June 9, 2026 · Spine · DOI: 10.1097/BRS.0000000000005761

Redefining Clinical Success Following Adult Spine Deformity Surgery Using a Multifactorial Composite Metric

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The authors aim to redefine surgical success in adult spinal deformity (ASD) surgery by establishing a multifactorial composite metric that evaluates disability, radicular pain, and reoperation rates. Their study, involving 1,504 patients, reveals that composite success rates vary significantly based on preoperative deficits and deformity types, highlighting the importance of a comprehensive assessment for better patient selection and outcome prediction. Ultimately, the findings suggest that a multidimensional approach to measuring success can enhance preoperative counseling and surgical planning.

Blerta Budani, Paramveer Kaur, Shay R Bess, Alan H Daniels, Bassel George Diebo, Robert E Eastlack, Munish C Gupta, Richard Hostin, Khaled M Kebaish, Christopher P Ames, Eric O Klineberg, Gregory Mundis, David O Okonkwo, Peter G Passias, Themistocles Protopsaltis, Frank J Schwab, Christopher I Shaffrey, Justin S Smith, Virginie Lafage, Renaud Lafage, International Spine Study Group (ISSG)

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