\/BSD.0b013e3182aab2ff","article-title":"Coronal spinal balance in adult spine deformity patients with long spinal fusions: a minimum 2- to 5-year follow-up study","volume":"28","author":"Ploumis A","year":"2015","unstructured":"Ploumis A, Simpson AK, Cha TD,  Coronal spinal balance in adult spine deformity patients with long spinal fusions: a minimum 2- to 5-year follow-up study. J Spinal Disord Tech. 2015;28(9):341\u2013347.2407741810.1097\/BSD.0b013e3182aab2ff"},{"issue":"2","key":"b5","series-title":"Eur Spine J","doi-asserted-by":"publisher","first-page":"532","DOI":"10.1007\/s00586-015-3898-x","article-title":"Factors influencing radiographic and clinical outcomes in adult scoliosis surgery: a study of 448 European patients","volume":"25","author":"Koller H","year":"2016","unstructured":"Koller H, Pfanz C, Meier O,  Factors influencing radiographic and clinical outcomes in adult scoliosis surgery: a study of 448 European patients. Eur Spine J. 2016;25(2):532\u2013548.10.1007\/s00586-015-3898-x25917822"},{"issue":"4","key":"b6","series-title":"Spine Deform","doi-asserted-by":"publisher","first-page":"360","DOI":"10.1016\/j.jspd.2014.11.004","article-title":"Multiple regression analysis of factors affecting health-related quality of life in adult spinal deformity","volume":"3","author":"Acaroglu E","year":"2015","unstructured":"Acaroglu E, Guler UO, Olgun ZD,  Multiple regression analysis of factors affecting health-related quality of life in adult spinal deformity. Spine Deform. 2015;3(4):360\u2013366.10.1016\/j.jspd.2014.11.00427927482"},{"issue":"13","key":"b7","series-title":"Spine","doi-asserted-by":"publisher","first-page":"E795","DOI":"10.1097\/BRS.0000000000000339","article-title":"Upper thoracic versus lower thoracic upper instrumented vertebrae endpoints have similar outcomes and complications in adult scoliosis","volume":"39","author":"Kim HJ","year":"2014","unstructured":"Kim HJ, Boachie-Adjei O, Shaffrey CI,  Upper thoracic versus lower thoracic upper instrumented vertebrae endpoints have similar outcomes and complications in adult scoliosis. Spine (Phila Pa 1976).2014;39(13):E795\u2013E799.10.1097\/BRS.000000000000033924732840"},{"issue":"10","key":"b8","series-title":"in primary surgery for adult scoliosis? Spine","first-page":"884","article-title":"Does a long-fusion \u201cT3-sacrum\u201d portend a worse outcome than a short-fusion \u201cT10-sacrum\"","volume":"37","author":"O\u02bcShaughnessy BA","year":"2012","unstructured":"O\u02bcShaughnessy BA, Bridwell KH, Lenke LG,  Does a long-fusion \u201cT3-sacrum\u201d portend a worse outcome than a short-fusion \u201cT10-sacrum\". in primary surgery for adult scoliosis? Spine(Phila Pa 1976).2012;37(10):884\u2013890.21971131"},{"issue":"5","key":"b9","series-title":"Neurosurg Focus","doi-asserted-by":"publisher","first-page":"E9","DOI":"10.3171\/2014.3.FOCUS13541","article-title":"Long fusion from sacrum to thoracic spine for adult spinal deformity with sagittal imbalance: upper versus lower thoracic spine as site of upper instrumented vertebra","volume":"36","author":"Fujimori T","year":"2014","unstructured":"Fujimori T, Inoue S, Le H,  Long fusion from sacrum to thoracic spine for adult spinal deformity with sagittal imbalance: upper versus lower thoracic spine as site of upper instrumented vertebra. Neurosurg Focus. 2014;36(5):E9.2478549110.3171\/2014.3.FOCUS13541"},{"issue":"4","key":"b10","series-title":"J Neurosurg Spine","doi-asserted-by":"publisher","first-page":"600","DOI":"10.3171\/2019.9.SPINE19557","article-title":"Upper-thoracic versus lower-thoracic upper instrumented vertebra in adult spinal deformity patients undergoing fusion to the pelvis: surgical decision-making and patient outcomes","volume":"32","author":"Daniels AH","year":"2020","unstructured":"Daniels AH, Reid DBC, Durand WM,  Upper-thoracic versus lower-thoracic upper instrumented vertebra in adult spinal deformity patients undergoing fusion to the pelvis: surgical decision-making and patient outcomes. J Neurosurg Spine. 2020;32(4):600\u2013606.10.3171\/2019.9.SPINE19557"},{"issue":"15","key":"b11","series-title":"Spine","doi-asserted-by":"publisher","first-page":"1151","DOI":"10.1097\/BRS.0000000000002006","article-title":"Stiffness after pan-lumbar arthrodesis for adult spinal deformity does not significantly impact patient functional status or satisfaction irrespective of proximal endpoint","volume":"42","author":"Hart RA","year":"2017","unstructured":"Hart RA, Hiratzka J, Kane MS,  Stiffness after pan-lumbar arthrodesis for adult spinal deformity does not significantly impact patient functional status or satisfaction irrespective of proximal endpoint. Spine (Phila Pa 1976).2017;42(15):1151\u20131157.10.1097\/BRS.000000000000200627902557"},{"issue":"17","key":"b12","series-title":"Spine","doi-asserted-by":"publisher","first-page":"1338","DOI":"10.1097\/BRS.0000000000000968","article-title":"Which daily functions are most affected by stiffness following total lumbar fusion: comparison of upper thoracic and thoracolumbar proximal endpoints","volume":"40","author":"Sciubba DM","year":"2015","unstructured":"Sciubba DM, Scheer JK, Smith JS,  Which daily functions are most affected by stiffness following total lumbar fusion: comparison of upper thoracic and thoracolumbar proximal endpoints. Spine (Phila Pa 1976).2015;40(17):1338\u20131344.10.1097\/BRS.000000000000096825943083"},{"issue":"8","key":"b13","series-title":"Physiotherapy","first-page":"271","article-title":"The Oswestry low back pain disability questionnaire","volume":"66","author":"Fairbank JC","year":"1980","unstructured":"Fairbank JC, Couper J, Davies JB, O\u2019Brien JP. The Oswestry low back pain disability questionnaire. Physiotherapy. 1980;66(8):271\u2013273.6450426"},{"issue":"20","key":"b14","series-title":"Spine","doi-asserted-by":"publisher","first-page":"1599","DOI":"10.1097\/BRS.0000000000001090","article-title":"Functional limitations due to lumbar stiffness in adults with and without spinal deformity","volume":"40","author":"Daniels AH","year":"2015","unstructured":"Daniels AH, Smith JS, Hiratzka J,  Functional limitations due to lumbar stiffness in adults with and without spinal deformity. Spine (Phila Pa 1976).2015;40(20):1599\u20131604.2673170510.1097\/BRS.0000000000001090"},{"issue":"24","key":"b15","series-title":"Spine","doi-asserted-by":"publisher","first-page":"3130","DOI":"10.1097\/00007632-200012150-00008","article-title":"SF-36 health survey update","volume":"25","author":"Ware JE Jr","year":"2000","unstructured":"Ware JE Jr. SF-36 health survey update. Spine (Phila Pa 1976).2000;25(24):3130\u20133139.1112472910.1097\/00007632-200012150-00008"},{"issue":"20","key":"b16","first-page":"2220","article-title":"Is the SRS-22 instrument responsive to change in adult scoliosis patients having primary spinal deformity surgery? Spine","volume":"32","author":"Bridwell KH","year":"2007","unstructured":"Bridwell KH, Berven S, Glassman S,  Is the SRS-22 instrument responsive to change in adult scoliosis patients having primary spinal deformity surgery? Spine. (Phila Pa 1976).2007;32(20):2220\u20132225.17873814"},{"issue":"5","key":"b17","series-title":"Spine","doi-asserted-by":"publisher","first-page":"593","DOI":"10.1097\/01.brs.0000201331.50597.ea","article-title":"Refinement of the SRS-22 Health-Related Quality of Life questionnaire Function domain","volume":"31","author":"Asher MA","year":"2006","unstructured":"Asher MA, Lai SM, Glattes RC,  Refinement of the SRS-22 Health-Related Quality of Life questionnaire Function domain. Spine (Phila Pa 1976).2006;31(5):593\u2013597.1650855810.1097\/01.brs.0000201331.50597.ea"},{"issue":"6","key":"b18","series-title":"Spine J","doi-asserted-by":"publisher","first-page":"968","DOI":"10.1016\/j.spinee.2007.11.006","article-title":"Minimum clinically important difference in lumbar spine surgery patients: a choice of methods using the Oswestry Disability Index, Medical Outcomes Study questionnaire Short Form 36, and pain scales","volume":"8","author":"Copay AG","year":"2008","unstructured":"Copay AG, Glassman SD, Subach BR,  Minimum clinically important difference in lumbar spine surgery patients: a choice of methods using the Oswestry Disability Index, Medical Outcomes Study questionnaire Short Form 36, and pain scales. Spine J. 2008;8(6):968\u2013974.1820193710.1016\/j.spinee.2007.11.006"},{"issue":"9","key":"b19","series-title":"J Bone Joint Surg Am","doi-asserted-by":"publisher","first-page":"1839","DOI":"10.2106\/JBJS.G.01095","article-title":"Defining substantial clinical benefit following lumbar spine arthrodesis","volume":"90","author":"Glassman SD","year":"2008","unstructured":"Glassman SD, Copay AG, Berven SH,  Defining substantial clinical benefit following lumbar spine arthrodesis. J Bone Joint Surg Am. 2008;90(9):1839\u20131847.10.2106\/JBJS.G.0109518762642"},{"issue":"1","key":"b20","series-title":"Spine Deform","doi-asserted-by":"publisher","first-page":"79","DOI":"10.1016\/j.jspd.2017.05.006","article-title":"SRS-22R minimum clinically important difference and substantial clinical benefit after adult lumbar scoliosis surgery","volume":"6","author":"Carreon LY","year":"2018","unstructured":"Carreon LY, Kelly MP, Crawford CH III,  SRS-22R minimum clinically important difference and substantial clinical benefit after adult lumbar scoliosis surgery. Spine Deform. 2018;6(1):79\u201383.2928782210.1016\/j.jspd.2017.05.006"},{"issue":"23","key":"b21","series-title":"Spine","doi-asserted-by":"publisher","first-page":"2079","DOI":"10.1097\/BRS.0b013e3181c61fd7","article-title":"The minimum clinically important difference in Scoliosis Research Society-22 Appearance, Activity, and Pain domains after surgical correction of adolescent idiopathic scoliosis","volume":"35","author":"Carreon LY","year":"2010","unstructured":"Carreon LY, Sanders JO, Diab M,  The minimum clinically important difference in Scoliosis Research Society-22 Appearance, Activity, and Pain domains after surgical correction of adolescent idiopathic scoliosis. Spine (Phila Pa 1976).2010;35(23):2079\u20132083.2039588110.1097\/BRS.0b013e3181c61fd7"},{"issue":"1","key":"b22","series-title":"Ochsner J","first-page":"67","article-title":"Likelihood of reaching minimal clinically important difference in adult spinal deformity: a comparison of operative and nonoperative treatment","volume":"14","author":"Liu S","year":"2014","unstructured":"Liu S, Schwab F, Smith JS,  Likelihood of reaching minimal clinically important difference in adult spinal deformity: a comparison of operative and nonoperative treatment. Ochsner J. 2014;14(1):67\u201377.24688336"},{"issue":"4","key":"b23","series-title":"J Neurosurg Spine","doi-asserted-by":"publisher","first-page":"444","DOI":"10.3171\/2016.10.SPINE16849","article-title":"Complication rates associated with 3-column osteotomy in 82 adult spinal deformity patients: retrospective review of a prospectively collected multicenter consecutive series with 2-year follow-up","volume":"27","author":"Smith JS","year":"2017","unstructured":"Smith JS, Shaffrey CI, Klineberg E,  Complication rates associated with 3-column osteotomy in 82 adult spinal deformity patients: retrospective review of a prospectively collected multicenter consecutive series with 2-year follow-up. J Neurosurg Spine. 2017;27(4):444\u2013457.10.3171\/2016.10.SPINE1684928291402"},{"issue":"1","key":"b24","series-title":"J Neurosurg Spine","doi-asserted-by":"publisher","first-page":"1","DOI":"10.3171\/2015.11.SPINE151036","article-title":"Prospective multicenter assessment of perioperative and minimum 2-year postoperative complication rates associated with adult spinal deformity surgery","volume":"25","author":"Smith JS","year":"2016","unstructured":"Smith JS, Klineberg E, Lafage V,  Prospective multicenter assessment of perioperative and minimum 2-year postoperative complication rates associated with adult spinal deformity surgery. J Neurosurg Spine. 2016;25(1):1\u201314.10.3171\/2015.11.SPINE15103626918574"},{"issue":"6","key":"b25","series-title":"Eur Spine J","doi-asserted-by":"publisher","first-page":"982","DOI":"10.1007\/s00586-005-0927-1","article-title":"Validation of new clinical quantitative analysis software applicable in spine orthopaedic studies","volume":"15","author":"Champain S","year":"2006","unstructured":"Champain S, Benchikh K, Nogier A,  Validation of new clinical quantitative analysis software applicable in spine orthopaedic studies. Eur Spine J. 2006;15(6):982\u2013991.10.1007\/s00586-005-0927-115965708"},{"issue":"3","key":"b26","series-title":"Rev Chir Orthop Repar Appar Mot","first-page":"218","article-title":"Validation of a tool to measure pelvic and spinal parameters of sagittal balance. Article in French","volume":"89","author":"Rillardon L","year":"2003","unstructured":"Rillardon L, Levassor N, Guigui P,  Validation of a tool to measure pelvic and spinal parameters of sagittal balance. Article in French. Rev Chir Orthop Repar Appar Mot. 2003;89(3):218\u2013227."},{"key":"b27","series-title":"Medtronic Sofamor Danek","article-title":"Spinal Deformity Study Group Radiographic Measurement Manual","author":"O\u2019Brien MF","year":"2005","unstructured":"O\u2019Brien MF, Kuklo TR, Blanke KM, Lenke LG. eds.Spinal Deformity Study Group Radiographic Measurement Manual. Medtronic Sofamor Danek; 2005."},{"issue":"12","key":"b28","series-title":"Spine","doi-asserted-by":"publisher","first-page":"1077","DOI":"10.1097\/BRS.0b013e31823e15e2","article-title":"Scoliosis Research Society-Schwab adult spinal deformity classification: a validation study","volume":"37","author":"Schwab F","year":"2012","unstructured":"Schwab F, Ungar B, Blondel B,  Scoliosis Research Society-Schwab adult spinal deformity classification: a validation study. Spine (Phila Pa 1976).2012;37(12):1077\u20131082.10.1097\/BRS.0b013e31823e15e222045006"},{"issue":"19","key":"b29","series-title":"Spine","doi-asserted-by":"publisher","first-page":"1663","DOI":"10.1097\/BRS.0b013e31829ec563","article-title":"Change in classification grade by the SRS-Schwab Adult Spinal Deformity Classification predicts impact on health-related quality of life measures: prospective analysis of operative and nonoperative treatment","volume":"38","author":"Smith JS","year":"2013","unstructured":"Smith JS, Klineberg E, Schwab F,  Change in classification grade by the SRS-Schwab Adult Spinal Deformity Classification predicts impact on health-related quality of life measures: prospective analysis of operative and nonoperative treatment. Spine (Phila Pa 1976).2013;38(19):1663\u20131671.2375981410.1097\/BRS.0b013e31829ec563"},{"issue":"1","key":"b30","series-title":"Spine Deform","doi-asserted-by":"publisher","first-page":"105","DOI":"10.1007\/s43390-020-00046-z","article-title":"The clinical impact of global coronal malalignment is underestimated in adult patients with thoracolumbar scoliosis","volume":"8","author":"Plais N","year":"2020","unstructured":"Plais N, Bao H, Lafage R,  The clinical impact of global coronal malalignment is underestimated in adult patients with thoracolumbar scoliosis. Spine Deform. 2020;8(1):105\u2013113.10.1007\/s43390-020-00046-z31981146"},{"issue":"6","key":"b31","series-title":"Neurosurg Focus","doi-asserted-by":"publisher","first-page":"E3","DOI":"10.3171\/2017.10.FOCUS17472","article-title":"An assessment of frailty as a tool for risk stratification in adult spinal deformity surgery","volume":"43","author":"Miller EK","year":"2017","unstructured":"Miller EK, Neuman BJ, Jain A,  An assessment of frailty as a tool for risk stratification in adult spinal deformity surgery. Neurosurg Focus. 2017;43(6):E3.2919109910.3171\/2017.10.FOCUS17472"},{"issue":"6","key":"b32","series-title":"Spine","doi-asserted-by":"publisher","first-page":"682","DOI":"10.1097\/01.brs.0000155425.04536.f7","article-title":"Correlation of radiographic parameters and clinical symptoms in adult scoliosis","volume":"30","author":"Glassman SD","year":"2005","unstructured":"Glassman SD, Berven S, Bridwell K,  Correlation of radiographic parameters and clinical symptoms in adult scoliosis. Spine (Phila Pa 1976).2005;30(6):682\u2013688.10.1097\/01.brs.0000155425.04536.f715770185"},{"issue":"17","key":"b33","series-title":"Spine","doi-asserted-by":"publisher","first-page":"E599","DOI":"10.1097\/BRS.0b013e3181aad219","article-title":"Pelvic tilt and truncal inclination: two key radiographic parameters in the setting of adults with spinal deformity","volume":"34","author":"Lafage V","year":"2009","unstructured":"Lafage V, Schwab F, Patel A,  Pelvic tilt and truncal inclination: two key radiographic parameters in the setting of adults with spinal deformity. Spine (Phila Pa 1976).2009;34(17):E599\u2013E606.1964431910.1097\/BRS.0b013e3181aad219"},{"issue":"13","key":"b34","series-title":"Spine","doi-asserted-by":"publisher","first-page":"E803","DOI":"10.1097\/BRS.0b013e318292b7b9","article-title":"Radiographical spinopelvic parameters and disability in the setting of adult spinal deformity: a prospective multicenter analysis","volume":"38","author":"Schwab FJ","year":"2013","unstructured":"Schwab FJ, Blondel B, Bess S,  Radiographical spinopelvic parameters and disability in the setting of adult spinal deformity: a prospective multicenter analysis. Spine (Phila Pa 1976).2013;38(13):E803\u2013E812.2372257210.1097\/BRS.0b013e318292b7b9"},{"issue":"3","key":"b35","series-title":"Spine","doi-asserted-by":"publisher","first-page":"224","DOI":"10.1097\/BRS.0000000000001202","article-title":"The health impact of symptomatic adult spinal deformity: comparison of deformity types to United States population norms and chronic diseases","volume":"41","author":"Bess S","year":"2016","unstructured":"Bess S, Line B, Fu KM,  The health impact of symptomatic adult spinal deformity: comparison of deformity types to United States population norms and chronic diseases. Spine (Phila Pa 1976).2016;41(3):224\u2013233.10.1097\/BRS.000000000000120226571174"},{"issue":"5","key":"b36","series-title":"Neurosurgery","doi-asserted-by":"publisher","first-page":"716","DOI":"10.1093\/neuros\/nyx028","article-title":"The health impact of adult cervical deformity in patients presenting for surgical treatment: comparison to United States population norms and chronic disease states based on the EuroQuol-5 dimensions questionnaire","volume":"80","author":"Smith JS","year":"2017","unstructured":"Smith JS, Line B, Bess S,  The health impact of adult cervical deformity in patients presenting for surgical treatment: comparison to United States population norms and chronic disease states based on the EuroQuol-5 dimensions questionnaire. Neurosurgery. 2017;80(5):716\u2013725.2836852410.1093\/neuros\/nyx028"},{"issue":"6","key":"b37","series-title":"Spine","doi-asserted-by":"publisher","first-page":"602","DOI":"10.1097\/01.BRS.0000049924.94414.BB","article-title":"Adult scoliosis: a health assessment analysis by SF-36","volume":"28","author":"Schwab F","year":"2003","unstructured":"Schwab F, Dubey A, Pagala M,  Adult scoliosis: a health assessment analysis by SF-36. Spine (Phila Pa 1976).2003;28(6):602\u2013606.1264276910.1097\/01.BRS.0000049924.94414.BB"},{"issue":"6","key":"b38","series-title":"Neurosurgery","doi-asserted-by":"publisher","first-page":"851","DOI":"10.1227\/NEU.0000000000001116","article-title":"Outcomes of operative and nonoperative treatment for adult spinal deformity: a prospective, multicenter, propensity-matched cohort assessment with minimum 2-year follow-up","volume":"78","author":"Smith JS","year":"2016","unstructured":"Smith JS, Lafage V, Shaffrey CI,  Outcomes of operative and nonoperative treatment for adult spinal deformity: a prospective, multicenter, propensity-matched cohort assessment with minimum 2-year follow-up. Neurosurgery. 2016;78(6):851\u2013861.2657996610.1227\/NEU.0000000000001116"},{"issue":"16","key":"b39","series-title":"Spine","doi-asserted-by":"publisher","first-page":"1693","DOI":"10.1097\/BRS.0b013e3181ac5fcd","article-title":"Operative versus nonoperative treatment of leg pain in adults with scoliosis: a retrospective review of a prospective multicenter database with two-year follow-up","volume":"34","author":"Smith JS","year":"2009","unstructured":"Smith JS, Shaffrey CI, Berven S,  Operative versus nonoperative treatment of leg pain in adults with scoliosis: a retrospective review of a prospective multicenter database with two-year follow-up. Spine (Phila Pa 1976).2009;34(16):1693\u20131698.1977061010.1097\/BRS.0b013e3181ac5fcd"},{"issue":"1","key":"b40","series-title":"Neurosurgery","doi-asserted-by":"publisher","first-page":"86","DOI":"10.1227\/01.NEU.0000347005.35282.6C","article-title":"Improvement of back pain with operative and nonoperative treatment in adults with scoliosis","volume":"65","author":"Smith JS","year":"2009","unstructured":"Smith JS, Shaffrey CI, Berven S,  Improvement of back pain with operative and nonoperative treatment in adults with scoliosis. Neurosurgery. 2009;65(1):86\u201394.1957482910.1227\/01.NEU.0000347005.35282.6C"},{"issue":"1","key":"b41","series-title":"Eur Spine J","doi-asserted-by":"publisher","first-page":"94","DOI":"10.1007\/s00586-018-5826-3","article-title":"Classification of coronal imbalance in adult scoliosis and spine deformity: a treatment-oriented guideline","volume":"28","author":"Obeid I","year":"2018","unstructured":"Obeid I, Berjano P, Lamartina C,  Classification of coronal imbalance in adult scoliosis and spine deformity: a treatment-oriented guideline. Eur Spine J. 2018;28(1):94\u2013113.3046060110.1007\/s00586-018-5826-3"},{"issue":"6","key":"b42","first-page":"476","article-title":"Does correction of preoperative coronal imbalance make a difference in outcomes of adult patients with deformity? Spine","volume":"38","author":"Daubs MD","year":"2013","unstructured":"Daubs MD, Lenke LG, Bridwell KH,  Does correction of preoperative coronal imbalance make a difference in outcomes of adult patients with deformity? Spine. (Phila Pa 1976).2013;38(6):476\u2013483.23492973"}],"container-title":["Journal of Neurosurgery: Spine"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-spine\/35\/6\/article-p761.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-spine\/35\/6\/article-p761.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-spine\/35\/6\/article-p761.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,6,28]],"date-time":"2025-06-28T01:00:04Z","timestamp":1751072404000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-spine\/35\/6\/article-p761.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,12]]},"references-count":42,"journal-issue":{"issue":"6"},"URL":"https:\/\/doi.org\/10.3171\/2021.2.spine201938","relation":{},"ISSN":["1547-5654"],"issn-type":[{"value":"1547-5654","type":"print"}],"subject":[],"published":{"date-parts":[[2021,12]]}}}