Neurologic outcomes of complex adult spinal deformity surgery

Lawrence G. Lenke, Michael G. Fehlings, Christopher I. Shaffrey, Kenneth M C Cheung, Leah Carreon, Mark B. Dekutoski, Frank J. Schwab, Oheneba Boachie-Adjei, Khaled M Kebaish, Christopher P. Ames, Yong Qiu, Yukihiro Matsuyama, Benny T. Dahl, Hossein Mehdian, Ferran Pellisé-Urquiza, Stephen J. Lewis, Sigurd H. Berven

Research output: Contribution to journalArticle

Abstract

Study Design. Prospective, multicenter, international observational study. Objective. To evaluate motor neurologic outcomes in patients undergoing surgery for complex adult spinal deformity (ASD). Summary of Background Data. The neurologic outcomes after surgical correction for ASD have been reported with significant variability and have not been measured as a primary endpoint in any prospective, multicenter, observational study. Methods. The primary outcome measure was the change in American Spinal Injury Association (ASIA) Lower Extremity Motor Scores (LEMS) obtained preoperatively, and at hospital discharge, 6 weeks and 6 months postoperatively. Results. A total of 273 patients with complex ASD underwent surgery at 15 sites worldwide. One patient was excluded for lack of preoperative LEMS. The remaining 272 patients were divided into two groups: normal preoperative LEMS (=50) (Preop NML, N=204, 75%) and abnormal preoperative LEMS (

Original languageEnglish (US)
Pages (from-to)204-212
Number of pages9
JournalSpine
Volume41
Issue number3
DOIs
StatePublished - Feb 1 2016

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Nervous System
Lower Extremity
Observational Studies
Multicenter Studies
Outcome Assessment (Health Care)

Keywords

  • acute neurologic complications
  • adult spinal deformity (ASD)
  • Asia neurologic exam
  • lower extremity motor score (LEMS)
  • spinal deformity surgery
  • spinal osteotomy

ASJC Scopus subject areas

  • Clinical Neurology
  • Orthopedics and Sports Medicine

Cite this

Lenke, L. G., Fehlings, M. G., Shaffrey, C. I., Cheung, K. M. C., Carreon, L., Dekutoski, M. B., ... Berven, S. H. (2016). Neurologic outcomes of complex adult spinal deformity surgery. Spine, 41(3), 204-212. https://doi.org/10.1097/BRS.0000000000001338

Neurologic outcomes of complex adult spinal deformity surgery. / Lenke, Lawrence G.; Fehlings, Michael G.; Shaffrey, Christopher I.; Cheung, Kenneth M C; Carreon, Leah; Dekutoski, Mark B.; Schwab, Frank J.; Boachie-Adjei, Oheneba; Kebaish, Khaled M; Ames, Christopher P.; Qiu, Yong; Matsuyama, Yukihiro; Dahl, Benny T.; Mehdian, Hossein; Pellisé-Urquiza, Ferran; Lewis, Stephen J.; Berven, Sigurd H.

In: Spine, Vol. 41, No. 3, 01.02.2016, p. 204-212.

Research output: Contribution to journalArticle

Lenke, LG, Fehlings, MG, Shaffrey, CI, Cheung, KMC, Carreon, L, Dekutoski, MB, Schwab, FJ, Boachie-Adjei, O, Kebaish, KM, Ames, CP, Qiu, Y, Matsuyama, Y, Dahl, BT, Mehdian, H, Pellisé-Urquiza, F, Lewis, SJ & Berven, SH 2016, 'Neurologic outcomes of complex adult spinal deformity surgery', Spine, vol. 41, no. 3, pp. 204-212. https://doi.org/10.1097/BRS.0000000000001338
Lenke LG, Fehlings MG, Shaffrey CI, Cheung KMC, Carreon L, Dekutoski MB et al. Neurologic outcomes of complex adult spinal deformity surgery. Spine. 2016 Feb 1;41(3):204-212. https://doi.org/10.1097/BRS.0000000000001338
Lenke, Lawrence G. ; Fehlings, Michael G. ; Shaffrey, Christopher I. ; Cheung, Kenneth M C ; Carreon, Leah ; Dekutoski, Mark B. ; Schwab, Frank J. ; Boachie-Adjei, Oheneba ; Kebaish, Khaled M ; Ames, Christopher P. ; Qiu, Yong ; Matsuyama, Yukihiro ; Dahl, Benny T. ; Mehdian, Hossein ; Pellisé-Urquiza, Ferran ; Lewis, Stephen J. ; Berven, Sigurd H. / Neurologic outcomes of complex adult spinal deformity surgery. In: Spine. 2016 ; Vol. 41, No. 3. pp. 204-212.
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