Adherence to the Obeid coronal malalignment classification and a residual malalignment below 20 mm can improve surgical outcomes in adult spine deformity surgery

Adult spinal deformity; Coronal alignment; Mechanical complications

Detalles Bibliográficos
Autores: Baroncini, Alice, Frechon, Paul, bourghli, anouar, Smith, Justin S., Pellise, Ferran, Larrieu, Daniel
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2023
País:España
Institución:Departament de Salut de la Generalitat de Catalunya (DS)
Repositorio:Scientia. Dipòsit d'Informació Digital del Departament de Salut
OAI Identifier:oai:scientiasalut.gencat.cat:11351/10462
Acceso en línea:https://hdl.handle.net/11351/10462
Access Level:acceso abierto
Palabra clave:Columna vertebral - Malformacions - Cirurgia
Cirurgia - Complicacions
DISEASES::Musculoskeletal Diseases::Bone Diseases::Spinal Diseases::Spinal Curvatures
Other subheadings::Other subheadings::Other subheadings::/surgery
DISEASES::Pathological Conditions, Signs and Symptoms::Pathologic Processes::Postoperative Complications
ENFERMEDADES::enfermedades musculoesqueléticas::enfermedades óseas::enfermedades de la columna vertebral::desviaciones de la columna vertebral
Otros calificadores::Otros calificadores::Otros calificadores::/cirugía
ENFERMEDADES::afecciones patológicas, signos y síntomas::procesos patológicos::complicaciones posoperatorias
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spelling Adherence to the Obeid coronal malalignment classification and a residual malalignment below 20 mm can improve surgical outcomes in adult spine deformity surgeryBaroncini, AliceFrechon, Paulbourghli, anouarSmith, Justin S.Pellise, FerranLarrieu, DanielColumna vertebral - Malformacions - CirurgiaCirurgia - ComplicacionsDISEASES::Musculoskeletal Diseases::Bone Diseases::Spinal Diseases::Spinal CurvaturesOther subheadings::Other subheadings::Other subheadings::/surgeryDISEASES::Pathological Conditions, Signs and Symptoms::Pathologic Processes::Postoperative ComplicationsENFERMEDADES::enfermedades musculoesqueléticas::enfermedades óseas::enfermedades de la columna vertebral::desviaciones de la columna vertebralOtros calificadores::Otros calificadores::Otros calificadores::/cirugíaENFERMEDADES::afecciones patológicas, signos y síntomas::procesos patológicos::complicaciones posoperatoriasAdult spinal deformity; Coronal alignment; Mechanical complicationsDeformidad espinal del adulto; Alineación coronal; Complicaciones mecánicasDeformitat espinal de l'adult; Alineació coronal; Complicacions mecàniquesPurpose Coronal balance is a major factor impacting the surgical outcomes in adult spinal deformity (ASD). The Obeid coronal malalignment (O-CM) classification has been proposed to improve the coronal alignment in ASD surgery. Aim of this study was to investigate whether a postoperative CM < 20 mm and adherence to the O-CM classification could improve surgical outcomes and decrease the rate of mechanical failure in a cohort of ASD patients. Methods Multicenter retrospective analysis of prospectively collected data on all ASD patients who underwent surgical management and had a preoperative CM > 20 mm and a 2-year follow-up. Patients were divided in two groups according to whether or not surgery had been performed in adherence to the guidelines of the O-CM classification and according to whether or not the residual CM was < 20 mm. The outcomes of interest were radiographic data, rate of mechanical complications and Patient-Reported Outcome Measures. Results At 2 years, adherence to the O-CM classification led to a lower rate of mechanical complications (40 vs. 60%). A coronal correction of the CM < 20 mm allowed for a significant improvement in SRS-22 and SF-36 scores and was associated with a 3.5 times greater odd of achieving the minimal clinical important difference for the SRS-22. Conclusion Adherence to the O-CM classification could reduce the risk of mechanic complications 2 years after ASD surgery. Patients with a residual CM < 20 mm showed better functional outcomes and a 3.5 times greater odd of achieving the MCID for the SRS-22 score.Open Access funding enabled and organized by Projekt DEAL. None.SpringerInstitut Català de la Salut[Baroncini A] Department of Orthopaedics and Trauma Surgery, RWTH Uniklinik Aachen, Aachen, Germany. [Frechon P] Spine Surgery Unit 1, Bordeaux University Pellegrin Hospital, Bordeaux, France. Department of Neurosurgery, Caen University Hospital, Caen, France. [Bourghli A] Spine Surgery Department, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia. [Smith JS] Department of Neurological Surgery, University of Virginia Health System, Charlottesville, USA. [Larrieu D] Spine Surgery Unit 1, Bordeaux University Pellegrin Hospital, Bordeaux, France. [Pellisé F] Unitat de Recerca de la Columna Vertebral, Vall d’Hebron Hospital Universitari, Barcelona, SpainVall d'Hebron Barcelona Hospital Campus202320232023info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://hdl.handle.net/11351/10462Scientiareponame:Scientia. Dipòsit d'Informació Digital del Departament de Salutinstname:Departament de Salut de la Generalitat de Catalunya (DS)InglésEuropean Spine Journal;32https://doi.org/10.1007/s00586-023-07831-0Attribution 4.0 Internationalhttp://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:scientiasalut.gencat.cat:11351/104622026-06-12T09:38:37Z
dc.title.none.fl_str_mv Adherence to the Obeid coronal malalignment classification and a residual malalignment below 20 mm can improve surgical outcomes in adult spine deformity surgery
title Adherence to the Obeid coronal malalignment classification and a residual malalignment below 20 mm can improve surgical outcomes in adult spine deformity surgery
spellingShingle Adherence to the Obeid coronal malalignment classification and a residual malalignment below 20 mm can improve surgical outcomes in adult spine deformity surgery
Baroncini, Alice
Columna vertebral - Malformacions - Cirurgia
Cirurgia - Complicacions
DISEASES::Musculoskeletal Diseases::Bone Diseases::Spinal Diseases::Spinal Curvatures
Other subheadings::Other subheadings::Other subheadings::/surgery
DISEASES::Pathological Conditions, Signs and Symptoms::Pathologic Processes::Postoperative Complications
ENFERMEDADES::enfermedades musculoesqueléticas::enfermedades óseas::enfermedades de la columna vertebral::desviaciones de la columna vertebral
Otros calificadores::Otros calificadores::Otros calificadores::/cirugía
ENFERMEDADES::afecciones patológicas, signos y síntomas::procesos patológicos::complicaciones posoperatorias
title_short Adherence to the Obeid coronal malalignment classification and a residual malalignment below 20 mm can improve surgical outcomes in adult spine deformity surgery
title_full Adherence to the Obeid coronal malalignment classification and a residual malalignment below 20 mm can improve surgical outcomes in adult spine deformity surgery
title_fullStr Adherence to the Obeid coronal malalignment classification and a residual malalignment below 20 mm can improve surgical outcomes in adult spine deformity surgery
title_full_unstemmed Adherence to the Obeid coronal malalignment classification and a residual malalignment below 20 mm can improve surgical outcomes in adult spine deformity surgery
title_sort Adherence to the Obeid coronal malalignment classification and a residual malalignment below 20 mm can improve surgical outcomes in adult spine deformity surgery
dc.creator.none.fl_str_mv Baroncini, Alice
Frechon, Paul
bourghli, anouar
Smith, Justin S.
Pellise, Ferran
Larrieu, Daniel
author Baroncini, Alice
author_facet Baroncini, Alice
Frechon, Paul
bourghli, anouar
Smith, Justin S.
Pellise, Ferran
Larrieu, Daniel
author_role author
author2 Frechon, Paul
bourghli, anouar
Smith, Justin S.
Pellise, Ferran
Larrieu, Daniel
author2_role author
author
author
author
author
dc.contributor.none.fl_str_mv Institut Català de la Salut
[Baroncini A] Department of Orthopaedics and Trauma Surgery, RWTH Uniklinik Aachen, Aachen, Germany. [Frechon P] Spine Surgery Unit 1, Bordeaux University Pellegrin Hospital, Bordeaux, France. Department of Neurosurgery, Caen University Hospital, Caen, France. [Bourghli A] Spine Surgery Department, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia. [Smith JS] Department of Neurological Surgery, University of Virginia Health System, Charlottesville, USA. [Larrieu D] Spine Surgery Unit 1, Bordeaux University Pellegrin Hospital, Bordeaux, France. [Pellisé F] Unitat de Recerca de la Columna Vertebral, Vall d’Hebron Hospital Universitari, Barcelona, Spain
Vall d'Hebron Barcelona Hospital Campus
dc.subject.none.fl_str_mv Columna vertebral - Malformacions - Cirurgia
Cirurgia - Complicacions
DISEASES::Musculoskeletal Diseases::Bone Diseases::Spinal Diseases::Spinal Curvatures
Other subheadings::Other subheadings::Other subheadings::/surgery
DISEASES::Pathological Conditions, Signs and Symptoms::Pathologic Processes::Postoperative Complications
ENFERMEDADES::enfermedades musculoesqueléticas::enfermedades óseas::enfermedades de la columna vertebral::desviaciones de la columna vertebral
Otros calificadores::Otros calificadores::Otros calificadores::/cirugía
ENFERMEDADES::afecciones patológicas, signos y síntomas::procesos patológicos::complicaciones posoperatorias
topic Columna vertebral - Malformacions - Cirurgia
Cirurgia - Complicacions
DISEASES::Musculoskeletal Diseases::Bone Diseases::Spinal Diseases::Spinal Curvatures
Other subheadings::Other subheadings::Other subheadings::/surgery
DISEASES::Pathological Conditions, Signs and Symptoms::Pathologic Processes::Postoperative Complications
ENFERMEDADES::enfermedades musculoesqueléticas::enfermedades óseas::enfermedades de la columna vertebral::desviaciones de la columna vertebral
Otros calificadores::Otros calificadores::Otros calificadores::/cirugía
ENFERMEDADES::afecciones patológicas, signos y síntomas::procesos patológicos::complicaciones posoperatorias
description Adult spinal deformity; Coronal alignment; Mechanical complications
publishDate 2023
dc.date.none.fl_str_mv 2023
2023
2023
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/11351/10462
url https://hdl.handle.net/11351/10462
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv European Spine Journal;32
https://doi.org/10.1007/s00586-023-07831-0
dc.rights.none.fl_str_mv Attribution 4.0 International
http://creativecommons.org/licenses/by/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Attribution 4.0 International
http://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Springer
publisher.none.fl_str_mv Springer
dc.source.none.fl_str_mv Scientia
reponame:Scientia. Dipòsit d'Informació Digital del Departament de Salut
instname:Departament de Salut de la Generalitat de Catalunya (DS)
instname_str Departament de Salut de la Generalitat de Catalunya (DS)
reponame_str Scientia. Dipòsit d'Informació Digital del Departament de Salut
collection Scientia. Dipòsit d'Informació Digital del Departament de Salut
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15,812429

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