{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T14:32:18Z","timestamp":1787841138695,"version":"build-2784847793"},"reference-count":27,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","license":[{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>The objective of the study was to determine if adult spinal deformity (ASD) patients with spinal cord stimulators (SCS) or intrathecal drug delivery devices (IDDD) have more chronic opioid consumption or worse surgical outcomes than a matched cohort.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methodology:<\/jats:title>\n                    <jats:p>\n                      We conducted a retrospective matched comparison of implanted (SCS [\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 11] or IDDD [\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 3]) and nonimplanted ASD patients (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 40) who underwent corrective spine surgery at a single center. We evaluated their intraoperative characteristics, long-term postoperative complications, radiographic correction, and chronic opioid use, measured as use on more than 50% of days for &gt;6 months pre-or postoperative and total morphine mg equivalents (MME) and MME per dose.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      We found no difference in the rate of chronic opioid use between the implanted and nonimplanted ASD cohort: 6 m preoperative: 50% (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 7) versus 40% (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 16), admission: 71% (10) versus 45% (18), 6 m postoperative: 64.3% (9) versus 32.5% (13), final follow-up (FFU): 64.3% (9) versus 37.5% (15),\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &gt; 0.05. Similarly, there was no difference in total MME: 6 m preoperative: 101.3 \u00b1 177.8 versus 37.3 \u00b1 89.4, admission: 68.2 \u00b1 77.8 versus 45.3 \u00b1 129.9, 6 m postoperative: 59.8 \u00b1 83.1 versus 20.8 \u00b1 46.9, FFU: 51.2 \u00b1 68.7 versus 31.1 \u00b1 55.5,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &gt; 0.05 for all. Implanted patients had higher OR time (implanted: 734.9 [103.4] vs. nonimplanted: 637.2 [147.8] min,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.0272), intraoperative blood requirement (2.1 [1.6] \u00b5 pRBCs vs. 1.1 [1.5] \u00b5,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.0500), and rate of dural tears (42.9% (6\/14) vs. 15% (6\/40).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>This study indicates that implanted ASD patients are not at increased risk for chronic opioid use and do not have worse postoperative compilation rates than nonimplanted patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jcvjs.jcvjs_61_25","type":"journal-article","created":{"date-parts":[[2025,9,18]],"date-time":"2025-09-18T12:00:34Z","timestamp":1758196834000},"page":"320-326","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Adult spinal deformity patients with spinal cord stimulators and intrathecal drug delivery devices do not have greater chronic opioid use after surgery"],"prefix":"10.4103","volume":"16","author":[{"given":"Alexandra C.","family":"Dionne","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery, Columbia University Medical Center, NewYork-Presbyterian Och Spine Hospital, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kurt","family":"Holuba","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Columbia University Medical Center, NewYork-Presbyterian Och Spine Hospital, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Riley","family":"Sevensky","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Columbia University Medical Center, NewYork-Presbyterian Och Spine Hospital, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Justin L.","family":"Reyes","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Columbia University Medical Center, NewYork-Presbyterian Och Spine Hospital, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roy","family":"Miller","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Columbia University Medical Center, NewYork-Presbyterian Och Spine Hospital, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fthimnir M.","family":"Hassan","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Columbia University Medical Center, NewYork-Presbyterian Och Spine Hospital, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Josephine R.","family":"Coury","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Columbia University Medical Center, NewYork-Presbyterian Och Spine Hospital, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph M.","family":"Lombardi","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Columbia University Medical Center, NewYork-Presbyterian Och Spine Hospital, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lawrence G.","family":"Lenke","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Columbia University Medical Center, NewYork-Presbyterian Och Spine Hospital, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zeeshan M.","family":"Sardar","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Columbia University Medical Center, NewYork-Presbyterian Och Spine Hospital, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,9,18]]},"reference":[{"key":"R1-20250926","doi-asserted-by":"crossref","first-page":"1340","DOI":"10.1097\/BRS.0000000000002631","article-title":"Association of patient-reported narcotic use with short- and long-term outcomes after adult spinal deformity surgery:Multicenter study of 425 patients with 2-year follow-up","volume":"43","author":"Raad","year":"2018","journal-title":"Spine (Phila Pa 1976)"},{"key":"R2-20250926","doi-asserted-by":"crossref","first-page":"80","DOI":"10.1097\/BRS.0000000000003744","article-title":"Preoperative opioid weaning before major spinal fusion:Simulated data, real-world insights","volume":"46","author":"Jain","year":"2021","journal-title":"Spine 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Craniovertebral Junction and Spine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jcvjs.jcvjs_61_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T13:43:18Z","timestamp":1787838198000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jcvjs.jcvjs_61_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7]]},"references-count":27,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.4103\/jcvjs.jcvjs_61_25","relation":{},"ISSN":["0974-8237","0976-9285"],"issn-type":[{"value":"0974-8237","type":"print"},{"value":"0976-9285","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,7]]},"assertion":[{"value":"2025-03-25","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-05-24","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}