Diabetes Is Associated With Higher Odds of Junctional Complications and More Reoperations After Adult Spinal Deformity Surgery: A Propensity-matched Study

This study investigates the relationship between diabetes and mechanical complications following adult spinal deformity surgery, specifically examining the odds of proximal junctional failure, revision-free survivorship, radiographic alignment, and patient-reported outcomes. The findings indicate that patients with diabetes have a significantly higher risk of proximal junctional failure and lower revision-free survivorship compared to non-diabetic patients, although no substantial differences in radiographic alignment or patient-reported outcomes were observed. The authors suggest that increased awareness and monitoring of junctional complications in diabetic patients may be warranted.