Evidence map›Paper›PMID 37948666›Full record

ArticleGlobal spine journal2025

Adult Cervical Deformity Patients Have Higher Baseline Frailty, Disability, and Comorbidities Compared With Complex Adult Thoracolumbar Deformity Patients: A Comparative Cohort Study of 616 Patients.

Justin S Smith, Michael P Kelly, Thomas J Buell, David Ben-Israel, Bassel Diebo, Justin K Scheer, Breton Line, Virginie Lafage, Renaud Lafage, Eric Klineberg and 21 more

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Global spine journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
2.5field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 9 citations in OpenAlex.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

31 authors at 20 institutions in 2 countries.

Justin S SmithDepartment of Neurosurgery, University of Virginia, Charlottesville, VA, USA.ORCID 0000-0003-0467-5534
Michael P KellyDepartment of Orthopedic Surgery, Rady Children's Hospital, San Diego, CA, USA.
Thomas J BuellDepartment of Neurosurgery, University of Pittsburgh, Pittsburgh, PA, USA.
David Ben-IsraelDepartment of Neurosurgery, University of Virginia, Charlottesville, VA, USA.
Bassel DieboDepartment of Orthopedic Surgery, Brown University, Providence, RI, USA.ORCID 0000-0002-7835-2263
Justin K ScheerDepartment of Neurological Surgery, University of California, San Francisco, CA, USA.
Breton LinePresbyterian St Lukes Medical Center, Denver, CO, USA.ORCID 0000-0003-0395-1066
Virginie LafageDepartment of Orthopedic Surgery, Lennox Hill Hospital, New York City, NY, USA.ORCID 0000-0002-0119-7111
Renaud LafageDepartment of Orthopedic Surgery, Lennox Hill Hospital, New York City, NY, USA.ORCID 0000-0002-4820-1835
Eric KlinebergDepartment of Orthopedic Surgery, University of Texas Health Houston, Houston, TX, USA.
Han Jo KimDepartment of Orthopaedic Surgery, Hospital for Special Surgery, New York City, NY, USA.ORCID 0000-0003-2170-3592
Peter PassiasDepartment of Orthopaedic Surgery, NYU Hospital for Joint Diseases, New York, NY, USA.
Jeffrey L GumLeatherman Spine Center, Louisville, KY, USA.ORCID 0000-0003-0471-9437
Khal KebaishDepartment of Orthopaedic Surgery, Johns Hopkins University, Baltimore, MD, USA.
Jeffrey P MullinDepartment of Neurosurgery, University at Buffalo, Buffalo, NY, USA.
Robert EastlackDepartment of Orthopedic Surgery, Scripps Clinic, San Diego, USA.
Alan DanielsDepartment of Orthopedic Surgery, Brown University, Providence, RI, USA.
Alex SoroceanuDepartment of Orthopedic Surgery, University of Calgary, Calgary, AB, Canada.
Gregory MundisDepartment of Orthopedic Surgery, Scripps Clinic, San Diego, USA.
Richard HostinDepartment of Orthopaedic Surgery, Baylor Scoliosis Center, Plano, TX, USA.
Themistocles S ProtopsaltisDepartment of Orthopaedic Surgery, NYU Hospital for Joint Diseases, New York, NY, USA.
D Kojo HamiltonDepartment of Neurosurgery, University of Pittsburgh, Pittsburgh, PA, USA.
Munish GuptaDepartment of Orthopedic Surgery, Washington University, St Louis, MO, USA.
Stephen J LewisDepartment of Surgery, Division of Orthopedic Surgery, University of Toronto and Toronto Western Hospital, Toronto, ON, Canada.ORCID 0000-0002-9173-8443
Frank J SchwabDepartment of Orthopedic Surgery, Lennox Hill Hospital, New York City, NY, USA.
Lawrence G LenkeDepartment of Orthopedic Surgery, Columbia University Medical Center, New York, NY, USA.
Christopher I ShaffreyDepartments of Neurosurgery and Orthopedic Surgery, Duke University, Durham, NC, USA.
Douglas BurtonDepartment of Orthopaedic Surgery, University of Kansas Medical Center, Kansas City, KA, USA.
Christopher P AmesDepartment of Neurological Surgery, University of California, San Francisco, CA, USA.
Shay BessPresbyterian St Lukes Medical Center, Denver, CO, USA.
International Spine Study Group
Lenox Hill Hospital · USJohn Brown University · USNew York University Langone Orthopedic Hospital · USPresbyterian St. Luke's Medical Center · USScripps Clinic · USUniversity of California, San Francisco · USUniversity of Pittsburgh · USUniversity of Virginia · USBaylor University · USColumbia University Irving Medical Center · USDuke University · USHospital for Special Surgery · USJohns Hopkins University · USRady Children's Hospital-San Diego · USThe University of Texas Health Science Center at Houston · USUniversity at Buffalo, State University of New York · USUniversity of Calgary · CAUniversity of Kansas Medical Center · USUniversity of Toronto · CAWashington University in St. Louis · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designMulticenter comparative cohort.

objectiveStudies have shown markedly higher rates of complications and all-cause mortality following surgery for adult cervical deformity (ACD) compared with adult thoracolumbar deformity (ATLD), though the reasons for these differences remain unclear. Our objectives were to compare baseline frailty, disability, and comorbidities between ACD and complex ATLD patients undergoing surgery.

methodsTwo multicenter prospective adult spinal deformity registries were queried, one ATLD and one ACD. Baseline clinical and frailty measures were compared between the cohorts.

results616 patients were identified (107 ACD and 509 ATLD). These groups had similar mean age (64.6 vs 60.8 years, respectively,

conclusionsCompared with ATLD patients, ACD patients had worse baseline characteristics on all measures assessed (comorbidities/disability/frailty). These differences may help account for greater risk of complications and all-cause mortality previously observed in ACD patients and facilitate strategies for better preoperative optimization.

Indexed as

adult spinal deformitycervical spinal deformitycomorbiditiesdisabilityfrailtythoracolumbar spinal deformity

Identifiers

PMID37948666
PMCPMC11877600
OpenAlexW4388558567

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.