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Is Sacral Extension a Risk Factor for Early Proximal Junctional Kyphosis in Adult Spinal Deformity Surgery?

Decker S, Lafage R, Krettek C, Hart R, Ames C, Smith JS, Burton D, Klineberg , Bess S, Schwab FJ, Lafage V, International Spine Study Group

Study Design: Retrospective cohort study. Purpose: To investigate the role of sacral extension (SE) for the development of proximal junctional kyphosis (PJK) in adult spinal deformity (ASD) surgery. Overview of Literature: The...
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Diversity in Surgical Decision Strategies for Adult Spine Deformity Treatment: The Effects of Neurosurgery or Orthopedic Training Background and Surgical Experience

Kang J, Hosogane N, Ames C, Schwab F, Hart R, Burton D, Shaffrey C, Smith JS, Bess S, Lafage V, Cho KJ, Ha Y, for the International Spine Study Group and Asian Pacific Spine Study Group

OBJECTIVE: This study is aimed to investigate whether surgical strategies for adult spinal deformity (ASD) treatment differed among Korean physicians. METHODS: This study is retrospective questionnaire-based study. ASD is challenging to...
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Prioritization of Realignment Associated With Superior Clinical Outcomes for Cervical Deformity Patients

Pierce KE, Passias PG, Brown AE, Bortz CA, Alas H, Passfall L, Krol O, Kummer N, Lafage R, Chou D, Burton DC, Line B, Klineberg E, Hart R, Gum J, Daniels A, Hamilton K, Bess S, Protopsaltis T, Shaffrey C, Schwab FA, Smith JS, Lafage V, Ames C, on behalf of the International Spine Study Group (ISSG)

Objective: To prioritize the cervical parameter targets for alignment. Methods: Included: cervical deformity (CD) patients (C2–7 Cobb angle > 10°, cervical lordosis > 10°, cervical sagittal vertical axis [cSVA] > 4...
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