Takashi Fujishiro Author

Review Article Open Access

A Single Sagittal Parameter for Decision Making in Adult Spinal Deformity

Author(s):

David Christopher Kieser, Louis Boissiere, Caglar Yilgor C, Daniel Larrieu, Takashi Fujishiro, Ahmet Alanay, Emre Acaroglu, Frank Kleinstueck, Ferran Pellisé, Francisco Javier Sanchez Perez-Grueso, Anouar Bourghli, Derek Cawley, Jean-Marc Vital, Olivier Gille and Ibrahim Obeid

Objective: Decision-making in adult spinal deformity (ASD) remains challenging with complex algorithms and scores inhibiting every day use. Thus, there is an appetite for a simplified parameter to be identified that can guide surgical decision-making. This study therefore questions whether a simplified sagittal modifier (SSM) or relative spinopelvic alignment (RSA) could offer a reliable tool to determine operative intervention in patients with ASD. Methods: Multicenter, prospective study of consecutive ASD patients. Inclusion criteria were ASD patients presenting with at least one criteria: Cobb ≥ 20°; SVA ≥ 5 cm; TK ≥ 60° or PT ≥ 25°. A total of 1238 patients (431 non-operative and 807 operative) were classified according to their S... view more»

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