Evidence map›Paper›PMID 40180792›Full record

ArticleSpine deformity2025

Early reoperations do not adversely affect long-term pain and activity scores in adult deformity patients.

Erik Lewerenz, Sarthak Mohanty, Fthimnir M Hassan, Nathan J Lee, Justin K Scheer, Chun Wai Hung, Steven G Roth, Joseph M Lombardi, Zeeshan M Sardar, Ronald A Lehman and 1 more

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Article in Spine deformity, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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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

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4 · The record

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5 · Who and what money

Authors and funding

11 authors.

Erik LewerenzDepartment of Orthopaedic Surgery, The Och Spine Hospital at New York Presbyterian, Columbia University Irving Medical Center, 5141 Broadway, New York, NY, 10034, USA.
Sarthak MohantyDepartment of Orthopaedic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Fthimnir M HassanDepartment of Orthopaedic Surgery, The Och Spine Hospital at New York Presbyterian, Columbia University Irving Medical Center, 5141 Broadway, New York, NY, 10034, USA. fh2444@cumc.columbia.edu.ORCID http://orcid.org/0000-0003-3928-8972
Nathan J LeeDepartment of Orthopaedic Surgery, The Och Spine Hospital at New York Presbyterian, Columbia University Irving Medical Center, 5141 Broadway, New York, NY, 10034, USA.
Justin K ScheerDepartment of Orthopaedic Surgery, The Och Spine Hospital at New York Presbyterian, Columbia University Irving Medical Center, 5141 Broadway, New York, NY, 10034, USA.
Chun Wai HungDepartment of Orthopaedic Surgery, The Och Spine Hospital at New York Presbyterian, Columbia University Irving Medical Center, 5141 Broadway, New York, NY, 10034, USA.
Steven G RothDepartment of Orthopaedic Surgery, The Och Spine Hospital at New York Presbyterian, Columbia University Irving Medical Center, 5141 Broadway, New York, NY, 10034, USA.
Joseph M LombardiDepartment of Orthopaedic Surgery, The Och Spine Hospital at New York Presbyterian, Columbia University Irving Medical Center, 5141 Broadway, New York, NY, 10034, USA.
Zeeshan M SardarDepartment of Orthopaedic Surgery, The Och Spine Hospital at New York Presbyterian, Columbia University Irving Medical Center, 5141 Broadway, New York, NY, 10034, USA.
Ronald A LehmanDepartment of Orthopaedic Surgery, The Och Spine Hospital at New York Presbyterian, Columbia University Irving Medical Center, 5141 Broadway, New York, NY, 10034, USA.
Lawrence G LenkeDepartment of Orthopaedic Surgery, The Och Spine Hospital at New York Presbyterian, Columbia University Irving Medical Center, 5141 Broadway, New York, NY, 10034, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo compare patient-reported outcomes (PROs) in adult spinal deformity (ASD) patients reoperated within six months of their index surgery to patients without readmissions/reoperations and note any similarities/dissimilarities in activity and pain outcomes.

methodsASD patients who underwent spinal fusion at a single institution with minimum two years follow-up were included. Patients without readmissions/reoperations (No Reops) were compared to those requiring early reoperation resolved by six months post-index procedure (Early Reop) cohort. Outcomes included 2Y PROs, improvement, and MCID attainment. Question 22 from the SRS-22r, assessing likelihood of choosing the same treatment, was separately evaluated.

results238 patients [211(89%) No Reops; 27(11%) Early Reop] were included. Early reoperations were associated with PJK/DJK (29.63%, n = 8), implant dislodgement (18.52%, n = 5), and pedicle/vertebral fracture (14.81%, n = 4). There was no difference in demographics, operative characteristics, baseline alignment, and preoperative PROs. PRO improvement was not significantly different for SRS Activity (p = 0.392), Pain (p = 0.291), Appearance (p = 0.179), Mental Health (p = 0.840), Satisfaction (p = 0.098), Total score (p = 0.152), and ODI (p = 0.564). MCID achievement was comparable for SRS Activity (p = 0.536), Pain (p = 0.115), Appearance (p = 0.269), Mental Health (p > 0.999), Satisfaction (p = 0.149), and ODI (p = 0.403). SRS total score MCID attainment was greater for No Reops Cohort (82% vs 70%, p = 0.048). In addition, a greater proportion of No Reop patients endorsed that they would choose the same operative management (86% vs 70%, p = 0.046) if they had to choose again.

conclusionEarly reoperations within 6 months after ASD surgery that addresses the reason for the revision surgery do not adversely affect two-year functional and pain outcomes. However, only 70% would choose the same treatment again vs 86% of those who didn't undergo a reoperation with greater SRS22r total score MCID attainment among the No Reop cohort.

Indexed as

Postoperative PainReoperationSpinal FusionAdultAgedFemaleFollow-Up StudiesHumansMaleMiddle AgedPain MeasurementPatient Reported Outcome MeasuresRetrospective StudiesTime FactorsTreatment OutcomeAdult spinal deformityMinimal clinically important differencePatient-reported outcomesPostoperative outcomesReoperationsSatisfaction

Identifiers

PMID40180792

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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.