Evidence map›Paper›PMID 41845139›Full record

ArticleSpine deformity2026

Exploring the role of frailty and sarcopenia in predicting postoperative regret and satisfaction following adult spinal deformity surgery.

Madison Alessi, Aiyush Bansal, Kento Yamanouchi, Sydney Pattison, Kenneth T Nguyen, Jesse Shen, Philip K Louie, Venu M Nemani

Abstract read
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In one paragraph

Article in Spine deformity, 2026. 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
–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

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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.

  1. 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

8 authors.

Madison AlessiSchool of Medicine, University of Washington, Seattle, WA, USA.
Aiyush BansalDepartment of Neurosurgery, Center for Neuroscience and Spine, Virginia Mason Franciscan Health, Seattle, WA, USA.
Kento YamanouchiDepartment of Neurosurgery, Center for Neuroscience and Spine, Virginia Mason Franciscan Health, Seattle, WA, USA.
Sydney PattisonSchool of Medicine, University of Washington, Seattle, WA, USA.
Kenneth T NguyenDepartment of Neurosurgery, Center for Neuroscience and Spine, Virginia Mason Franciscan Health, Seattle, WA, USA.
Jesse ShenDepartment of Surgery, CHUM, University of Montreal, Montreal, QC, Canada.
Philip K LouieDepartment of Neurosurgery, Center for Neuroscience and Spine, Virginia Mason Franciscan Health, Seattle, WA, USA. Louie.philip@gmail.com.ORCID http://orcid.org/0000-0002-4787-1538
Venu M NemaniDepartment of Neurosurgery, Center for Neuroscience and Spine, Virginia Mason Franciscan Health, Seattle, WA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo assess whether preoperative frailty and muscle composition are associated with postoperative satisfaction and decisional regret after adult spinal deformity surgery (ASD).

methodsWe evaluated 2-year postoperative regret and satisfaction after complex spine surgery in relation to preoperative frailty (mFI-11, CCI), muscle fat infiltration (MFI), skeletal muscle index (SMI) and its subcomponents, and vertebral bone quality (VBQ). Outcomes were measured using the Decisional Regret Scale (DRS) and reverse-coded, 0-100-scaled SRS-22 item 22. Associations were assessed using univariate linear regression and Pearson correlation. No variables met the p < 0.10 threshold for multivariate modeling.

resultsThe cohort included 112 patients (mean age 63.3 years, 66% female, BMI 29.8 kg/m

conclusionAlthough no significant associations with overall regret or satisfaction were found, item-level trends in erector spinae mass and muscle fat infiltration suggest a possible link between paraspinal muscle health and how patients assess their decisions after surgery. As a pilot study, these findings provide an early foundation for incorporating muscle composition into preoperative counseling and planning. Larger cohorts are needed to determine whether these markers inform satisfaction and regret after ASD surgery.

Indexed as

EmotionsFrailtyPatient SatisfactionSarcopeniaSpinal CurvaturesAgedFemaleHumansMaleMiddle AgedMuscle, SkeletalPostoperative PeriodCounselingFrailtyMusclesParaspinal musclesPatient satisfactionSpine/surgery

Identifiers

PMID41845139

What OpenQuestion holds

Textmetadata
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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.