Are We Focused on the Wrong Early Postoperative Quality Metrics? Optimal Realignment Outweighs Perioperative Risk in Adult Spinal Deformity Surgery.

Peter G Passias,Tyler K Williamson,Jamshaid M Mir,Justin S Smith,Virginie Lafage,Renaud Lafage,Breton Line,Alan H Daniels,Jeffrey L Gum, Andrew J Schoenfeld,David Kojo Hamilton,Alex Soroceanu,Justin K Scheer,Robert Eastlack,Gregory M Mundis,Bassel Diebo,Khaled M Kebaish,Richard A Hostin,Munish C Gupta,Han Jo Kim,Eric O Klineberg,Christopher P Ames,Robert A Hart,Douglas C Burton,Frank J Schwab,Christopher I Shaffrey,Shay Bess, On Behalf Of The International Spine Study Group

Journal of Clinical Medicine（2023）

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摘要

Fewer late complications (mechanical and reoperations) are seen in optimally aligned patients, leading to better long-term cost-utility overall. Therefore, the current focus on avoiding short-term complications may be counterproductive, as achieving optimal surgical correction is critical for long-term success.

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关键词

adult spinal deformity,cost-utility,complications,complex realignment,Medicare,clinical improvement

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