Evidence map›Paper›PMID 40632288›Full record

ArticleGlobal spine journal2025

Perioperative Medical Complications in Adult Spine Deformity Surgery: Classification and Prevention Strategies.

Go Yoshida, Kazunori Hayashi, Louis Boissiere, Allan Martin, Sigurd Berven, Lawrence G Lenke, Stephen J Lewis, Yukihiro Matsuyama, Eric Klineberg, AO Spine Knowledge Forum Deformity

Abstract read
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 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. Article
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

10 authors.

Go YoshidaDepartment of Orthopedic Surgery, Hamamatsu University School of Medicine, Hamamatsu, Japan.ORCID 0000-0003-0265-6372
Kazunori HayashiDepartment of Orthopedic Surgery, Osaka City Juso Hospital, Osaka, Japan.ORCID 0000-0002-2765-822X
Louis BoissiereSpine Unit 1, Bordeaux University, Bordeaux, France.
Allan MartinDepartment of Spine Neurosurgery, University of California Davis, Sacramento, CA, USA.
Sigurd BervenDepartment of Orthopedic Surgery, University of California San Francisco, San Francisco, CA, USA.
Lawrence G LenkeDepartment of Orthopaedic Surgery, Columbia University Irving Medical Center, New York, NY, USA.
Stephen J LewisDepartment of Orthopaedic Surgery, The Hospital for Sick Children, Toronto, ON, Canada.ORCID 0000-0002-9173-8443
Yukihiro MatsuyamaDepartment of Orthopedic Surgery, Hamamatsu University School of Medicine, Hamamatsu, Japan.
Eric KlinebergDepartment of Spine Neurosurgery, University of California Davis, Sacramento, CA, USA.
AO Spine Knowledge Forum Deformity

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Study DesignNarrative review.ObjectiveWe aimed to propose the classifications of, risk factors for, and prevention strategies for perioperative complications from previously published papers in adult spinal deformity (ASD) surgeries.MethodsA literature search was conducted in the PubMed/MEDLINE database to identify studies reporting perioperative complications of spinal deformity surgery, their classifications, risk factors, and prevention strategies. Main search terms included "perioperative complications", "medical complications" and "adult spinal deformity". In the various complications associated with deformity surgeries, we focused the medical complications which will directly link to patient's life prognosis rather than postoperative mechanical complications.ResultsThe overall perioperative complication rate ranged from 12.8% to 52.2%. Risk factors for perioperative medical complications included age, body mass index, osteoporosis, frailty, comorbidities, preoperative medication, smoking habit, and alcohol intake. Perioperative medical complications mostly depend on patient-related factors. Taking reference from the previous reported classification of surgical complications, the AO Spine Deformity Knowledge Forum developed a classification for complications of spinal deformity surgery via a Delphi exercise.ConclusionComplication classification system is important for understanding the impact of complications on patients. Further research should aim to determine the correlation between the new complication classification and patient outcomes in spinal deformity surgery. Various pre-, intra-, and postoperative strategies should be implemented to prevent perioperative complications.

Indexed as

classificationintraoperative complicationspostoperative complicationsprimary preventionrisk factorsscoliosis

Identifiers

PMID40632288
PMCPMC12254567

What OpenQuestion holds

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Registered trials

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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.