Impact of Prior Cervical Fusion on Patients Undergoing Thoracolumbar Deformity Correction

Retrospective analysis of prospectively collected data. Evaluate the impact of prior cervical constructs on upper instrumented vertebrae (UIV) selection and postoperative outcomes among patients undergoing thoracolumbar deformity correction. Surgical planning for adult spinal deformity (ASD) patient...

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Bibliographic Details
Published in:Spine (Philadelphia, Pa. 1976) Pa. 1976), 2025-01, Vol.50 (1), p.26
Main Authors: Singh, Manjot, Balmaceno-Criss, Mariah, Daher, Mohammad, Lafage, Renaud, Eastlack, Robert K, Gupta, Munish C, Mundis, Gregory M, Gum, Jeffrey L, Hamilton, Kojo D, Hostin, Richard, Passias, Peter G, Protopsaltis, Themistocles S, Kebaish, Khaled M, Lenke, Lawrence G, Ames, Christopher P, Burton, Douglas C, Lewis, Stephen M, Klineberg, Eric O, Kim, Han Jo, Schwab, Frank J, Shaffrey, Christopher I, Smith, Justin S, Line, Breton G, Bess, Shay, Lafage, Virginie, Diebo, Bassel G, Daniels, Alan H
Format: Article
Language:English
Subjects:
Adult
Aged
Cervical Vertebrae - diagnostic imaging
Cervical Vertebrae - surgery
Female
Humans
Kyphosis - diagnostic imaging
Kyphosis - surgery
Lumbar Vertebrae - diagnostic imaging
Lumbar Vertebrae - surgery
Male
Middle Aged
Patient Reported Outcome Measures
Postoperative Complications - etiology
Retrospective Studies
Spinal Fusion - adverse effects
Spinal Fusion - methods
Thoracic Vertebrae - diagnostic imaging
Thoracic Vertebrae - surgery
Treatment Outcome
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Summary:Retrospective analysis of prospectively collected data. Evaluate the impact of prior cervical constructs on upper instrumented vertebrae (UIV) selection and postoperative outcomes among patients undergoing thoracolumbar deformity correction. Surgical planning for adult spinal deformity (ASD) patients involves consideration of spinal alignment and existing fusion constructs. ASD patients with (ANTERIOR or POSTERIOR) and without (NONE) prior cervical fusion who underwent thoracolumbar fusion were included. Demographics, radiographic alignment, patient-reported outcome measures (PROMs), and complications were compared. Univariate and multivariate analyses were performed on POSTERIOR patients to identify parameters predictive of UIV choice and to evaluate postoperative outcomes impacted by UIV selection. Among 542 patients, with 446 NONE, 72 ANTERIOR, and 24 POSTERIOR patients, mean age was 64.4 years and 432 (80%) were female. Cervical fusion patients had worse preoperative cervical and lumbosacral deformity, and PROMs ( P
ISSN:1528-1159
1528-1159
DOI:10.1097/BRS.0000000000005119